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Home My WebLink AboutBuilding Permit #255 - 316 STEVENS STREET 10/4/2006 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �SSgC HU`�tt Permit NO: Date Received: 7 3—N Date Issued: Q a6 IMPORTANT: Applicant must complete all items on this page LOCATION 3 kp &evens St,. NorA , An&up r MA OI B LAS Prinb� PROPERTY OWNER P)t7\bE Y� IJ�Ca i Print I MAP NO.:�_PARCEL: (D ZONING DISTRICT: o� TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential A New Building K One family l ❑ Addition ❑ Two or more family Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑ Commercial r- Demolition 1) C Moving(relocation) ❑ Other L Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED berSh I S t r7 ( C1 yup, 1I oa w)& ux))Ary c.*- � P�w, S�Q e -C cpm I 6,We\t I r,�a Identi ication Please Type or Print Clearly) OWNER: Name: 1 r Address: �) U D S, --7,yen S N Oi+' n A vsc Luy 9 r M A ' _ - _ - 1 CONTRACTOR Name:-- � - Phone Address: (o S C_ L0,Y)S 5:1 NOyn-Ro 0,Lr C�Mr M A � � ��•� Supervisor's Construction License: Exp. Date: Home Improvement License: N .1 A Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:l3ULD1;V�PER ��R$1000.00 F THE TOT,4L EST111ATED COST -ISEDO�'�S 5.00PERS.F. Total Project Cost :$` x 10.00=FEE:$ i SCC.. Check No. 3"3 Receipt No.: it Page Iol'd ?-2 a y TYPE OF SEWARGE DISPOSAL Swi Tanning/Massage/Body Art rruning Pools Public Sewer _I Tobacco Sales Well Food Packaging/Sales Permanent Dumpster on Site Private(septic tank,etc. L! Electric Meter location to project NOTE: Persons contracting wi t unre istered contractors do not have access to the guarantyfttnd Signature of Agent/Owner Signature of 'Rdbzr+ A 0,sr-�000 Contractor Plans Submitted Plans Waived' Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL.SIGN OFF- U FORM I DATE REJECTED DATE APPROVED ePLANNING V `L PIVIENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other t COMMENTS D T JECTED A PP OU D CONSERVATIO i COMMENTSgr(. 1� on t}� DATE REJECTED DATE APPROVE. HEALTH CONINIENTS Zoning Board of Appeals: Variance, Petition No: f Zoning Decision/receipt submitted yes Planning Board Decision:------ ___Comments Conservation Decision: TOWN OF NORTH ANDOVER Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided i Water & Sewer connection signature&date ) T Comp Dump,ti ter�n site tte yes_noi Fire Department signature/date Building Pen-nit Approved and Issued by: Page?ofd DIMENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) CQ t'-a C-V6ro /`tf'd°i-,�"".--,.G �O �r`ca.c�-P��' ;V114 ? i I S y Pave 3 ofd Doc:INSI'L('I B)NAL SERVICTS DITAR'FMENTAWFORNIOS ('rc❑i c.l.I A1C.Isn.:COh 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 Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.LC~And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed WorkVith Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ ':Mass check Energy Compliance Report (if Applicable) New Construction (Single and`Two Family) ❑ Building Permit Application _ ❑ Certified Proposed Plot Plan u 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 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:IN5PF.C'I`IONAI.SM:RVICF.S I)EPr\R'I'MEN'P:RPFORN105 I i i Paged of 4 r i Location - u No. Date NORTH TOWN OF NORTH ANDOVER • i ; . Certificate of Occupancy $ ESc'�+ Building/Frame Permit Fee $ G f Ctv2 O ;k swcHus Foundation Permit Fee $ Other Permit Fee t-1,11V$ TOTAL $/7/ Check # 19643 Building Inspector r . 