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Home My WebLink AboutBuilding Permit #202 - 65 AMBERVILLE ROAD 9/13/2007 BUILDING PERMIT o NORTIi t�tlEO TOWN OF NORTH'-ANDOVER o� APPLICATION FOR PLAN EXAMINATION' Permit NO:C0 Date Received ' ' 1 �A,TEo,PP' �5 ? �y �SSiCNU �' J Date Issued: —�7 IMPORTANT:Applicant must complete all items on this page ' y LOTION= yv+ u s ,., -g4 � �` �*.r4 ., -iy ��.mzt-� �° -'. ��t xq �... y '. 'S A lk d� ,�yf•"'�':e �� " y . 's k P14RERTY:4WNER x ftt� f MAP ZNING.IJISTRC `HISTQRIP .. r, O TYPE OF IMPROVEMENT PROPOSED USE Residential : Non- Residential ❑ New Building XOne family i `Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic cl 1ell � °�Foodplam W- elill"TvttrsE l�� trtct i 68 DESCRIPTION II DESCRIPTION OF WORK TO BE PREFORMED: y �` }�� n (Pr0 e C-00s ixii � fi1P 404skuC/ .0pi -0-C A S'eA'1/1 j /z'-wRl FQ/'Cln CO7►�{j '11t�✓1� of /nC� U e0r*% a'- i Psid ecce ckvid &rnrlasr i r^ � PX!5 jjec�C.�& fKAJr- ;:k 13elg `'ao P��,� ,Local ed o4 e i^f�i� rah the Identification Please Type or Print Clearly) OWNER: Name: C1,0Vovin a EG ? Z Phone: 97S'" aSY-(oY7to Address: 4rmbr;d'pole cA OJ 7, 'Supei~vsors Construction `a°3 �m' ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 2-) a'----- Check No.: Receipt No.:SDS- 9a- NOTE: Persons contrac 'ng with unregistered contractors do not have access to the uaranty fund Signature o Agent/Owne nature of contractor Location No. CP O Date d MOR7�y TOWN OF NORTH ANDOVER Of ...° ,•fib F A + Certificate of Occupancy $ �'�s'••°•t4�' Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # //,0,// 205 : - Building Inspector Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ` L Well ❑ Tobacco Sales ❑ Food Packaging/Sales `fl Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPA TMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVE�MENi/ ❑ o COMMENTS /y� J', ��Lle S2i�� 7� o e ae op ✓( S' ✓tzyv Q✓� �c G��:L14 Go^�tVL4-�4, Or A^< 6•.,r,e� J '�lSSoc�wr,i0., [--j TE REJECTED DATE APPROVED CONSERVATIO COMMENTS'�id6j !i gwNra' o(LOKJhA)DEd� kAmIgs �k DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS I i Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes J Planning Board Decision: Comments 1 I Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARtMt-NT .Ter'aPDump ter on site nri 3 Y L xaite�f 124 Ma{n Stre E Erre De�artmeri sr istu�eldafe �E � 3 :: .� 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-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date ..................... ... .... ......... ......................... ....... . ......... ....... ...._.. ........ .. ....... ..... _.................. Doc.Building Permit Revised 2007 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 o Workers Comp Affidavit j o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o 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 o Building Permit Application a Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application ❑ Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy 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 NORTH Town of And No. 2. o2. 0 �.- o '� dover, Mass. �. D , ' COC MIC KEwICK lies)''ATED 11 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........4-071e..! A4-016v.......... �./.Z. has permission to erect........................................ building 4.on ....... ......... .b�Alil/�.. .......�+1 Rough It I �/ Chimney to be occupied as... ... ... .1a. .... ........! /... r hive. y provided that the person accepting this permit shall very respect conform to the terms of the application on-f-ie 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 �a— Final PERMEXPIRES IN 6 MONTHS IT ELECTRICAL INSPECTOR UNLESS CONSTRUCTI AT S Rough .......... Service BUILDING INSPECTO Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Page 1 of 1 S Milliken From: Gouveia[agouveia1@comcast.net] Sent: Monday,April 10,2006 6:29 PM To: S Milliken Cc: Vidya Iyer;jamie Subject: Re:Work at 65 Amberville Road Sophie, The Forest View Home Owners Association approves the proposed renovations at 65 Amberville Road. Please assure that the contractor matches the existing facade of the homes in the development. Thanks, Anthony Gouveia Forest View Homeowners Association ---Original Message---- From:S Milliken To:agouveia1@comcast.net Cc:Giovanna Egiz(E-mail) Sent: Monday,April 10, 2006 2:46 PM Subject:Work at 65 Amberville Road Tony, as per our conversation,attached you will find the letter that has been sent to you requesting permission to start work at my mothers house,65 