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Home My WebLink AboutBuilding Permit #542-11 - 56 ELM STREET 1/26/2011TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N� Date Received 1[w), Date Issued EVIPORTANT: Applicant must complete all items on this page LOCATION 110 V 1m 7S • Print PROPERTY OWNER �c `" r� W,� Print MAP NO: Q_0 PARCEL:40__/_�LONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PR USE esidentia Non- Residential ❑ New Building N ne family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �--`. ` Flgodpla � dss � t � , �atershe is.rict =' S eptic �►Water/Sewers---- --'----- --� � ��------=----- -- - OF WORK TO BE PERFORMED: , -nF,qC'.RTPTION Please Type or Print Clearly) OWNER: N - 715 - �50'70 Address: 6(o �Im 5 CONTRACTOR Name: ('�c Phone: 617 - )%d7 Address: q< 5_,_6 1 174 Supervisor's Construction License: q le a y Exp. Date: q/23 /0017 Hoene Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project'Cost: $ FEE: $ Check No.: Receipt No._L7�2� :� NOTE: Persons contractiing yith unregistered contractors do not have access to the guaranty fund Pians Submitted ❑ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑ 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 COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED El Reviewed on Siqnature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/SDrivewav Permit 1)PW Town Engineer: Signature: Located 384 Osgood Street FME DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main. Street Fire Department signature/date COMMENTS Location,v�i� rr_ No. Date ! �/ TOWN OF NORTH ANDOVER Certificate Occupancy $ + , , of sACMUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # l 2 5 L L-3 Building Inspector 2 Del);rrnncnt rt Public �Nafct. Ba.ar•d fit' Bui4din". Rc;,ulatinn. and �taritfards;` Construction Supervisor License License: CS 96241 CHRISTOPHER BURGHOLZER ;c,..t 48 SCHOOL STREET.,:, SOMERVILLE, MA 02143 c— �"G Expiration: 4123/24;2 ( nuni..f nr r Tr—,: 31329 U) m m C X m mm M y CA C �< O lw Cl) CD n Z y CD O r c CL y ac O v CD CD o CL0 cr � d CD CD Q CD ca 3. C O M CD CLO y CO CD a v y O 1 Z CD. 5z O • CD O CD I O C3 C =r. m O CO o � c r� a r� C/)`� V) C CD m c O o z y z a. c C y n� o� FW O cn °z v J ,^ cn � =r ..y O Q - y �a`o7 y mo m c� ra el c m H O ,o N� O m H — � CD ary rm m �O m H O -� O m y Cl a S. 0.'� O •Oi O Zyci . M ? H = �' O �m a..�»: CD m y 0C CCDL GOm d y wan— a m O m CA CD �n H .'O 1 co 51 CD �G CDS �m o ,y � co T H CD � •,� �j... m m :d CLte. C -) C -) O ^; moo: C 0-oGa d � o to ., M "r] 0 til o CD n? O 0 Ir x It r tz ro n � o�v x O C . w g � G w to al Q- O x 7d . Ll 1� 0 c The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston, MA 02111 �� z • www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/JElectriciansIPlumbers Applicant Information Please Print Legibly Name(B.uuiness/OrganizatiorAndividual): Address: 5lo Elm City/State/Zip: 6Ls A Ancl.o for MA Phone #: U1 -176-X5670 Are you an employer? Check the appropriate box: 1. ❑ 1 am a employer with 4. ❑ I am a general contractor and I employees (fall and/or part-time).' have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. x ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. 1 am a homeowner doing all work right of exemption per MGL / myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required] Type of project (required): 6. ❑ New construction 7. [Remodeling . 8. ❑ Demolition 9. ❑ Building addition 10. FJ Electrical repairs or additions 11. F1 Plumbing repairs or additions 12.❑ Roofrepairs 13.❑ Other *Any applicant that checks box 41 must also fill 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. lain an employer that is providing workers' compensation insurancefor my employees. Below is the policy and job site information. Insurance Company Policy # or SeIf-ins. Lic. 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 ofup to $250.00 a day against the violator. Be advised that a copy ofthis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do liereby ceA,,/ tify un der the pains andpenalties ofperjury that the information provided above is true and correct. Signature• Date: Phone #• 617 - 77 5 - !K676 Official use only. Do not write in this area, to he completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): X. Board of Health 2. Building Department 3. City/Town CIerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone M 38" 35'�' 1032" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 1/14/2011 Printed: 1/15/2011 1090DF5F.kit All Drawing #: 1 For. David and Stephanie Hirst 56 Elm Street North Andover, MA Terms: Due on Receipt Christopher J. Burgholzer General Contractor 48 School Street Somerville, MA 02143 617-201-1829 chris.burgholzer@gmail.com MA Contractor's