1 QRTM Town of North Andover N ,� O �t4lp /6vt6�O I! Building Department 27 Charles Street w i North Andover,Massachusetts 01845 (978)688-9545 Fax(978) 688-9542 O'DA tocw.c rrKi�w y4. Building Demolition Affidavit �Rssge14us� DATE a. OWNERS NAME&ADDRESS ✓ l- PROPERTY LOCATION e � DESCRIPTION (� CONTRACTORS NAME&ADDRESS C40 G� i� S • DEPARTMENT SIGN-OFFS D.P.W./WATER SEWER �L OG d yAY , ELECTRIC TELEPHONE CABLE TAXES " POLICE FIRE o k 8 �l 4 EXTERMINATOR DUMPSTER-ON/OFF STREET DIG SAFE NUMBER D CD I BLDG. INSPECTOR DATE RECD UNCLE Pest-End, Inc. d � 15 Pelham Street 82 Plaistow Road, Rte. 125 Methuen, MA 01844 Plaistow, NH 03865 (978)794-4321 Fax(978)688-8344 (603)382-9644 Fax(603)382-9525 pestendinc.com pestendinc.com RODENT CONTROL REPORT BAITING PRIOR TO DEMOLITION PROPERTY ADDRESS: COMMERCIAL: YES NOy RESIDENTIAL: YES NO PROPERTY TREATED WITH CHECK ONE OR MORE TALON G INDIVIDUAL PACKETS EPA# C 100-1057 BRODIFACOUM / CONTRAC BAITING BL,OX EPA # C 12455- 79 BROMADIOLONE INTERIOR BAITING EXTERIOR BURROWS DUMPSTER PLANTERS OTHER AREA CLEAN YES NO ACTIVITY SEEN YES NO MICE RATS COMMENTS FROM TECHNICIAN . d, 6,1"` 40d -5 TECHNICIAN NAME: !)A� ��p, SIGNATURE J �`"Z� LICENSE # 333sa DATE L.l�U'JL1.:L7MO) D G aa Pest End Exterminators 15 Pelham Street WORK DATE 09/25/06 Methuen, MA 01844 Monday (978)794-4321 FAX(978)688-8344 [ 1113752] Work TA,,LV7521 781-888-8010 ARNToOSGOOD 1 AW0018000D 316 STEVENS ST 316 STEVENS ST NORTH ANDOVER, MA NORTH ANDOVER, MA RODENT BAITING PC-RO RODENT BAITING 175 . 00 -SUBTOTAL $ 75 , 00 TAX 0 . 00 TOTAL=== $ 75 .00 .._ .7��Y✓fin`"��Yl� �� / n 2/1/ fyl/� F \ 6.5 2 6 3 7 4 g • C� ' �-ir3 - .. .m�Ri 3GiP�ii1�... - Kitchen Living Room Dining Room(s) Bed Room(s) Attic Shed(s) Garage(s) Crawlspace(s) Office(s) Lawn Area Dumpster Area Basement(s) Bar(s) Store Room Rodent Burrow Rodent Pathway Bathroom(s) Other Family Room/Den Laundry/Utility Baseboards / Cabinets Carpeting Furniture f Sill Area Eaves Wall Voids Other Outside Outside Other Under and Behind Perimeter Beddings Kitchen Equipment Spot Treatment ULV Machine Broadcast Fan Spray Space Spray C&C Aerosol Duster Air Sprayer Fumigation Granulate Rat Station Mouse Station Actisol Machine Drill&Treat Voids Slab Injector Total Release Aerosol Other Other *Charges outstanding over 30 days from the date of service are subject to I hereby acknowledge the satisfactory completion of all services dered, — a 1 1/2%FINANCE CHARGE PER MONTH or annual percentage rate and agree to pay the cost of services as specified above. X of 19%. (if CUSTOMER SIGN RE Customer agrees to pay accrued expenses in the event of collection. PLEASE PAY FROM THIS INVOICE i F 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: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility itY as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws''Chapter 148 Section 10A. The debris will be disposed of (Location of Facility) Signature of PenW Pen' Applicant Fire Department Sign gn off. Dumpster Permit Date 1 _ TOWN OF NORTH ANDOVER ? APPLICATION FOR PLAN EXAMINATION o� No DrH qti >t ° o Permit NO: Date Received : no TooPP�y Date Issued: ��SSgcHus�I IMPORTANT: Applicant must complete all items on this page s`LOCATION Jin Print PROPERTY OWNER �/ ^��/ Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential One family' ❑Addition ❑Two or more family ❑Industrial ❑ Alteration No. of units: ❑ epair, replacement ❑Assessory Bldg ❑Commercial emolition WW oving(relocation) ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: A Qac. nodern Phone:!l f S 0 0 Address: 3 1 (,2 S--+O-ye t '[` � ( V� (12K-Ck CONTRACTOR Name: � Phone: Address: zQ!4tp c Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEERl0�_ Gd IMS Name: Phone: l Address: Reg. No. FEE SCHEDULE:BULDING PERM/ .$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total=Poje'ct'Cost ,$ `� :Ybt C ;w►M' x12.00=FEE:$ Check No.: Receipt No.: r� ' Page I of 4 i TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Well Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner " Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comnlents Water&Sewer connection/Si nature&Date � Drivewav Permit 11 f Temp Dumpster on site yes_no Fire Department signature/dateky-6,/ r."