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HomeMy WebLinkAboutBuilding Permit #271-13 - 65 MAYFLOWER DRIVE 10/5/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO• Date Received Date Issued --3 s>/L IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER 2 ,n ,,-d SA ✓y / � y Print 100 Year Old Structure TyeMAP NO: PARCEL:WfZONING DISTRICT: Historic District s no Machine Shop Villages no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �y s 1c,>< 12 3o, Identification Please Type or Print Clearly) OWNER: Name: S/7VO�� Phone' Address: CONTRACTOR Name: s� ,e/��.� . � Phone: S3 7:o�S 3 Address: 5%anJ /2 � Iii,//Er f� G3 j0 D Ex Date: -7-6 Supervisor's Construction License: p - Home Improvement License: Exp. Date: 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: $ 01FEE: $ Check No.: Receipt No.: NOTE: Persons loniracdng with unregistered contractors do not have access to the guaranty fund �Signature of Agent/Ow Signature of contractor Plans Submitted Kans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i 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 ❑ 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 CC..--t�- (o O HEALTH Reviewed on Signature COMMENTS s x Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments !!Vater & Sewer Connection/ ermit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at'124 Main Street Fire Depart inenfisignature/date COMMENTS 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 cin r 7-�c_ &- � i ® Notified for pickup - Date 4 Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits o 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o 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/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 i 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 Li 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 2012 Location No. — �, Date TOWN OF NORTH ANDOVER m ® Certificate of Occupancy $ • Building/Frame Permit Fee -� �r G Foundation Permit Fee $ Other Permit Fee $ TOTAL Check# 25790 uilding Inspector NORTH Town of t � : ., Andover No. ;"Val h ver, Mass • COC HKMIWICK y�• _ ��AERATED pP��,�S S u BOARD OF HEALTH PER T T LD Food/Kitchen Septic System THIS CERTIFIES THAT V�. .. .�I�i ..... BUILDING INSPECTOR ........... .... ... ...... ......................^..................... .. has permission to erect .......................... buildings on .................. r�......."�!'' Foundation .' �.. .. ......... Rough to be occupied as .............J .� .......... .®......................................................... chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 PERMIT EXPIRES IN ONTHS ELECTRICAL INSPECTOR O • UNLESS CONSTRUC IIS Rough Service ............... . . ......................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE Issue Date 1/9/2012 t� L I S I G This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does The Lumber Industries Self-Insured Group Trust not amend,extend or alter the coverage afforded by the policies PO Box 3773 below. Concord,NH 03302-3773 CERTIFICATE HOLDER CERTIFICATE OF INSURANCE Post Woodworking, Inc. Companies Affording Coverage 163 Kingston Road Danville,NH 03819 COMPANY LETTER A The Lumber Industries Self-Insured Group Trust COMPAN LETTER Y B Safety National Casualty Corp. This policy is effective at 12:00 a.m. on 1/1/2012,and will expire at 11:59 p.m. on 1.2/31/201.2. This policy will automatically be renewed unless notified by either party by October 1st of any fund year. COVERAGES ,. , •..,....... .............. .. This is to certify that the Workers'Compensation and Employer's Liability Insurance has been issued to the insured named above for the policy period indicated,not withstanding any requirement,term or condition of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies described herein is subject to all the terms,exclusions and conditions of such policies. Type of Insurance/CwTier Policy Namber Poficy Pow LII113(TS Effective Expiration Workers' Compensation W/C Statutory Limits &Employer's Liability LT12031 January 1,2012 December 31,2012 E.L.Each Accident $1,000,000 The Lumber Industries Self-Insured E.L.Disease-Pot Limit $1,000,000 Group Trust E.L.Disease-Each Emp $1,000,000 Excess Insurance SP4041513 January 1,2012 January 1,2013 Workers'Compensation Statutory safety National Casualty Corp. Employer's Liability $1,000,000 ❑Officers Excluded MEMBER CANCELLATION Post Woodworking,Inc. Should any of the above described policies be canceled before the 163 