HomeMy WebLinkAboutBuilding Permit #Exception - 7 COPLEY CIRCLE 5/1/2018 (3) f p0117M,
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' TOWN OF NORTH ANDOVER
='� •� APPLICATION FOR PLAN EXAMINATION
CHu��4
Permit NO: Date Received:
ig 06
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION C.�,p�.��., C,.-��l•�
Pnrint
PROPERTY OWNER
�, Print
MAP NO.:�PARCEL: 7
ZONING DISTRICT: 73
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
D New Building AOne family
Addition ❑Two or more family ❑ Industrial
Alteration No. of units:
Repair, replacement 7- Assessory Bldg u Commercial
❑ Demolition
�' Moving(relocation) u Other ❑ Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or Print Clearly)
OWNER: Name: t...al !-�.�_ � �z,,,,JL., $1.,..,_c,,.� Phone:
Address: �,.o�-�•.� C.�c,�x �_�, b;`.11<„r._ �`^w, .
CONTRACTOR Name: Phone: Iv b -53 3 S�
Address: l\,`Zu -h.,,.o►>; S-�ti.�.,,, t�/z, p,..rt�,A,�� �^•-.�
Supervisor's Construction License: 053 U 4t t Exp. Date: L�tilk l U
Home Improvement License: -11A Exp. Date: d�'Ug, ( b-)
9-7oa- 3
ARCHITECT,' NGINEER Name: Phone: ^�?e.�
Address: Reg. No.
FEE SCHEDULE:BULDUG PERMIT:510 0 PER S1000.10 OF THE TOTAL ESTLNATED COST BASED ON 5115.00 PER S.F.
Total Project Cost :$ , DU x10.00=FEE:$
Check No.: Receipt No.:
Page I of 4
TYPE OF SEWARGE DISPOSAL Swimming Pools
Tanning/Massage/Body Art i_-!
Public Sewer
Well i J Tobacco Sales I—I Food Packaging.,Sales
Permanent Dumpster on Site F_7
Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/Owner Signature of Contracto
Plans Submitted ] Plans Waived ❑ Certified Plot Plan � Stamped PI
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED TE APPROVED
PLANNING &DEVELOPMENT C�' S//V/06 '` �� ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
Other
COMMENTS /U �,G„�rC � s , {4s»ti" c, ad.�t' c.=. =*:kC?
r
�L�►�j�J��".f 'LI�C./^ �/i 7 f! fE�, i �' -�. .,-� irkr.Gvf �.';.�
DATE REJECTED DATE APPROVED
CONSERVATIW Z �,
COMMENTS fff,�_rr*, 2A W 1
DATE REJECTED DATE APPROVED
HEALTH _ - ❑_ _ - � --
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connection signature&date
Temp Dumpster on site yes no Fire Department signature.'date_- -
Building Permit Approved and Issued by:
Page 2 of 4
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
DIMENSION Z Q t
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area,sq.ft.:
NOTES and DATA—(For department use)
Page 3 CJI'-1
Doc:INSPECTIONAL SER\ICB DLPAR INIEN :BPFORMO5
Cmaied.VVIC.Jam'_Caib
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
❑ Building Permit Application
zi Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
u Copy of Contract
❑ Floor Plan Or Proposed Interior Work
Addition Or Decks
❑ Building Permit Application
❑ 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)
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
u 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)
u Copy of Contract
❑ Mass check Energy Compliance Report
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 DF.PAR'1'NIENT:DPF0R.105
Page 4 44
Nor Boxford Street
North`! � ,� s' 47, ��' • h Andover,MA 01845
• PH:978-688-5335
Building Contractor FAX:978-688-7207
Proposal �,�---
To: Walter&Paula man
7 Copley Circle All Hone improvement Contractors and Subcontractors
engaged in home improvernent contracting,unless
North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter
142A of the general laws,must be registered with the
Commonwealth of Massachusetts.Inquiries about
registration and Status should be made to the Director,Home
From: Kevin Mu h Improvement Contract Registration,One Ashburton Place,
y Room 1301,Boston,MA 02108.(617}727 8598
CC:
Date: 4/27/2006
Job: Sunroom addition
Date of plans: none to date
Architect: to be determined
Location: same
Section 1-Work Schedule
Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in
writing contractor will begin work on or about 5/15//06.
Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 9/30/06.The owner hereby acknowledges
and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as
violations of this agreement.