/ -~ I s I Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided I Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: �I NOTES and DATA—(For department use) F r i, Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM05 Created:IMC..Ian.2006 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 Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ 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) 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 ❑ Mass check Energy Compliance Report 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Pace 4 of 4 i Of NORTH O 9gD'?A S CONSERVATION DEPARTMENT Community Development Division July 10, 2006 Mr. Robert Osgood,Jr. 316 Stevens Street North Andover,MA 01845 RE: BUILDING AND DEMOLISHING PERMITS at 316 Osgood Street,North Andover,MA Dear Mr.Osgood, This letter has been prepared subsequent to our phone conversation that took place on Friday,July 7,2006 to discuss the building permit sign off requirements associated with the above-referenced site. As you know, the North Andover Conservation Commission (NACC) issued a Negative Determination of Applicability for the razing of the existing single-family house at 316 Stevens Street,in order to construct a new house with an attached garage within the same footprint. As part of the conditional approval,you are required to install erosion control as shown on the approved plan entitled, "Exhibit Plan', prepared by John Dick,P.L.S., dated November 8,2005 REV December 21, 2005, and schedule a pre-construction meeting with this department. It is my understanding that the bank lender will not fund this project without the necessary building permits in hand. As such,I have agreed to sign off on the'Form U' sign off sheet relative to the razing and reconstructing of the house. Furthermore,we have agreed that absolutely no work will commence on site until all pre-construction items outlined in the 'Special Conditions' attachment have been properly addressed.Please be aware that if any work starts prior to the pre-construction meeting,this department will immediately issue a 'Cease & Desist' Order and other applicable enforcement penalties. Should you have any questions or comments relative to this letter, the Order of Conditions or the process itself, please do not hesitate to contact the undersigned at your earliest convenience. The Conservation Department looks forward to working 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Wei) Nti-ww. http://,,c�\vw.to,,vnofnortliandover.com/conselve].htm with you in the near future. Thanking you in advanced for your anticipated cooperation with this matter. Respectfully, NORTH ANDOVER CONS ATION DEPARTMENT Pamela A. Merrill Conservation Associate Cc: Alison McKay,Conservation Administrator Gerry Brown,Inspector of Buildings Brian Leathe,Building Inspector NACD DOA File II, 1600 Osgood Street,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web www.http://-,v%v%v.townofnorthandover.com/conservel.htin r 'ti e Town of North Andover f pGRTH Office of the Zoning Board of A t {YED Community Development and Ser C1%j(UF! �' F 400 Osgood Street RIPAY -2 PM 4: 24 Gerald A.Brown North Andover, Massachusetts Inspector of Buildings Telephone(978)688-9541 NoTO k4D0V1141 OF t"Fax(978)688-9542 MASS ACHUSF TT Any appeal shall be filed within Notice of Decision This is to certify that twenty(20)days have elapsed from date of decision,flied (20)days ager the date of filing Year 2006 without filing of an appeal. of this notice in the office of the Date Town Clerk,per Mass.Gen.L.ch. deyee A.Bradshaw 40A, §17 Proat: 316 Stevens Street TWH 0A NAME: Robert A.Osgood,Jr., HEARING(S): April 11,2006 ADDRESS: 316 Stevens Street PETPTION: 2006-M North Andover,MA 01845 TYPING DATE: April 21,2006 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120RMain Street,North Andover,MA on Tuesday,April 11,2006 at 7:30 PM upon the application of Robert A.Osgood,Jr.,316 Stevens Street(Map 95,Parcel 6),North Andover requesting dimensional Variance from Section 7,Paragraphs)7.3&Table 2 for relief of the front setback,and from 7.4 and '? Section 2,Paragraph 2.27,&Table 2 for relief from the building height requirements of the Zoning Bylaw in order to raze and rebuild a single-family dwelling,and for a Special Permit from Section 9,Paragraph.