Kingston Road expiration date thereof,the issuing company will endeavor to mail 30 Danville,NH 03819 days written notice to the certificate holder named to the left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company,its agents or representatives. Sud" 1/9/12 Authorized Representative Date Verizon I MyVerizon 2.0 1 Verizon Message Center- FW: Small Project Approval Page 1 of 1 kI____~ Verizon Message Center Thursday, Sep 27 at 1:14 PM From: "Gaffney, Heidi"<HGaffney@townofnorthandover.com> To: "'pvsavoia@verizon.net"' pvsavoia@verizon.net Subject: FW: Small Project Approval Hi Paul,As long as you are placing the shed where you show it in the photos you submitted you can proceed with coming in for your building permit and I will sign it and then confirm the shed placement after you have installed it. -----Original Message----- From: noreply@townofnorthandover.com [mai Ito:noreply@townofnorthandover.coml Sent:Thursday, September 27, 2012 12:45 PM To: Gaffney, Heidi Subject: This E-mail was sent from "RNPOA428C" (Aficio MP C5000). Scan Date: 09.27.2012 12:44:59 (-0400) Queries to: noreply@townofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. http://mail.verizon.com/webmail/public/print.j sp?wid=vz_widget_MailOpen_1&type=mail... 9/27/2012 t%ORTII 0�1itiD Fa'4'y . O H A �SSACHUSEt�y CONSERVATION DEPARTMENT Community Developn-wnt Dlvisian September 27, 2012 Pahl Savoia 65 Mayflower Drive North Andover,MA 01,845 65 Mayflower Drive,North Andover Shed Installation Conservation Conditions of Approval,NACC #100 't Pursuant to sections 4.4.2 Q) of the North Andover Wetlands Protection Regulations,Paul Savoia, applicant / homeowner, filed for a small project application for work proposed -,it 65 Mayflower Drive (Lnit 18),North Andover. The work consists of installing a 10'x12' (120 sq.ft.) shed on concrete pavers/blocl.s. The shed will be installed within existing lawn and.construction access will be over the existing driveway and lawn area. Work will be conducted more than 50' from the Bordering Vegetated Wetland. The approval of this shed does not grant any property lights or any exclusive privileges and it does not authorize any injury to private property or invasion of property rights. The shed appears to be proposed within "condominium conunon land" as stated by the applicant. 65 Mayflower Drive is part of the Old Salem Village Subdivision. During the September 26,2012 public meeting, the North Andover Conservation Commission (NACC) voted unanimously to approve this project.The following conditions are hereby mandated: RECORD DOCUMENTS: Application packet including: Narrative, section of the Subdivision Plan for Old Salem Village showing Unit 18 (Hand edited to show shed location), photographs showing the proposed shed location. Prepared by: Paul Savoia Received: September 12,2012 E-mail from.Ben Osgood, Sr. dated September 5, 2012,submitted by Paul Savoia. 1600 Osgood Street,Building 20,Suite 2.-36,North Andover,Massachusetrs 01845 11.lone 978.688.9530 Fat 978.688.9542 Web -�%1tNv.lirtp://len-\v.tL)wnofnortliandover.com/conservel.iitm I i I i CONDITIONS: 1. Prior to the start of construction the owner shall ensure that the site contractor has reviewed the small project permit and is aware of the wetland resource areas and the limits of the proposed work. 2. Shed shall be located more than 50' from the edge of the Bordering Vegetated Wetland and shall be staked in the field prior to a preconstruction site visit by the Conservation Department. 3. Once the shed location has been marked the Conservation Department shall be notified to review the shed location. 4. Excess material shall be properly disposed of offsite. 5. Upon completion of the approved project and site stabilization,please contact the Conservation Department fora final inspection. 6. This hermit shall expire 6 months from the date of issuance. Should you have any question or conunents regarding the contents of this letter,please do not hesitate to contact the undersigned at 978.685.9530 at your earliest convenience.Thanking,you in advance for your anticipated cooperation with this matter. Respectfully, NO;,RTH ANDOVER CONSERVATION DEPARTMENT t COZAar" I Heidi Gaffney Conscrvadon Field Inspector 1.600 Osgood Sheet,Building 20,Suite 2-36,North Andover,Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 IC'eb �«V« lit tp:I/itiIII-W.townofnorthand over.coin/conserve 1.litin 9Xe eowvow,��� Wt�lff Office of Consumer Affairs and Brusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C;do L ctor Registration Registration: 167768 Type: Private Corporation ;_'L. Expiration: 10!2812012 Tr# 205401 WE POST WOOD WORKING INC. DANIEL POST 163 KINGSTON RD. DANVILLE, NH 03819 "VA, `Update Address and return card.Mark reason for change. _!