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HomeMy WebLinkAboutBuilding Permit #221 - 58 COLGATE DRIVE 9/21/2007 TOWN OF NORTH ANDOVER F p APPLICATION FOR PLAN EXAMINATIONC mc- * ; Permit N0: �) Date Received ` ��- s RATED• SACHUS Date Issued: IMPORTANT Applicant must complete all items on this page s firo* tal � s SO dk- �t IS TYPE OF IMPROVEMENT PROPOSED SE DU USE ial Residential Non- Resident ❑ New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial Iteration No. of units: 0 Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition 0 Other �5 akJ DESCRIPTION OF WORK TO BE PREFORMED: /UJB, /�I�Gl1 iC J7 --ro S- rr�lr� Ln�i ! 34 14, of Identification Please T I Identif Type or Print Clearly). OWNER: Name: kd8eer �✓��" Phone: Address � I #� yk WNW gpx '"iia air*��' y t'� .� rT '� = 4.. .,� � r,� �� .� S�" -� �' +• . Gym a tt pt�; ARCHITECT/ENGINEER Phone: Address: Reg. No. 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 33 3� � _FEE: $ 2(�2 I Recei t'No. 020 : Check No.: 1 1` p NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund f I Location 13 -d l r 09 r No. 27, 1 Date ' , 16 TOWN OF NORTH ANDOVER F 9 certificate of Occupancy $ �i�s'••°•E<� Building/Frame Permit Fee $ JACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 206-18 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 ❑ P ' nvatese tic to etc � p � ❑ Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &-DEVELOPMENT ❑ ❑ COMMENTS D E REJECTED DATE APPROVED CONSERVATI COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments t Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street NOyja I NO .fi�`.s t Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i 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 e (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 ! 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 o Building'Permit Application ❑ Workers Comp Affidavit E3 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 NOTE: 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 i ❑ Workers Comp,Affidavit I ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 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) r o Building Permit Application o Certified Proposed Plot Plan « ❑ Photo of H.I.C. And C.S.L. Licenses i o Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract L Mass check Energy P P Compliance Report o 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 2.2007 NORT 9 Town of6 over No. o == over, Mass., • � O COC C E I K 7�ADRATED PP5 S C BOARD OF HEALTH Food/Kitchen PERMIT T Septic System T 1 BUILDING INSPECTOR THIS CERTIFIES THAT.......... .... ...............................�. �....................... ............................ ••••• ••••••••• Foundation has permission to erect........................................ buildings on ...rct........ .�. A...... ................. ............... Rough to be occupied as & x.3z........1%fm ...... C. ►••� Chimney ..... ... . .... . .... . .... .... ............................................................... C e provided that the person accepting this permit shall in every r spect 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMEXPIRES IN 6 MONTHS IT UNLESS CONSTRU N TS ELECTRICAL INSPECTOR Rough Service ,BU1 DING R Final Occupancy Permit Required to Ocatpy 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. Smoke Det. 'I I Bob Winne 58 Colgate Dr. N.Andover Ma 686-0910 Sept. 13,2007 4 Contract For 8'x32'Farmers Porch: l.Obtain Building Permit 2.Excavate 48" below grade and install six 12" concrete filled sonotubes attached to six 30" bigfoot footings 3.Attach 4x4 support posts using six galvanized post anchor bases 4.All joist framing will be 2x8 pressure treated 16" on center 5.Install 5/4x6 Weatherbest Tuscan walnut composite decking,installed with colored Trapeze screws 6.Construct header for roof support using 2x10 KD sandwiched with '/2" cdx plywood 7.Construct hip roof using 2x10 hip rafters and 2x8 common rafters,2x6 ceiling joists at 16" on center 8. Install 1/2" cdx fir plywood roof sheathing,felt paper and roofing shingles to match existing house. 9.Install six 10 "round smooth fibergalss columns with cap and base 10. Ceiling material will be 1x6 beaded solid pvc material ,white in color I LConstruct two steps to grade (five foot wide) 12.Bottom section will be closed in with PT heavy duty lattice and Azek pvc skirt boards 13.Install five recessed lights to be controlled by existing switch,remove existing receptacle and install on front of new deck 14. Move existing hose bib to driveway side of house 15.Install new Therma Thru fiberglass with two glass lights at top (to match existing door) 16. Install new Schlage hardware to front door 17.Install siding around roof area where siding was removed 44 7"k do N � p,z"y�r��r ,lam I t qraq I , i I i til �2. .fie. jwVOOJ &5--o - - -- F . �'�C��c� �o n� �'t �.Ab �G�� ��F� - , ` _ ,� L6�jp� .� , � n � � < �, � 8 N .r .. � _ _ _ - � � 2 _tics� �I "'�v 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): -Ra N fc TfLW�'1 eo CAKW,-,N SYJ4-06� Address: 51-/2 A r1g,n/ 5_1, City/State/Zip: OX F1 (Z Q 444 6VfW Phone#: g 7 7i(od�f 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:X I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition i working for mein any capacity." workers'.comp, insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] 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 myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs �,�,�Q insurance required.] t employees. [No workers' : 13.�Other- � �"tel comp.insurance required.] *Any applicant that checks box#1 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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractorsand 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.Lic.#: Expiration Dater 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 certify under thepains andpenalties ofperju that the information provided above is true and correct. Simature: Date: d Phone#: 7, 9, �5- Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# � Issuing Authority(circle one): I 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Jlxe �o7n�recax,r�,a6Ch af"wi!/Ccraaczc+psl<rkd2a ter, � ;� , Board of Building Regulations and Standards r License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration.date. If found return to: Registration: 101824 1 Board of Buiiiling Regulations and Standards Expire#ics� x/29/2008 s One Ashburn%n Place Rm 1301 Type PnBoston, !\1a.C%1108 FRANK'HOWARD,.CARpl5, 5-01 L< j f; Frank Howard 512 A MAIN STREE Boxford,MA 01921 " Not valid v ifhon s� nature i Uepirtyilminictrator g 6�e 1°auuea _a / Tr 'AL80ARQ OF'BtItL1�11 G REdUtrAl l t Licenser CONSTRUCTION SUPERVISOR Num15+ERr CS 042443 Btrthdat� 0913/1954 Expires 09/0312008 Tr:_no: 1085.0 .1 Restricted OQj -�,7 FRANK L HUWARi � µ, s 512A MAN'ST _�! Gammisstaner`. CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE.I"= 40' DATE.9/20/2007 Scott L. Giles R.P.L.S. I Frank. S. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. LOT#17 I 38,080 S.F. 0 PLAN#3373 0 I N N.E.R.D. V I � I � 11 Q 1 0 39' •c'Lo'S's I � e I I I �a98 pp. p pp. �o COLGATE �s O'A �L I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE 0 THE OFFSETS tra OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY L AND SUCH USE IS FOR THE S � H WITH THE ZONING DETERMINATION OF ZONING 3972 BYLAWS OF CONFORMITY OR NON-CONFORMITY NORTH ANDOVER WHEN BUILT WHEN CONSTRUCTED.