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HomeMy WebLinkAboutBuilding Permit #583 - 5 ARDMORE COURT 4/9/2008 "ORT BUILDING PERMIT of 6A TOWN OF NORTH ANDOVER O :. APPLICATION FOR PLAN EXAMINATION 7° Permit NO: Date ReceivedATg° gSSAC14US�� Date Issued: (� IMPORTANT:Applicant must complete all items on this page LOCATION ` IYA f C v ay vP ( P n",nt 'PROPERTY OWNER �CW� = Print MAPS N©' 'PARCEL: ZONING DISTRICT: Historic District- yes 'Machine Sho Villa e es .° P _t. 9 y 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 7 Well -= Floodplain_ Wetlands Watershed Districts Water/Sewer . - DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR 'Narne. R' r Phone: 1 s (- _ . F . a 71 Address:° � ; Sijpervisor's Construction License: Exp. Date: Ao Home Imp ovement`License: . .;; Exp. 'Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. i FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: V( < FEE: $ Check No.: I l Receipt No.:� NOTE: Persons contracting with unregistered contractors do not have access to tie u an u d Signature of_gentlOwner s^ Signature of Hcontracfor' Location c-7 No. � Date NORTq TOWN OF NORTH ANDOVER _ Of �w o,hG 9 i • y; Certificate of Occupancy $ ;�J'•��'Eta' Building/Frame Permit Fee $ �tNus Foundation Permit Fee $ ri Other Permit Fee $ U TOTAL $ Check # r ` 6 ~f Building Inspector 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dt�rnpster tin site yes no Located at 124 MAin Street e Fire Dep�rtme-fit`zianatu:rq/date COMMENTS-1," 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 2008 I 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 o Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li Copy of Contract o Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application Li Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses Li Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) i o 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 Li Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit o 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 NOTE: 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 ite Plan b _ '' Pre ( �, � WS t _ L K 771 eb 7 rte" C� k Y r 9 d S ;i Community Facilities Its 8,: V ie Wood Ridge Site flan Wood Ridge is a community that . ^^� ° consists of 230 townhouses in seven clusters.The centrally located community a' O 4` facilities include a swimming pool, tennis courts and a large clubhouse/ `' ° ° `" R meeting hall. ` tv" r Equal Housing = �` q ng Opportunity � � � �s;... _ ,r_. Waverly" Road The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �� ---- Address: r Q M� C. City/State/Zip: 11ly ,4� q'IddU( Phone#: � `1�®��� Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.1 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its equired.] officers have exercised their 10.0 Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions m yself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs sinsurance required.]t employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. '*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. #: Expiration Date: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci oor 1)y under the ins and pe It' of erjury that the information provided abo�je is tr and correct. Signature: Date: ( d v Phone#: Official use only. Do not write in this area,to be completed by city or town offrciaL 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#: r� J WOOD RIDGE HOMES, INC. A Cooperative Community 10 Wood Ridge Drive North Andover, MA 01845 978-682-7093 Fax 978-687-6616 April 7 2008 To Whom It May Concern: We grant permission for the household of Kimberly Kimball &Anthony Pelton to build a deck onto their unit located at 5 Ardmore Court. This deck must be built in accordance with specifications as outlined and attached. Please do not hesitate contactingme with an questions or concerns you may have. any Y Y Sincer y, racy M. atson Property Manager Cc: resident file � I EQUAL OPPOROUNPY professionally Managed by Barkan Management Company( OPPORTUNITY f WOOD RIDGE HOMES, INC. DECK SPECIFICATIONS 1. A deck may not measure more titan ten, I t) feet by ten 10,feet without Board of Directors r_p ova! 2. The deck must not come within two(2)feet of either end of the resident's unit. 3. Deck flooring must be at least one inch(1") below sliding door. 4. The deck must not be attached(nailed,screwed,etc.)in any way to the building. 5. The deck may not have any type of overhead structure(tent,awning or roof). (, " Any railing installed is not to exceed forty inches(40 )in height. 7. The deck may be painted y p nted white,stained,or painted a neutral color. ADDITY01VAL REQUIREMENTSOF MASSACHUSETTS STATE BUK—DING COD 1. A building permit must be obtained from the Town of North Andover Building Inspector, telephone number 688-9500. 2. The deck must be built with at least construction grade lumber. 3. Footings are to be poured concrete of at least forty-eight inches(48")in depth(below frost line). 4. Structure framing is to be sixteen inches(16")on center when three-quarter inch(3/4") stock is used as finish decking planks,twenty-four inches(24")on center if one and one- quarter(11/4)stock is used. 5. Framing stock is to be no less than two by eight inches(2" x 8")when frame exceeds more than ten feet(101)in length. 6. Any lumber to be within seven inches(7")of the ground shall be pressure-treated. 7. Spacing between decking Tanks are to be at least one-quarter inch(1/4"). 8. The deck must have a second means of egress. A complete copy of the blueprints or drawings,including all dimensions,types of materials,and estimated final cost of the deck to be built must be submitted to the management office for Board of Directors approval prior to any construction taking place. A copy of the applicable contractor's license, permit and insurance certificate must also be provided. All specifications are to be strictly adhered to,and the deck will be inspected after constructione Board of Directors or Managentent n:ay require repair or removal ofaay deck which it deems Kula& or unstehtly and the re- dent of the unit aill be held responsible for corroding im.y ate•,adan front the approved plans or from the-abeyc F 4 t ation ,fir p to and including the ce=letc dismantling ofd eek.