Amberville Road. I look forward to hearing back from you today regarding approval to start the work. Sincerely, Sophie Milliken 5/2/2007 Ts an ar Br'd`0 Construction Supervisgr License Lic ss: CS 850x4 Birth ,61811979 Tri 17103 Eon fi 412009 32 MIDDLE R \ 4 DNM 038 commissioner BRENTWOOD, �� f069YLYYG(lYLU/CILL�f2. O�✓�l��'�k — Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:•145373 Expiration: 1713/2009 Tr# 126341 Type Individual COREY S.COOK COREY COOK 432 MIDDLE RD. ` BRENTWOOD.NH 03833 Administrator I i Steven Daloia C & S BUILDERS Corey Cook 078-804-821.9 978-479-9979 MA Lic#085048 MA Lic#085044 Won Building and Remodeling 1/18/2006 The following is an estimate for the work to be performed on your home including,a farmer's porch, and enclosing a portion of the existing rear deck. FARMER'S PORCH: Build 7' x 23' porch as shown in picture(elevation 3). Deck will be framed of pressure treated lumber with Trex decking. Posts and railings will be constructed of either a plastic or vinyl rail system. Ceiling of porch will be composite bead board with(3) recessed cans for lighting. Roof trim will be pine wrapped with aluminum to match existing. Roofing will tie in with garage roof and match also. Existing shutters, 5 pairs, will be replaced with new vinyl shutters. Total price for material and labor: $13,570.00 REAR DECK: Enclose approx. 12' x 9' section of rear deck with new Harvey aluminum door systems. Section will also have a roof built above it.New roof will tie into house and also have aluminum wrapped trim and asphalt shingles to match existing. Existing stairs will be moved from center of the deck to the end of deck,on the same side,reusing stairs. Go over existing decking with pressure treated plywood to allow for rug(supplied by homeowner). Ceiling will be V2"blue board with skim coat plaster,with a fan and/or lighting.Total price for materials and labor: $9,100.00 All trash and construction debris will be removed by contractor as well as a clean as possible job site daily. 1 ofiAJyM�"A 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 Lepibly Name(Business/Organization/Individual):C Address: City/State/Zip: /V& lJ A/ RW N9C/V Phone#: Are you an employer?Check the appropriate box: Type of project(required): L❑ 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.® I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. Q Building addition [No workers'comp.insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 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 insurance required.]t employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I 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. 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. Lie.#: 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 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 certe;fy u dain nd penalties of perjury that the information provided above is true and correct. Si nature: c (2C Date: SJ le-7 Phone#: Official use only. Do not write in this area,to be completed by city or town ofjiciaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: v� ~ o d / l 1 N28'17'15 1pe LOT 53A �1� EpGE OF WETLAND 11,136 S.F. EXIST LOT 52/ 48.2 '1 ,0.26 Ac. ' ��,�-- - 11433 S.F. EXIST. EXISTING DECK TO --Jc `, 0.26 Ac. rn 62.8'' BE TURNED INTO AN N Ln �� ENCLOSEDTHREE --!,,j 0 �~ SEASON ROOM. EXIS . 34.9' 3 EXIST, o BULK EXIST. 1xDECK 17.2' .25 HEADEXIST. 12.00' , 4.3 'q 15 ' o"' #65 s4.00• .2 "' 1a.2s' ,-15.3' AMB T. 2.0• EERVILLE ROAD SXISTING 2_1 STORY /2 Top OF W.F.D. o PROPOSED FOUNDA TION=163 87 N " FARMER'S PORCH1o.s o o PROP 2 1 O " 12.0'N• 11.SO• , 36.7 Lp ` 20.00 Lp 22.09 -CD _ ni c, rn_ o EXIST. EXISTING 25.4' STAIRS 182 N TO REMAIN I 27.8' = ti6 PROP N30'46'17" L=31.22' y E 81.7 4=14'18'37» �� R=125.00' BERVILLE RO 4 I AD NOTES: 1. THE PURPOSE OF THIS PLAN IS TO SHOW THE PROPOSED FARMER'S PORCH TO BE ADDED TO THE DWELLING AND THE LOCATION OF THE REAR DECK WHICH WILL BE TURNED INTO AN ENCLOSED THREE SEASON ROOM. 2. THE OWNER OF RECORD IS GIOVANNA C. EGIZ. ASSESSOR'S MAP 107B BLOCK 164. NORTH DISTRICT ESSEX COUNTY REGISTRY OF DEEDS BK 8629 PG 162. 3. CONTRACTORS SHALL VERIFY ALL UNDERGROUND UTILITIES, CONDUITS, PIPES, ETC, AND NOTIFY DIGSAFE PRIOR TO ANY EXCAVATIONS. PROPOSE® SITE PLAN LOT 53A FOREST VIEW ESTATES MARCHION®A & ASSOC.,L.P. 65 AMBERVILLE ROAD NORTH ANDOVER,MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I GIOVANNA C.EGIZ STONEHAM, MA. 02180 65 AMBERVILLE ROAD (781) 438-6121 NORTH ANDOVER. MASSACHUSETTS SCALE:1"=20' DATE: 6/14/07