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HomeMy WebLinkAboutBuilding Permit #155 - 59 SUMMER STREET 8/25/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: , Zs b IMPORTANT:Applicant must complete all items on this page LOCATION J e l' S� �``"e Q rin PROPERTY OWNER '4i. a./�k (T� Print MAP NO: PARCEL:: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no i TYPE OF IMPROVEMENT PROPOSED USE Reside is Non- Residential New Building I ne famil Addition Two or more family Industrial Alteration No. of units: Commercial Re lacement Assessory Bldg Others: Demo ion Other Well Floodplain Wetlands 1Natershed District Water/Sewer' DESCRIPTION OF WORK TO BE PERFORMED: Identiif cation Ple se T e or Print Clearly) Y) OWNER: Name: Ila '�`c� Zz'��G_S Phone: ? Address: tq ,�- ra.rd-0-'- 41-A- CONTRACTOR Name: RCLt�""� �Vv"Phone: C 2-7 5 c" s Address: c Supervisor's Construction License: J � Exp. MelAu"I �ED 1 Home Improvement License, Exp. Date: v o ARCHITECT/ENGINEER- \� 5 Phone: Address �. ( ✓� Reg. No. �� (, g FEE SCHEDULE:BOLDING PE /T:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$12 (!0 PER S.F. Total Project Cost: $ ww FEE: $ Check No.: /a1� r Receipt No.: *�73 5 NOTE: Persons contracting with unr gis ed contractors do not have access to the guaranty fund 5ignature.:2f Agent/Owner m' Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans i TYPE OF SEWERAGE DISPOSAL Public SewerTanning/MassageBody 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Al 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 Dumpster on site yes no Located at 924 Main Street FireDepartmentsignatureldate COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land areasq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector p 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) Z ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 _..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 o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work o 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 ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract a Floor/Crossection/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 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 ❑ 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 ❑ Mass check Energy Compliance Report L3 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: Doc.Building Permit Revised 2008 Location (//fJ,f�7� No. /.S�(� Date "'Z�~ O "ORT" TOWN OF NORTH ANDOVER 3? i OL Certificate of Occupancy $ s�CH„St<� Building/Frame Permit Fee $ G�� Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check # r 2 2 5 5 8 Building Inspector TAORT Town of over 0 No. dover, Mass., 0 t�- LAKE COCHICHEWIC ORATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System Vel E'e-t BUILDING. INSPECTOR THIS CERTIFIES THAT........................................................................................... ............................................................... ..... Foundation has permission to erect........................................ buildings on ... ..... f.iY�l....�- .... ....................................... Rough to be occupied as.... 1, ................ Chimney ... ............ .......... .... .... .. ....... .................. ....... .......................... .. ............... provided that the perso I 6pottingst4ils permit shall in every respect conform to the terms of the application file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and CAstruction 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 CONSTRU=77,....R.TS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy 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. SEE REVERSE SIDEj Smoke Det. ExlugBoard of Building Regulatio s and Standards HOME IMPROVEMENT CONTRACTOR Registration: 155649 " piration 4/30/2011 Tr# 282955 Type• Individual _ I STEPHEN MC CULLOUGH ;l 'STEPHEN MC CULLOUGH� ` '/ .90 ABBOTT ST t rf NO ANDOVER,MA 01845- AdniNistrator � _ ✓fie V�oarUnzam,��leal/,L IBGo�./�aaaczcluaelta ' BOAD.OF; UILDINC,�REGULATIONS License: CONSTRUCTION'SUPERVISOR h `, a Number: CS 094338 w Birthdate. 