license # 96241 Date. January25, 2011 Due Date: 2/11/2011 Description Quantity Rate Amount Kitchen Window Replacement 56 Elm St - Removal of existing window - Restructuring of existing window frame to accommodate larger window - Installation of new window - Customer may need to have some siding repairs made Labor 8 $75.00 $600 Material 1 $675.99 Anderson Window 400 Series Tilt -Wash Double Hung Window (Double Wide Unit 2032-2) Total: $1275.99 N°Rry TOWN OF NORTH ANDOVER OFFICE OF n BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 Gerald A. Brown Telephone (978) 688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: � LZ (/ I I JOB LOCATION: Sb Bm C�A U g Z -C) 00l Number Street Address Map/Lot HOMEOWNER D,,Oc 'I �ik1si GO -176-` O'M 4o5a1 Name Home Phone Work Phone PRESENT MAILING ADDRESS I nm-\ �, 4?-( Ml� MM5 City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the 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 12&44Z APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 p01Tly ?, Town of North Andover Machine Shap Village Neighlmrh(md Consexvatiou District Commission +,;•q;,;p �� 1600 Osgood Street North Andover, MA 01845 ss�tHU58 Application For EXCLUSION From Certificate to Alter Certain alterations are excluded, from review by the Machine Shop Village Neighborhood Conservation District Commission in accordance with the Bylaw. Applicants fur exempt projects must fill out the form below and submit to the Commission Chairperson (contact info below). Date: Contact Name & Address: 56 Elm 5 ly. 4jn:(tta M A OI m t;17 -_77S-15070 ;it Project Address: 5ta Elm SA- Project t Project Description (attach additional pages, if needed): Exclusion From Review Requested For: ❑ 1. Interior Alterations eeisting conditions including materials, ❑ 2. Storm windows and doors, screen design and dimensions. windows and doors. ❑ 9. Replacement of existing substitute doors, substitute siding or substitute ❑ 3. Removal, replacement or installation of windows with new materials that are gutters and downspouts. substantially similar to the existing condition. ❑ 4. Removal, replacement or installation of window and door. shutters. ❑ 10. Replacement of original fabric ❑ windows or doors with substitute 5. Accessory buildings of less than 140 windows or doors that maintain the square feet of floor area, architectural integrity with respect to ❑ form, fit and fumction of the original 6. Removal of substitute siding, windows or doors. 7. Alterations not visible from a public ❑ 11. Reconstruction, substantially similar in way exterior design, of a building, damaged or ❑ destroyed by fire, storm or other disaster, 8. Ordinary maintenance and repair of provided such reconstruction is begun architectural features that match the within one year thereafter. MSV NCDC Page i Current Chair. Liz Fennessy, 77 Elm Street, tizcttatcnnessycmyA: hoo.com. 978-688-2915 f �OaTk � 0� ' Town of North Andover Machine Shup V' illage Neighlwrhexxi Conservation District Commission 1600 Osgood Street North Andover, MA 01845 54CHU5 Application For EXCLUSION From Certificate to Alter For Items 9,10 or 11, provide the following documentation: Photos/drawings of existing doors, windows or siding, as applicable DescriptionXalalog Cuts of proposed materials to be used for doors, windows or siding Plan and elevation of reconstruction for Item 11 Determination: This project is determined to be exempt of exempt from review by the Machine Shop Village Neighborhood CmLvervation District Commission. Projects that are not exempt must complete the Application for Certificate to Alter, available from the Building Department and be reviewed by the Commission. Detenninadq4 made by,. Signature C C cvl�� Neighborhood onservation Distrit.-t Commission Date MSV NCDC Page 2 Ca=t ChairLiz F=cs_sy_ , 77 Elm Streit 11, -r• it rw 1, 978-688-2915 Description of existing window: The existing window measures approximately 50'/ inches(l) x 30 Y2 inches(w) and is a 6 over 1 window. (See attachment A) This window resides on a back wall of the house, and is not visible from any publicly accessible ways. (See attachment B for window location) Description of proposed Changes: The proposed change is being made as part of a larger kitchen renovation effort. As part of this project, the proposal calls for removing the existing window, and replacing the previous window with a wider double or triple casement window. (See attachments C and D). The exterior of the window is vinyl and the interior of the window is wood. The new window would measure approximately 40 inches (1) x 50 — 60 inches (w). Each window within the casing would maintain the existing 6 over 1 look of the previous window. 0 0 0 —h 0 0 ra CL Q 0 CU 0 00 rD "� �>�.. f .�, " ,�� _�- ��