HomeMy WebLinkAboutBuilding Permit #946-15 - 57 HITCHING POST ROAD 5/22/2015Permit No#: q4
Date Issued:
LOCATION
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
ANT: Applicant must complete all items on this
P * t
PROPERTY OWNER &2ff 04t— —
- r Print 100 Year Structure
MAP PARCEL-0,2-4-OZONING DISTRICT: Historic District
Machine Shop Village
t%ORTH
0
coc
yes no
yes no
yes.0no
TYPE OF IMPROVEMffN_T
PROPOSED USE
Residential
Non- Residential
El New Building
0 One family
El Addition
0 Two or more family
0 Industrial
El Alteration
No. of units:—
0 Commercial
Oepair, replacement
El Assessory Bldg
0 Others:
Demolition
M) IS
El Other
_7 M A
7
I] aMi IN I ;a I
I ILUM T.11.M ULW11 &Ill,
Identification -
OWNER: Name: -
Address: 6-7
Type or Print Clearly
Contractor Name: SR-t!,ff P
lEmail: j5��.e-241
Address:
-191/S—
Supervisor's Construction License: Exp. Date: cP/— dOl
Home Improvement License: E. -p. Date: 01- -20/
ARCH ITECTIENGINEER Phone:
Address: Reg. No
- 190,�10
FEE SCHEDULE. BULDINGPERMIT.-$12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED $125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:_Q�&1,J_/__
NOTE: I;e—rsons 6ntracting with unregistered contractors do not have access to the guarantyfl nd
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)
,4, Building Permit Application
4, Certified Proposed Plot Plan
4&� 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
10TE: 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
Doe: Building Permit Revised 2014
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.$100-$l 000 fine
NOTES and DATA — (For department use)
Ll Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
Plans Submitted Plans Waived Certified Plot Plan 0 Stamped Plans F1
TYPE OF SEWERAGE DISPOSAL
Public Sewer 11
Tanning/Massage/Body Art r]
SwhMing Pools
well El
Tobacco Sales El
Food Packaging/Sales El
Private (septic tank, etc. El
Pennanent Dumpster on Site F1
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
Reviewed On Signatu
CONSERVATION Reviewed on Sianature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS,
4
Zoning Board of Appeals: Variance, Petition No:
Zoning Decisionlreceipt submitted yes_
Planning Board Decision: Cornments
Conservation Decision: Comments
Water & Sewer Connection
DPW Town Engineer: Signature:
Located 384 O,�
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Location S? // i
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No. Date . 5-4-20
Check#w
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TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $b
TOTAL $
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Building Inspector
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Scott LeMay Contracting
11 Allen Rd.
Windham NH. 03087
978-815-7876
Bill To:
Amy Stavros
57 Hitching Post Rd.
North Andover, Ma
Project
Deck restore.
Page: I
Estimate
Number: EIOI
Date: May 01, 2015
Description
Amount
Scott LeMay Contracting proposes the following:
To remove all the existing decking and rails. 4x4 posts will stay unless
the strength of the post has been compromised.
To remove stairs totaly.
Debris to be disposed appropiately.
Construct a new sets of stairs using (4) 2"xl2" PT.
(2) 10" holes will be dug, for the support cradle, under the stairs.
Decking:
Fiberon Rosewood decking will be installed, using a hidden fastener
system, in a pictured frame pattern.
Trex 6"x6" sleeves will be installed with matching caps and skirts.
Rails:
Trex railings will be installed with the top cap macthing the decking.
Stairs will also be installed using a picture frame pattern. Treads will
be screwed down.
The entire rim joist and stair sides will be covered in PVC. Attached
with white matching plugs.
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Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express 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 enterprise, 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 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 be deemed to be an 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 commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its 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 fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-'contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLQ 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 may be submitted to the Department of Industrial
Accidents for confirmation of insurance 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 requ*ired to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance 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 a reference 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 "Job 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 may be 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 permit 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
Department of Industrial Accidents
I 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