Section 11-Warranty
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 year
following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or
damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job,
including cleanup,the Contractor shall,at his own expense,forthwith remedy, repair correct, replace,or cause to be remedied,repaired,or
replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in
connection with the agreed-upon work.
Section 111-Scope of Work
TO Paula snd Walter Schumann
7 Copley Circle
FROM: Susan Willis, President
Cobblestone Crossing Homeowners Association
DATE: April 12, 2006
Re: Planned addition of Three Season Room to Home
This letter is in response to your request to construct a three season room addition to your
home at 7 Copley Circle, Thank you for making this request in accordance with the
covenants outlined in the Homeowners Trust Master Declaration.
Pursuant to your securing all necessary building permits and working in accordance with
all applicable town bylaws, the board approves your addition of a three season room to
your home. As a reminder approval is based upon the premise that all external structural
features stay within the scheme of the neighborhood and your existing home.
Lastly, please be advised that Cobblestone Crossing is a Planned Residential
Development(PRD) and therefore each of the houses within the development have
varying lot/property lines, buffer zones, and open space restrictions. If your lot contains
any of these characteristics you will find them clearly labeled on your plot plan supplied
with your home deed.
If you need any further assistance or have any questions, please contact me directly at
(978) 974-0167.
Best of Luck with your project!
Sincerely,
Susan Willis, President
Cobblestone Crossing Homeowners Trust
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AN ADDITION FOR
THE SCHUMANN RESIDENCE
7 COPLEY CIRCLE
NORTH ANDOVER, MA
PERMIT DRAWINGS
MARCH 28, 2006
z
I I II
I II
i I
I I II
EXISTING
/ FAM I LY ROOM
i i i l I
EXIST. DOOR
ASSEMBLY 4
WINDOW ABOVE ( EXISTING
TO REMAIN
i I I KITCHEN
FLUSH
FLOOR
7'
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(3) 2446 HARVEir VICON
GLA IG DOUB EHUNG
14'-0" 71
-0
"
PROP05ED FLOOR PLAN
1/4" 2 If-On
-- ------._._....._.........
-----._._..._.__._.._.............._.._._...
..........
E�i
JL
ALL EXTERIOR i JI ------ -------.__.____---
TRIM TO MATCH
EXISTING -------- ----...._-. _
..........
EXI5TIN6 _ _..._.._..._.__.__..____............
15T FLR
FAINTED PSL COLUMN5 NEW DECK
LATTICE TO FOOTING
BELOW
PROP05ED REAR ELEVATION
1/411 m 11-011
FLASHING
ROOFL I NE
VELUX 304
iLFIXED SKYLIGHT
--------------._ ROOFING TO
----------- MATCH EXISTING
II if __._.....__.._..----..-._--
-- ----- --- --..- -- --.._. 51 D I NG TO
--------- MATCH EXISTING
-IFIL
------ - ------------- ----- -- -.-..---- EXISTING
IST FLR
PAINTED P5L 0OLUMN5 5KIRT-i
LATTICE TO FOOTING BOARD
BELOW
PROP05ED RIGHT ELEVATION
1/4" = 11-0"
VELUX 304
FIXED 5K"rLI6HT
ROOT=ING TO
MATCH EXISTING
-_-_ ---_
LIGHT ----- -- - ----.._.._..
ci
m
PAINTED-/
LATTICE
FROF05ED LEFT ELEVATION
1/4" = 11-011
i
i
RIDGE VENT
2 X 6 COLLAR
ROOFINC7 TO TIES ,g I6" O.G.
MATCH EXIST. -
VELUX 304 - \
SKYLIGHT
R-30 INSU2 X 10 RAFTERS
IN CEILING 16" O.G.
SOFFITS TO
TCH EX15T.
YV/ACORAVENTI-�
4 RIDGEVENT
P,-IQ INSUL.
IN WALLS
i
2 X 6 WALLS
R-30 INSUL.
IN FLOOR
2 X 12 FLR
JOISTS 0 16" O.G.
PSL COLUMN 2 X 10 DECK
JOISTS (D 16" O.G.