�= Address n Renewal F� Employment Lost Card DPS-CAI 0 SOM-04104-G101210 Gf �o�+e.nsr�eaua�� License or registration valid for individul use only Office o onsumer ars mess e u a on ' ROME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: TW0 Reglstration: 67768Type: office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration: ,:79/,2842012 Private Corporation Boston 0D WOFiIfV DANIEL POST '- 163 KINGSTON Ri?:�ti,`;-_�_�_� rr• DANVILLE,NH 0381* Undersecretary Not v ithout signature 1 - 1 _ ' Massachusetts - Depat-trtlent of Public Safuo Boal-d f)f Buildin(F Regulation-, an(I 5tant1�11-cls Construction Supervisor License One- and Two- Family Dwellings License: CS 104609 ,s DANIEL POST 374 DERRY ROAD CHESTER, NH 03036 Expiration: 7/6/2014 ( „nir►ri,.irr r Tr#: 104609 A Y py a -Shed$.) diWhy Sh. Bm al QUALITY CONSTRUCTION P1 With over 40 years in the shed business, Post FREE ,01 I IT CQNS�iL`TAT�O►M U' Woodworking's objective is to build you a '■,r� a Tt of superior quality shed. Starting with the roof, -F A'POsf tr OOdYYolrklflg tralned� we use engineered trusses made of kiln dried M's framed 16" on center. Our walls are 1���(re$��1tii�tp W. rE011<1e, t0 yA0llr home s ff-tfs s T'fh ia t L`f't 7 j 5. '�f rya FSA r tai .tis t s` .i framed with premium kiln dried, 2x4's 16'i on Or'buSrll!®SS�tOfq�p$Va�La�®dyOIIP nter and we frame our floors with pressureY;,joists 16" on center. �� rested 2x6 rs or a 11eedSn, �S�t6< ret�uitre nab#S. ' , '1+#rn `tr r =f t� 3a}/� 'all fi A (auaillablc;�i>«�most,areas� j�(} �j NEW Roof is supported712" Exterior grade plywood roo l by engineered VJ / 2' x 6' trusses __'Fibergtablend luminum louvers with 16" on center es for ventilation ss screens in all models architectural shingles (30-year guarantee) �: " �� � - uld PWI ZZ Premium grade, Kiln dried 2x4 76" onTt ,x Drip-edge on all roofs center construction v< SYS} for a quality weather- Sidings secured with r err tight finish galvanized nails :;" �' ;+I � Classic styled aluminum Double studded r K. single hung window corners for rigidity a $� w/screen, shutters .t and window box t `r Heavy-duty key locking latch NEW Classic style f:,ke4` JeJ_s ,% \ 2x6 pressure door with 3 hinges treated floor joists 5/8" exterior grade r plywood floor Post's own patented `o IroncladTN Hinge Covers �r Fill's Floor supportedOC�110 / by concrete patio blocks '2 Mo The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Uf 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Amplicant Information Please Print Legibly Name (Business/Organization/Individual): wz,( Address: City/State/Zip: �Vvllk Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.[ I am a employer withr _ 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet._ E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance: 9• ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their ME] Electrical repairs or additions required.] 3.❑ 1 am a homeowner doing all work right of exemption per MGL ILL] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12. oof r its / insurance required.] t employees. [No workers' ]3. Other s comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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. .� — r �.1� � Insurance Company Name: /1- #or Self-ins.Lic. #: L-��a03 Expiration Date: 122-6-11,9012- Job 2- —1 /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'nsurance coverage verification. I do hereby ce der the (rd en ' s of perjury that the information provided ab ve true and correct. Si ature: Date: Phone#: 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): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Nla sitchusetts - Bepaa'tillent rit' Public SafetN 130ill-d Of Buildint-, Re-uiation1 and Standar-ds Construction Supervisor License One- and Two- Family Dwellings License: CS 104609 ; DANIEL POST 374 DERRY ROAD . CHESTER, NH 03036 f' — -- —�"-� Expiration: 7/6/2014 ( , iini„i ►iF s Tr#: 104609 i VDWool J ," UiJ2 �• / NORTH ANDOVER OF CONSERVATION COMMISSION .� 8- • \� pNE LIMI MASS. PIC NO ON. 25 71ulol-' 80 JULY 26, 2007 . ' 603 54UM STREET \ \�,� a 0� O'BUFFER zON WAXF1.7E4©; AASS 01.880 � f � TEL. (781 :246 28p0 YNIT 15 & UNIT 18 DATED 17. a IAAVf \ , >1 \A N, o 0. 40v .100 Q�� /f ,•� BUFF � 1 / /�5A V ` t ; BUFFER �p