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HomeMy WebLinkAboutBuilding Permit #1350-2016 - 47 MILTON STREET 6/29/2016 ISP �2 BUILDING PERMIT t10RTH qw- E D F67 'YO TOWN OF NORTH ANDOVER o� APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received � o .�5 /� Date Issued: 'cv 29 C HUS�� IMPORTANT: Applicant must complete all items on this page LOCATION / Print PROPERTY OWNER d-" d t at C, r1 Print 100 Year Structure yes no MAP b 3) PARCEL: h 7Z 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 ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others- ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑ Wetlands ❑ Watershed District t.i�ater/Sewer As I ESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: S� Phone: Email: Address: Supervisor's Construction Li c Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. )�otall Project Cost: $ a , �� —�,3 CIh FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public St .,T Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Durnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On ZG Z�1� Signature_ V COMMENTS CONSERVATION Reviewed on (o l G Signature < V711— COMMENTS COMMENTS HEALTH Reviewed on Signature COMMENTS 4'oning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 4. Planning Board Decision: Comments Conservation Decision: Comments Wafter & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FA-E-,D0PAON - Ternp"Dumpster:onsite ,yes _ _.� nog i Locatedlat 124iMainrStfoet- Fi're}Department signature/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) LJ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit 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 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 IECC 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. ©,}° Date�� • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ �. TOTAL $ Check# �uilding Inspector i MORTH Town of �� ndover Z h ver, Mass o I . 7 9 .Q coc"Ic"aww 1' �d p0RATED fs U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System W. - 6*41#.A BUILDING INSPECTOR THIS CERTIFIES THAT ......�U ......4.... ...... . .. .......­­*.......... Foundation has permission to erect buildings on 41......��.. ........................ ..... ................... ............................. Rough to be occupied as s6fel.................. .... ,.. ......... ................................................................ Chimney provided that the person accepting this permit 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 CONSTRUCT19WARTS Rough Service ........... I�/�rr................... Final .. . ... . UILDING INSPECTOR 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 OFFICE OF _ o 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 BUDING PERMIT APPLICATION Please print DATE: JOB LOCATI.ON: �� lel Sr['�z� 3 )//3 Z Number Street Address Map/Lot HOMEOWNER JD) Lfln (,ar► �1�—��t`�b��l Q03 9) ff -?(,,q --7 7 1 Name Home Phone Work Phone Cz1zR PRESENT MAILING ADDRESS l onddm- 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, rop vided 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. 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 APPROVAL OF BUILDING OFFI 2 Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 DATE (MMJDDIYYYY AC40RDP® CERTIFICATE OF LIABILITY INSURANCE 4/12/2016 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Natasha Rufe NAME: Foy Insurance PHONE aC No 163 Main St Ste 102 ADoREs :Natasha.Rufe@foyinsurance.com INSURERS AFFORDING COVERAGE NAIC# Salem NH 03079 INSURERAAcadia 31325 INSURED INSURER 8:L�astern Shed Co In INSURER C: PO BOX 45 INSURER D: INSURER E: Hampstead NH 03841 INSURER F: COVERAGES CERTIFICATE NUMBER30aster 2016-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THEROLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE I BR POLICY NUMBER MM/DDS MM/DD EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED 300 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE a OCCUR ADV5248852 /12/2016 4/12/2017 MED EXP(Any oneperson) $ 15,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY (CEO,Me LIMIT $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDIx SCHEDULED 248853 4/12/2016 4/12/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ X HIRED AUTOS AUTOS ED Per accident Medical payments $ 10,000 X UMBRELLA LIABOCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I X I RETENTION$ 10,00 A5248855 4/12/2016 /12/2017 $ A WORKERS COMPENSATION NC STATU- OTH- AND EMPLOYERS'LIABILITYORY"M ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) CA5248856 /12/2016 4/12/2017 E.L.DISEASE-EA EMPLOYEq$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Informational purposes ACCORDANCE WITH THE POLICY PROVISIONS. . AUTHORIZED REPRESENTATIVE Natasha Rufe/SNAT ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IN3025 rgmnnsi m Tha Ar_l1Rrl name nnA Inn^ara ranic+a 1 marl-*of At't1Rr1 jRNSHED Building Standards and Features k%�E AANY 1/2"CDX Plywood 2"x6" Roof Trusses Asphalt 25 Year SelfASealing Roof Shingles Roof Sheathing. 