- 9.2 of the Zoning Bylaw in order to raze and re-build a pre-existing,non-conforming structure on a pre existing,non-conforming lot. Said premise affected is property with frontage on the East side of Stevens'== Street within the R-2 zoning district. Legal notices were sent to all names on the abutter's list and were published in the Eagle-Tribune,a newspaper of general circulation in the Town of North Andover,on March 27 &April 3,2006. c The following voting members were presem' Ellen P.McIntyre;Joseph D.LaGrasse,Richard L Byers, 6.') —0 Albert P.Manzi,III,and David R.Webster. The following non-voting members were present: Thomas D. Ippolito,Richard M.Vaillancourt,and Daniel S.Braese. Upon a motion by Richard J.Byers and 2°d by David R Webster the Board voted to GRANT a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 for relief of 8'from the front setback and Q from Sections 7.4,2.27 and&Table 2 for relief of 1.1'from the height requirement in order to raze and rebuild a single family dwelling-,and upon a motion by Richard J.Byers and 2°d by David R.Webster,the Board voted to GRANT a Special Permit from Section 9h 9.2 of the Zoning mng Bylaw in order to iea re-build a pre-existing,non-conforming single family dwelling on a pre-existing,non-conforming Site: 316 Stevens Street 95,Parcel 61,North Andover,MA 10845 Site Plan Title: Plot Plan,316 Stevens St.,North Andover,MA,prepared for,Robert A, Osgood,Jr.&Ann M.Osgood Date(&Revised Dates): 30 January 2006 Registered Professional John Gilbert Dick,P.L.S#32657,48 Hathorne St.,Salem MA 01970 Land Surveyor Buildin Plan Title Residence for Robert&Ann Osgood,316 Stevens Street,N.Andover By: G.J.Bruno,G.J.Bruno Associates,Residential Designers,28 Berkeley Road,N.Andover MA 01845 Date: 9-24-05 SheedDrawin : AI-A4,Job no. 1039 Page 1 of 2 ATTEST" A True Copy Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Heahh 978-688-9540 Planning 978-688-9FMvn Clerk h Town of North Andover Office of the Zoning AW�ppeals Community DeveloprJAWA .� agfibivision ��jj�jj�� _��jj pp *SS1% U`�ES Gerald A.Brown North AndoverIMA us�tts Am 24 Inspector of Buildings Telephone(978)688-9541 10'fi N Cr --., Fax(978)688-9542 HORTH ANDO '.h MASS ACHUS�.!.F Voting in favor of the petition: Joseph D.LaGrasse,Richard J.Byers,Albert P.Manzi,III,and David R- Webster. Voting against the petition: Ellen P.McIntyre. The Board finds that the particular circumstances of 316 Stevens Street relating to topography are that the lot falls abruptly away from the road requiring a retaining wall along the front lot line and requiring the existing(and proposed)basement floor to be build 22'from the road in order to be above the high groundwater. The Board finds that the placement of the existing remaining structures,the pool,patio,& shed,block the new dwelling being moved to the right. The Board finds that the applicant would need excessive amounts of fill to create a platform to allow the new dwelling to be rebuilt 30'from the road and. 35'high at grade. The Board finds that the Plan of Land in North Andover,Mass owned by Robert M.