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
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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
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1600 Osgood Street o _ �.:...:. :
North Andover MA 01845 R
Tel: 978-688-9545 Fax: 978-688-9542yf
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'1QAcoc.ocMI....
AV1'
�a �RD
DEMOLITION OF BUILDING AFFIDIT ArE ►'PP`y
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�} 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
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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.
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A
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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
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S 54
T 1018
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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)
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