16"On Center (30 Year Architectural Shingles Available). too Particle Board) Aluminum louvers with Scrggned Vent Aluminum Drib Edge _ I - 2'!x4 Wali Studs Aluminum Fully Functioning 16"on Center Windows with Screen (Standard Height 6`3") Vinyl Shutters Vinyl Sheds;Vinyl Clapboard Siding&COX Plywood Wood.Sheds'. l"x 8"Ceder or Pine.Tongue and Groove Pressure Treated Ramps Z"x6"Pressure Treated Floor (Seen In Additional Options) foists 16"an Center (8"&12"on Center Available) 58"C[x Floor Plywood Solid Fiber Glass Doors (steel Eton-up Doors&overhead (S/g"&31,V'Pressure Treated Plywood Available Doors Available} lYe particle Eoarct Fiber Glass Doors include Lock &Key North Andover MIMAP June 29, 2016 38 MILTON ST 03.1.0-0029 031.0-0023 031.0-0020 S1, 031._0-0030 031:0-0022 31.0-0034 35 MILTON ST 03;1.0-0021 33 PILGRIM S. 1r� 031:0-0053 031.0-0031 0,i SS1 39 MIL-'TON IS.T N� 10 11, 48,MILkTON'ST 031.0=0033 f R4 ' 031.0-0032 �S 47 MILLTON:ST / 031.0-0037 i 031.0-0044- 5S,PILGRIM ST 1\ = 90, �O/Psla 89 +SFr 19 S11 A, •I, 020.0-0027 031:0-0036 6 50,PILGRIM ST a� oaf 211, 031.0-0049 0 MVPC Bo Zoning Overlay Zoning [ Municipal Boundary G Adult Entertainment Distric Businei s 1 District 0 Machine Shop Village Ove ::Businei s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line ®Watershed Protection Dist O Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates (' Historic Mill Area ©Businei s 4 District 14ORTN Valley Planning Commission(MVPC)using data provided by the Town of —I Q Medical Marijuana O Genera Business District f 9 04,1"'0 re ti North Andover.Additional data provided by the Executive Office of —SR ©Downtown Overlay District O Planne Commercial Dev � j. b •y O Environmental purposes only.IIS.The information depicted l this map is Q Historic District . Conido Development Dist planning purposes only.It may not be adequate for legal boundary Roads L for tannin �J Osgood Smart Growth(40 O Conido Development Dist Q .•�. - to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER {r Easements C H dro ra hic Features O Corrido Development Dist F 9 Y 9 P MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Industri 1 District ❑Parcels - Streams r/ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Industri 12 District n OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands O Industri 3 District *�p ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF O Industri I S District 1q. Exempt Lands Reside ce l District THIS INFORMATION Reside cel District SSACi1U5� Ride cc 3 District de ce 4 District 1"=42 ft w�rde ce 5 District YYY de ce 6 District ,��.ge esidential District North Andover MIMAP June 29, 2016 I gg T'": t✓ ?� � X0 01> �� ^i•k2 71 �> 1 i F K >e { 1 0 MVPC Bo Interstates —I Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, SR Meters Data Sources:The data for this map was produced by Merrimack Roads t NORTH N Valley Planning Commission(MVPC)using data provided by the Town of O ,t�+o r+ ti North Andover.Additional data provided by the Executive Office of l r Easements �. e+ +6�Q Environmental Affairs/MassGIS.The information depicted on this map is ParcelsF _ A for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING • M THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY • s ,^, {t OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 0 , K ��+ 41 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION ,SSACNUs�t 1"=42ft ^� i i Table 2:Summary Of Demensional Requirements -Res. Res. 'Res. Res. Village Res. Res. E35 Has. Elm Bus. Village- PCD General CDD CDD CDD Ind. Ind. Ind. Ind. 1 2 .3 4 Res."" 5(mm 6 2 3 4 Comm. Bus. 1 2 3 1 2 3 S .'Lot Area N?u'.S.F. 87,120 43,560 25,000 12,500 43,560 43,560171 130,680 25,000 120,000 80,000 90,000 150,000 25,000 43,560 87,120 1089900 80,000 80,000 435,600 50,000 Height i Max 11) 35 35 35 35 35 35 35 35 35 60 40*(17) 35*** 45 35 35 45 55 55 55 55 I Sleet Frontage Min(fl) 175 150 125 100 95(m 150 1501u) 125 125 300 200 200 300 125 I50 250 250 150 150 150 150 Front Setback Nlin.(it) 30 30 30 301'1 25 30 25 30 25 100 50 50**(MM 100 25 10(1) ]0(11 15(l) 50 50 100 n') 30 Side Setback Min.(11) 30 30 20 15 15 25 15 2081 25m 501'1 501st 25**(17) 50 251'1 15 15 20 50131 50o) 20011011 201'' Rear. Setback Min(11) 30 30 30 30 30 30 30 301''1 3011 5011 50 25**1171 50 35m 20 25 30 50131 501'1 2000.1 301''1 Floor Area Rolio Mac N/A N/A N/A N/A N/A 0.75:1 0.25:11151 0.30:1 0.75:1 0.40:1 1.50:1 N/A 0.75:1 N/A 0.75:1 0.75:1 0.75:1 0.50:1 0.50:1 0.50:1 0.50:1 Lot Coverage Moc N/A N/A N/A N/A N/A 20% 20% 30% 35% 30% 25% 25% 25% 35% 70% 70% 70% 35% 35% 35%011 35% Dwelling Unit Density Multi- MaC/Acr. N/A N/A N/A N/A 1/acre('+' Fam1u) 9mcn,1121 N/A N/A N/A N/A N/A N/A I N/A N/A N/A "N/A N/A N/A N/A N/A Town House Open Space I 1 25%**(151 30% 30% *Two stories not to exceed 40R. ' **Refer to Sections 8.1(13)and 8.4(6) ***See derailed District Use Regulations Please refer to footnotes for additional information