& Dorothy S.Wood,Planning Board Approval Not Required 8-22-66 N.E.R.D.Plan#2250 shows the existing foundation,retaining wall,and lot lines. The Board finds that the proposed dwelling height of 36.Fat roof ridge shall not be higher nor the 22'front setback greater than the existing single family dwelling per John Gilbert Dick's statement. The Board finds that the slope and high groundwater affect this parcel,but not the R-2 zoning district in general. The Board finds that the literal enforcement of 7.3, 7.4,2.27&Table 2,adding enough fill to create a plateau,would involve substantial hardship,financial or otherwise,to the petitioner. The Board finds that that there was no written or spoken opposition.The Board finds that desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the North Andover Bylaw. Also,the Board finds that the applicant has satisfied the provisions of Section 9,Paragraph 9.2 of the zoning bylaw and that this proposed razing and rebuilding of a single-family dwelling. The Board finds that 316 Stevens Street is an appropriate location for a single-family dwelling,that this use,as developed, will not adversely affect the neighborhood,nor will there be any nuisance or serious hazard to vehicles or pedestrians. The Board finds that adequate and appropriate facilities will be provided for the provided for the proper operation of the proposed use,that utilities and off-street parking are provided. The Board finds that this use is in harmony with the general purpose and intent of this Bylaw,and that this change,or alteration,shall not be substantially more detrimental than the existing structure to the neighborhood. Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a building permit as the applicant must abide by all applicable local, state,and federal building codes and regulations,prior to the issuance of a building permit as required by the Building Commissioner. Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, PRIALY fY4*+'U I ' Ellen P.McIntyre,Chair h Decision 2006-009. M95P6. Page 2 of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 ESSEX NORTH REG RY OF DEEDS,`) LAWRENCE, MASS. I asonrisai�f.- A TRUE COPY- ATTEST CIA 4wmm v. Town of North Andover NoRTN q Building Department OI�t`ED.,,6�6�'O 1600 Osgood Street �' b•- North Andover MA 01845 - Tel: 978-688-9545 Fax: 978-688-9 / by 1 VVV c0cWc"wrcw DEMOLITION OF BUILDING AFFIDAV A°A�rEo "Pay Q ` SSACHUS�� DATE N V OWNER'S NAME &ADDRESS Ven 3 LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION �Y1dCh &Wn �1 '(Vl1 A CONTRACTOR'S NAME &ADDRESS J 2 DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS - WATER: SEWER: DEPT OF CONSERVATION HEALTH DEPT: Septic❑ Well ❑ GAS ELECTRIC TELEPHONE CABLE TAXES POLICE FIRE EXTERMINATOR DUMPSTER—ON/OFF STREET DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit Town of North Andover V10RTN q Building Department ° .��~E° o 1600 Osgood Street North Andover MA 01845 t Tel: 978-688-9545 Fax: 978-688-9542 * - e" A_O c0cmcmewic 7 I►Pa`y 5 DEMOLITION OF BUILDING AFFIDAVIT q RgTEo SSACHUSE DATE OWNER'S NAME &ADDRESS BbbQy__� A Dsapd 3 Si-e Vem Sfi MQ rA A In d purr (Y)6 , Q 2 �s LOCATION OF PROPERTY TO DEMOLISH Svc S ST . N) - A M i� 0( 94 _ DESCRIPTION �n0d (&WY) %A( l '► C iel �� CONTRACTOR'S NAME &ADDRESS (X TO ' ' DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: SEWER: DEPT OF CONSERVATION HEALTH DEPT: Septic 0 Well 0 GAS ELECTRIC TELEPHONE i CABLE TAXES POLICE FIRE EXTERMINATOR DUMPSTER—ON/OFF STREET DIG SAFE NUMBER DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit 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: 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: (Location of Facility) Signature of Permit Applicant Fire Department Sign off: Dump ster Permit Date s f INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT ,r'. f f✓�/ ��' PHONE �!- LOCATION: Assessors Map Number Q PARCEL( 1 5 SUBDIVISION N { ' LOT (S) ) -1 STREET � e "(�dL.S ST. NUMBER-?