PROPOSED SEOTION
1/4" = 11-0"
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit #
MAScheck Software Version 2.01 Release 3
Checked by/Date
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 4-2-2006
COMPLIANCE: Passes
Maximum UA = 87
Your Home = 86
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 295 30.0 0.0 10
WALLS: Wood Frame, 16" O.C. 491 19.0 0.0 29
GLAZING: Windows or Doors 116 0.310 36
GLAZING: Skylights 12 0.310 4
FLOORS: Over Outside Air 224 30.0 0.0 7
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
I II
I II
II
I II
EXISTING
FAMILY ROOM
I I
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EXISTING
I I II
KITCHEN
- - - - - - - - - - - -
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EXISTING
PORCH
EX 15T I NC7 FLOOR PLAN
1/4" = 1'-0"
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by ti1GL
.1 11, S 150 A.
Also, note Permits are required under Fire Prevention laws Chapter 148 Section
I OA.
The debris will be disposed of in:
14 (Location of acicility)
l
Signat of ermit Applicant
Fire Department,Sign off•
Dumpster Permit
Date
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The Commonwealth of Massachusetts
Department of Industrial Accidents
l
Office of b Investigations
600 Washington Street
Boston, MA 02111
t; www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeRib1Y
Name(liusiiw-..4torgani7ittii)n/lndividuiii):—�— r�^� 17-A,1, �-v —
Address:
City/State/Zip: � J . .._ Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
II.I�am a employer with� _ 4 ❑ I am a general contractor and[ 6. D New construction
employees(full and/or part-time).* have hired the sub-contractors
2.E3 i am a sole proprietor or partner-
listed on the attached sheet. 7. E] Remodeling
ship and have no employees These.sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers'comp. insurance, 4. Building addition
[No workers'comp. insurance 5. ❑ We are a corporation and its i O 0 Electrical repairs or additions
required.] officers have exercised their
3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.[] Plumbing repairs or additions
myself.[No workers'comp. c. 152,§1(4),and we have no 1 12.0 Roof repairs
insurance required-], employees. [No workers' 13.0 Other
comp.insurance required.]
'Any applicant that checks box#1 mast also felt out the section below stowing their workers'compensation policy information.
t"otncowners who submit this affidavit indicating they are doing all woxk and then hire outside contractors must submit a new affidavit indicating such.
"contractan that check this box most attached an addition!street showing the name of the sub-contnictors and their workers•comp.policy inliu motion.
I ,man employer chat is pro1�4ding workers'compensation insurance for my employees. Below is the policy pmt job.site
information.
Insurance Company Name:l�j _ -_�Lw S. L''
Policy 1i or Self-ins.Lic.#: / v w �- �`'L� �L2'Z- Expiration Date:_ � �__�
Job Site Address:_ City/State/Zip fes._ ...fie
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 MOL c. 152 can lead to the imposition of criminal penalties of a
line up to S 1.500.00 and/or one-year imprisonment,as well as civil penalties in the Form of a STOP WORK ORDER mid 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 here rectify ns and penalties prrjury that the informadon provided above is true and correct.
4i na e: i.__ Date: �1 i)
Phone 4:
tylieial use only. Do not write in th}5 area,to be completed ky city or town gfficial.
City or Town: Permit/License 1t
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 0:
Property Record Card
PARCEL ID:210/059.0-0090-0000.0 MAP:059.0 BLOCK:0090 LOT:0000.0 PARCEL ADDRESS:LY COBBLESTONE CIRCLE
PARCEL INFORMATION Use-Code: 132 Sale Price: 555,000 Book: 03772 Road Type: T Inspect Date: 05/11/1999
Tax Class: T Sale Date: 06/30/1993 Page: 0261 Rd Condition: P Meas Date:
Owner: Tot Fin Area: 0 Sale Type: P Cert/Doc: Traffic: L Entrance:
COBBLESTONE REALTY TRUST Tot Land Area: 2.71 Sale Valid: P Water: Collect Id: JBS
SHEILA DIONISIO Grantor: MESSINA Sewer: Inspect Reas:
Address:
38 CIRCLE
NORTHRTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LWO Indust-B/L% 0/0 Open Sp-B/L% 0/0
AN
LAND INFORMATION
NBHD CODE: 6 NBHD CLASS:6 ZONE: R3
Seg Type Code Method Sq-Ft Acres Influ Y/N Value Class
1 U 132 A 2.71 6,504
VALUATION INFORMATION
Current Total: 6,500 Bldg: 0 Land: 6,500 MktLnd: 6,500
Prior Total: 6,500 Bldg: 0 Land: 6,500 MktLnd: 6,500
SKETCH PHOTO
N Picture
Av a "I' la b l
Paroel ID:210/059.0-0090-0000.0 as of 7/6/06 Page 1 of 1