09/08!1.962 Expires:09/08/2009 Tr.no: 94338 RestridtbZI: 00*----_. STEPHEN 4, MCCUL -00,H 90 ABBOTT STREET G— NORTH ANDOVER, MA 01845 [ ^' Commissioner I' Residential Property Record Card PARCEL_ID:210/065.0-0025-0000.0 MAP:065.0 BLOCK:0025 LOT:0000.0 PARCEL ADDRESS:59 SUMMER STREET FY:2009 PARCEL INFORMATION Use-Code: 101 Sale Price: 1 Book: 01882 Road Type: T Inspect Date: 06/03/2002 Tax Class: T Sale Date: 10/18/84 Page: 0130 Rd Condition: P Meas Date: 06/03/2002 Owner: Tot Fin Area: 1229 Sale Type: P Cert/Doc: Traffic: M Entrance: C KOZDRAS,JOHN Tot Land Area: 6.25 Sale Valid: A Water: Collect Id: RRC SOPHIE KOZDRAS Grantor: KOZDRAS JOHN Sewer: Inspect Reas: C Address: 59 SUMMER STREET NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 1001100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CO Tot Rooms: 6 Main Fn Area: 878 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R2 Story Height: 2.00 Bedrooms: 3 Up Fn Area: 351 Bsmt Area: 902 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 1 Add Fn Area: Fn Bsmt Area. 1 P 101 S 43560 1.000 208,652 Ext Wall: WS Half Baths: Unfin Area: Bsmt Grade: 2 R 101 A 0 5.250 39,900 Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 1229 3 S 101 F 0 0.000 12,150 Foundation: CN Bath Qual: O RCNLD: 113466 DETACHED STRUCTURE INFORMATION Kitch Qual: O Eff Yr Built: 1962 Mkt Adj: Str Unit Msr-1 Msr-2 E-YR-Bit Grade Cond%Good P/F/E/R Cost Class Heat Type: HW Ext Kitch: Year Built: 1900 Sound Value: Fuel Type: O Grade: A Cost Bldg: 113,500 B1 S 1200 0.00 1988 A A SE C 800 0.00 1988 A A 50/// 600 50ffl50 12 12,, Fireplace: 0 Bsmt Gar Cap: Condition: A Aft Str Vall: SE C 100 0.00 1988 A A ///89 200 Central AC: N Bsmt Gar SF: Pct Complete: Aft Str Val2: Aft Gar SF: %Good P/F/E/R: /100/100/73 VALUATION INFORMATION Current Total: 387,800 Bldg: 127,100 Land: 260,700 MktLnd: 260,700 Porch Tvoe Porch Area Porch Grade Factor Prior Total: 387,800 Bldg: 127,100 Land: 260,700 MktLnd: 260,700 E 152 SKETCH PHOTO 8 29 21 E 19152 $IV B 19 9Fdj Sq.Ft 878 Sq.Ft 32 FU r 13 351 Sq.Ft 13 11 27 e 59 SUMMER STREET I Parcel ID:210/065.0-0025-0000.0 as of 8/17/09 Page 1 of 1 Town of North Andover NORTH Building Department 0 .�ts-ED jb �� '�(' ♦ .a. 46 O. 1600 Osgood Street o _ �.:...:. : North Andover MA 01845 R Tel: 978-688-9545 Fax: 978-688-9542yf s b '1QAcoc.ocMI.... AV1' �a �RD DEMOLITION OF BUILDING AFFIDIT ArE ►'PP`y l �} SSgCHVS�'t DATE .3 / OWNER'S NAME & ADDRESS V kr.4, LOCATION OF PROPERTY TO DEMOLISH / J V#O .MA,e ' �Gilan DESCRIPTION r f �,.� A . r CONTRACTOR'S NAME &ADDRESS ep 41r/ C 73 3 ,irke s q� IV. 16 *f.. d �S DEPA �E TSI - FFS DEPT. OF PUBLIC WORKS -WATER: SEWER: DEPT OF CONSERVATION HEALTH DEPT. Septic Well p HISTORIC COMMISSIONp a,b aw�c�,•.� �� � GAS _ ELECTRIC �+` N TELEPHONE �S<•� '��r _ 6't CABLE /"/ /t/ TAXES TaL POLICE 1060 A,,j a FIRE 11 DB EXTERMINATOR RC2 DUMPSTER- ON/ F STREE a f2 8 /�.2Ao9 DIG SAFE NUMBER 2-ya9 33o3o`f9 DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit N/F CRAIG & DEBRA WILLIAMS 26• N68'2642"E 1 ^'68.9� 22.78' N/F PAUL & LETI TIA IF R 3 J i SULLIVAN N s WILLIAM & Ll HMURZIAA N43°38'40"H 13.61 Ns3°4. 76. i / w A / O LIMIT OF 100, CONCRETE ACCESS BUFFER ZONE � COVER TO EXISTING ����V � SEPTIC / 7 , / 1 / EXISTING f BARN 221 , �- EXISTING ra r HO�JSE,TO BE vRAZEQ. EXISTING 1 GARAGE EXIST G CO J WEL� �C � 284 r/ PROPOSED 11 /J / PROPOSED L0 HOUSE AREA=3.6026 ACRES 156,931 S.F. Q 77' / 1 CBA=3.4 ACRES 2 i S52 ig,46,w � 1 126' � � W c ` " 97, ` TGTAL FRO NT AGE 257 129-56p 81 , S52°21 ,� p2 W 205.53, / / S54 8',S7,W V a j 5. ��E/Q S 30 45-47' SS6.5 S 54 T 1018 R 2 EE`s` ` ww s7 , i he Coonah-h Of '�assachuse is Department of Fire Services Office of the State Fire Marshal P.0.Box 102-i State Road,Stow,MA 01775 PERMIT RMIT Dater North Andover ]Permit No Dig Safe Number (City of Town) (1EApplicable) In accordance with the provisions of NLG—L.1 4 8.Chap.ter as provided in section 12-7—CMR 34 Stat Dace //;07 This Permit is granted to.. Full name of person,Firm o Corporation locate dumpster for construction/renovation/demolition of building. Permission to Comments: dumpster must be , 25 ' from structure if unable to place with required th 1 wood or arlp end of work day 'coons: red w 1 p ��tT' clearance dumpster must be cave at o describe in such a r a provied adequate ide cation of location) (Give location by street and no., Fire Chief FeePaids 50 .00 This Permit will expire e� 'r �(S ignature of o Ica anting permit) Ofncal gran g permit (Title) I I I ' I I I �I