/` OFFICIAL USE ONL TIWWOFT NTS: CO SERVATION ADMINISTRATOR DATE APPROVED 0-17 1 7w DATE REJECTED COMMENTS VVrd , E U3 J- TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALT DATE APPROVED DATE REJECTED SEPTIC INSPEC DATE APPROVED i DATE REJECTED V . : COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS � DRIVEWAY PERMIT FIRE DEPARTMENT 7ECEIVED BY BUILDING INSPECTOR DATE Revised I97)m J� NORTH Town of 4Andover 0 No. �- 0 o dover, Mass.,0 LA • O �. COCMICHEWICH �. ' 7�AORgrEo i`P�� S BOARD OF HEALTH Food/Kitchen ijERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT............. .d. .............. ..IeC0.................................................................... Foundation has permission to erect........................................ buildings on ......f3.i..b.......&.. ..... tow*....Cf., ............... Rough to be occupied as.. --eV s provided that the rson accepting this permit shallrRi ev ry respect conform to a terms t e application n fil F this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Constru • Buildings in the Town of North Andover. 1S� ? O L O O t PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TR STATS Rough ........ Service BUILDING T 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. N ORTIy Town of 6Andover No.251' p6p6 C% A Odower, Mass.,COCMICKEWICK 1 AERATED p' ,�5 `S BOARD OF HEALTH PERMIT D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ;�M,T........b O.a �............................................................................... Foundation has permission to erect........................................ buildings on ......3146...... ................. Rough to be occupied as 9o"o.....vkh+-\.... ...... ........ y�1. T... ti 1....8.... ..... Chimney provided that the person accepting this permd 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. 7 �� 6 �O� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release lb Checked By/Date CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached \ HEATING SYSTEM TYPE: Other(Non-Electric Resistance) \ DATE:01/17/06 DATE OF PLANS: 9-24-05 PROJECT INFORMATION: OSGOOD RESIDENCE 316 STEVENS ST M ANDOVER COMPANY INFORMATION: STEVE BREEN CONSTRUCTION COMPLIANCE: Passes Maximum UA=449 Your Home=397 11.6%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1536 30.0 0.0 54 Wall 1: Wood Frame, 16"o.c. 2622 19.0 0.0 131 Window 1: Vinyl Frame,Double Pane with Low-E 377 0.340 128 Door 1: Solid 21 0.550 12 Door 3: Solid 21 0.550 12 Door 2: Glass 21 0.550 12 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 1016 19.0 0.0 48 Furnace 1:Forced Hot Air, 85 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release lb. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release lb DATE:01/17/06 Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] 1. Window 1: Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor: 0.550 Comments: [ ] I 2. Door 3: Solid,U-factor:0.550 Comments: [ l I 3. Door 2: Glass,U-factor:0.550 #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Floors: [ ] I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: i Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,85 AFUE or,higher Make and Model Number [ ) I 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources ofit leakage must be sealed. ai [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: L Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-values,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Ducts shall be insulated per Table NAT 1. i Duct Construction: [ l I All accessible joints, seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55 OF must be insulated to the levels in Table 2. i z Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipe& Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F), 2"Runouts V and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only)