HomeMy WebLinkAboutBuilding Permit #131-2017 - 68 LINDEN AVENUE 8/10/2016 BUILDING PERMIT of t%ORT, TOWN OF NORTH ANDOVER O APPLICATION FOR PLAN EXAMINATION '' A Permit No#: t w1 Date Received j116C.,1. 111" �/1, �Rp�RA7E D PPP`y'�5 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION `Pn PROPERTY OWNER Print 1 4ear Structure yes no MAP PARCEL: l ZONING DIS RICT- Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building gone family ❑Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement - ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other � Septc ❑;VUell� ❑Fol otlplain� ®kWeflans' `� 0WateTshed;Dis ric4. h O:WaterlSewer Y a. > DESCRIPTION OF WORK TO BE PERFORMED: entification- Pleas T pe or Print Clearly _ OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: I n Supervisor's Construction License: v r " '� 4x�up." Dat t 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 WED ON$125.00 PER S.F. Total Project Cost: $ 1�{ C7 0 FEE: '' J $ Check No.: � ) Receipt No.: 1 NOTE: Persons contactinVi h unregistered contractoYs do not have access to the guarantyfund i6iw� k - - 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 4 Building Permit Application 4. 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 OTE: All durnpster 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 Copy Of Contract Floor/Cross Section/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 OTE: 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 2012 IECC Energy code 4, Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 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 ❑ II THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM I, PLANNING & DEVELOPMENT Reviewed On 601 10 Signature_ COMMENTS-/J/A PLeAttl i i CONSERVATION Reviewed on 1 a L Signature COMMENTS HEALTH Reviewed ori Signature COMMENTS 4 z�2- Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes t ' Planning Board Decision: Comments r Conservation Decision: Comments Water& Sewer Connection/Si gnafure & ®ate Driveway Permit DPW Town Engineer: Signature: .. ,, � Located 384 Osgood Street �xFIREDEPAR<.Tti5"6�.j-Me EITTe�. ;,�.t r r• . x, f: �-.� - mDumpster�on siteF;�yes° "' x� noa:�r gncated at 1:24 Met y f `,' ., `- '� `r,� 7t-w..�c.. *`-ti-.�-�� ��'."r�� —a"-.- NY i t.n4a <',. - yf Fire Department'signature/date �.r } r - S +.( �� f� ��•4*��p ,�#C i....,� 'ls.,r r , s.w. ya,e ...." � -.,4.�-. .wt.f>.-f~� C®MMEIVT�S;_ <;-.. Dimension j Number of Stories: Total square feet of floor area, based on Exterior dimensions. i Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector lies No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1oo-$1000 fine NOTES and DATA.— (For department use) ® Notified for pickup Call Email Date Time Contact Name _ _ Doc.Building Permit Revised 2014 Location No. 131 —,24L17 Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �' Fr Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# t•f '� % ��} 7. ! ik Building Inspector/ Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 71499.00 m $ - $ 89.99 Plumbing Fee $ 11.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 11.25 Total fees collected $ 212.49 68 Linden Avenue 131-2017 on 8/10/2016 above ground pool Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tau iug/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 PLANNING & DEVELOP MENT Reviewed On g Flo I>o Signature_A,;e� COMMENTS 1 jf ( gni rl CONSERVATION Reviewed on Signature COMMENTS \\a'CL, -i\ HEALTH Reviewed ori Signature COMMENTS— Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes f Planning Board Decision: Comments F 4 Conservation Decision: Comments Water & Sewer Connection/Signature&nate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street tiF RE DEPARTMENT Temp Dumpsteron+sife yes >> ' no F�.0 ated a 124 Main Stlee t` �� I ,, txe`Department•signature/date° �' ` w - FCOMMENTS�,:- � : _.w.-`'lrt��.�';F�. �:•�:t�,���i�'��`�,,`� ��':-�{�` ;.�r �.< - ,� NORTFt q Town of s _ a ndover O No. yy z = - ow h ver, Mass, �� �� o�Ifo r COCMIC"RWKK 1 A�RATEo P'P2 S V BOARD OF HEALTH Food/Kitchen PERMIT To L D Septic System 7 THIS CERTIFIES THAT t/P BUILDING INSPECTOR has permission to erect .......................... buildings on ..�Q ���-(,� Foundation . ................ . ........ .... .......................... Rough to be occupied as OO --tt y p ........... ..........5!........ .... . ...... ...l .v/............ ..f'../ ............................ Chimney provided that the person accepting this mit shall in eve 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 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO Rough Service ........... .... .. . .... .... . ........ ............. Final BUI NG 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. TOWN OF NORTH ANDOVER OFFICE OF BUILDINGDEPARTMENT 1600 Osgood Street,Building 20, Suite 2035 North Andover,Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION: L 1 pl6 eAje, Number Street Address Map/Lot HOMEOWNER A4ft r .5 (f To Name Hor e Phone Work Phone PRESENT MAILING ADDRESS or City Town State Zip Code e to include o ner occupied dwellings of one or two family. The current exemption for homeowners was extended w p � g Y. dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, rop vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one-or two-family dwelling, attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR Section I IO.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 The Commonwealth of Miassgchusefts -_ Department of Industri alAccldents 1 Congress Street,Suite.100 ` d Boston,MA 02114-2017 www mass govIdia SY. Norkere Compensationlnsurance.Affidavit:Builders/Contractors/Electdcians/Pluinbers. TO BE FILED WITH THE PEMY11TTING AUTHORITY. Applicant Information Please Print Le ' i Name(Business/Organization/fndividual): Address: /State/Zi d V V( P �`� Clty F• one . .. . , Areyou an employer?Checkt&approprlate box: Type of project(ggmired): L❑1 am a employer v ith employees(full and/or part-time).* 7.- 0 New co7istraction 2.E]I am a sole proprietor or partnership and have no employees working forme in 8. [�Remo deag ary capacity.[No workers'comp.insurance required.] g, ❑Demolition Q I am omeowner doing all work nmysel£[No wozkers'comp..insurance required.]f 10 []Building addition a homeowner and will be hiring contractors to conduct all work on my property. Iwill e sure that aU contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors withno employees. 12 0 Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.'[(Roof repairs These sub-contractorshave employees andhaveworkers"comp.insurance.t 14. Other 6.0 We are a corporation pad ifs officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no.einployegs.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also`fil[out the sectionbelow showing their workers'comp ensationpolicy information. T Homeowners who subirift fk s 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•atiaehed an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.'if the sub-contra 6 s have employees,they must provide then workers'comp.policy number. I afire an erriployer th at k pr•ovidiizgworkers'compensation insurance for my employees.'Below is the policy ariil jab site information. Insurance Company Name: Policy#or Self-ins.Lic.#CC: Expiration Date: Job Site Address: O 4 1 AI �e tur A it e 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 MGL o. 152, §25A is a criminal violation punishable by 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.A,copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify eir t - enaides ofpeijz,,ry that the information provided abov is itu 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: Pexmi% icense# Issuing Authority(circle one): i 1.Board of Health 2.Building Department I City/Town Clerk 4.Electrical Inspector 5.Plurnbinglnspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ophire, express or implied,oral or written." An employer is defued as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver-or trustee of-an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of anotherwho employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state ox local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business ortoconstruct buildings in the cozmmon7altb•for any applicant who lias not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall. enter into any contract for the performance of public..work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fll•out-theworkers' compensation affidavit completely,by checking=the boxes that apply to your situation and,if necessary,supply sub=contractor(s)name(s),address(es)and-phone.number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees'other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. B e advised that this affidavit may be submitted to the Department of-Industrial Accidents for con'ficmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if yoiu.'are xegaired to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should:enter their, Self-insurance license number on the appropriate line. City or Town.Officials Please be sure that the affidavit is complete and printed legibly. The Department has'provided a space at the bottom ofthe affidavit for you to U out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as areference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or, town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or oiiizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts - Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MA.SSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia 361 (30 FT. 1 IN. TRANSITION CORNER - Bottom Rail Orange 39" X 91R X 4 Places - Inner Stabilizer Purple 37" X 91R X 4 Places CURVE SIDE - Bottom Rail Orange 1 49" X 716"R X 10 Places 19 2 Inner Stabilizer Orange 53 1/4" X 716"R X 10 Place I Gap between bottom rails in the bottom 3 plate is 2 1/4" Strap 4016 (12 Places) rlMeasure rail like this 2 1 1 2 1 2 R9 1 6 (15 FT. 2 IN.) 2 1 DO NOT measure rail like this Notes: 1. wall length is 938" 2. The bottom rail is approx l" X 1" and it goes on the ground. The pool wall sits on the groove in the center of this part. STRAIGHT SIDE 3. The Inner Stabilizer is approx 5/8" X 5/8" and is - Inner Stabalizer no color assembled on top of the pool wall. 8" X 91R X 8 Places 4. The Bottom Rails and the Inner Stabilzers are color coded on the ends to indicate the radius of the part. STRAIGHT SIDE 5. All dimensions are in inches unless otherwise specified. - Bottom Rail Blue 6. All dimensions are referenced from the wall location. 37 1/2" X 91R X 6 Places `). Manufacturers tolerances and field condition may result - Inner Stabalizer Pink in dimensional variations. 33" X 91R X 6 Places BACKYARD LEISURE Pmducr POOL FOOTPRINTS 50 Cabot Court, Hauppauge, N.Y. 11788-3716 MOM.'M OVAL YARDMORE Tel: (631) 951.9800 - Fax: (631) 951.9170 Dawn by:JCR F—swe.-1-50 7 Date:1-5-13 D q© . d 1 0 0.2' oa o GARAG>w � 00 LoT i t�1 o ND A3' .1.01 17 LOT -1+ 15'1 r- l< 4 400D FRNAE O 24.x' W41' 1 ��;n T! I� t'1 R'^ a a �� FOUI�SLA SOPTS 9SSOCi+1TkS. girl%. L..i INDE DE 1 V AVE— NUE 375 COMMON S rflEET, LAWnEUCE.MA, TELEPHONE 683-5671 "OTl; WIN 19 NOT A 91MVIT ANO lHOIKO V[UFfq FOR MMITTIAOMt OUnF`O94%OMV-no HOT U+Q OFr+1vTl F(M FTfTAM10110 Q LOT tirm 1.ron Tilt tnrc_ 110"OT ry"Cls on CONMTn mylo"n"We"a K ouao*0a!IWMI"Llli THA"ON!FOOT Fnotl Tim soUNDA1il LUrtl.IT IN ADVISID To YAKM lUnvty TO vinry THlta ImAsum"RWIL 1 Hentny C►nmv THAT 1 HAY!IIIAM WO TTet MV..M1p/.ANO ALL nUILDt"Al.tAllretNiv AND F"CnOASIH.►NT1 Ant LOCATMD O"TIN nngltNn A4 !NOW". 1 FUn TTItn Ct11TMy THAT no 111M M"44 COWOnMMD TO TNM IOr►MA&Awe AHO ANFNOwNT1 OF Typ.ANROUER MgKN CON• lTnUCMD.1 FUM"WR CMnTMT THAT T"TA POOFt11TT40 NOT LOCATMO M TTII t1TAIMMM0 FLOOD KALZAAD Ant A. BY RAVID � C�MiLLA � �� LYNCH TO THE FIRST ESSEX SavtviG5 bA%Ks ctiG BOOK: 1107 AND TITLE INSURERS 817 PAGE: 25(0 IV ORTGAGE INSPECTION PLAN No.7817 7817" HOLN •o a: rLA►I HO.: 237 of t9r5 LOCATED A0".^ssac,Sz�Ps SCALE: i►, :--110 -0041 6g Litmem AVENu� No. AlvaC��g MA . �� TATE: ?jI �.i r�� TO BE USED FOR MORTGAGE PUfiPOSES ONLY Bk 10838 P9165 21759 07-16-2007 a 02: 10P QUITCLAIM DEED I,David V.Lynch, of North Andover,Essex County,Massachusetts For consideration paid and in full consideration of Two Hundred Seventy-Five Thouand and 00/100 ($275,000.00)Dollars Grant to Erin Cournoyer� /v�✓ of 68 Linden Avenue,North Andover,Essex County,Massachusetts With QUITCLAIM COVENANTS A certain parcel of land with the buildings thereon situated in Norht Andover,Bering now numbered 68 Linden Avenue and being shown as Lots 15 and 16 on a plan entitled"Plan-of Cerdarcrest No.Andover E.W.Greene Owned",made by Horace Hale Smith,Engineer,recorded with Essex North District Deeds as Plan No.237 of 1915,said lots together being bounded and described as follows: WESTERLY by said Linden Avenue,one hudnred(100)feet; NORTHERLY by Lot 14 on said plan,one hundred thirteen(113)feet; EASTERLY by land now or formerly of Michael Camey;ninety and 10/100(90.10) feet; SOUTHEASTERLY by Lot 18 on said plan,thirty(30)feet; SOUTHERLY by Lot 17 on said plan,one hundred(100)feet. Containing 11,865 square feet of land. Being the same premises conveyd to David A.Lynch and Camilla Lynch by deed of Lena Thomas dated June 6, 1968 and recorded with the Essex North Registry of Deeds at.Book 1107, Page 256. The said Camilla Lynch died on See death certificate recorded herewith. MASSACHUSETTS STATE EXCISE TAX Essex North Rasistrs Date: 07-16-2007 D 02:10pm Ctlz: 24S Doct: 21759 Fee: $1r254.00 Cons: S275P000.O0 • Bk 10838 Pg 166 #21759 i Executed as a sealed instrument this 14)ay of July,2 D id V.Lynch COMMONWEALTH OF MASSACHUSETTS On thisPgy of July,2007,before me,the undersigned notary public,personally appeared David V.Lynch, Proved to me through satisfactory evidence of identification,which were copy of Iicenses,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he/she signed it voluntarily for its stated purpose. WOE F.F"NS,JiL NOTMBY PUBUG P b my WMWSSK N DWIRES.4112 011 1 PROPERTY ADDRESS: 68 Linden Avenue,North Andover,Massachusetts • •• NorthAndover :rVI 71 41 .'7.'� I Yr We l �h' 1 - lq'f _ , t t '✓ � � 11 " t 11 �;+��# i -Y s tbi 'i Iw�tilf lupi& A r , 1