HomeMy WebLinkAboutBuilding Permit #Exception - 89 WINDSOR LANE 5/1/2018 BUILDING PERMIT Olt NORTH qti
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TOWN OF NORTH ANDOVER ... `•d 0
APPLICATION FOR PLAN EXAMINATION 7D
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Permit NO: Date Received
HATED
�SSACHUSE�
Date Issued:
IMPORTANT: Applicant must complete all items on this page
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LOCATIONI f°
Print
PROPERTY OWNER__ N h
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MAP 210 PARCEL: ' _ . ZONING DISTRICT: Historic District yes
t?- 0C- tO64 9'-000�s Machine Shop Village yes ,an
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 :f; 67n Others:
Demolition Other
Septic Well } Floodplain Wetlands 'Watershed District
Water/Suer ,
DESCRIPTION OF WORK TO BE PREFORMED:
Sbr l>? sk- 09-
Identification Please Type or Print Clearly)
OWNER: Name: ble,S Phone:
Address: ���61�or Z41ve.-
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CONTRACTOR Name: Phone:
Address
E .
S'upervisor's Construction License. Exp. Date: _
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: $ _ g �J FEE: $ ; 0I_L/
Check No.: Receipt No.:
NOTE: Persons contractingwith nregistered contractors do not have access to the guaranty fund
7�_ .. . w
gnature_of Agent/Owner Signature of contractor
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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
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COMMENTS
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CONSERVATION Reviewed on 4 dL (0 Si nature
COMMENCJ JL L-)
HEALTH Reviewed on Signature
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�COMMENTS �� `� yG-
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 124 Main Street
Fire Department signature/date
COMMENTS
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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
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Doc.Building Permit Revised 2010
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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
❑ 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
❑ 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)
I ❑ 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
k 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
C ❑ 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
❑ 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:Building Permit Revised 2008
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North Andover MIMAP 89 Windsor Lane April 13, 2010
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Interstates
Interstate
Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NA083,
Roads Meters Data Sources:The data for this map was produced by Merrimack
L—.Easements t pORTq q Valley Planning Commission(MVPC)using data provided by the Town of
O •�ao ,e ti North Andover.Additional data provided by the Executive Office of
0 MVPC Boundary r ••t •e OO Environmental Affalrs/MassGIS.The Information depicted on this map is
L 1 Parcels F _ Lp for planning purposes only.It may not be adequate for legal boundary
definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
It ; THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
s .^, ♦ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
*�• , -,,,, `• i ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
•o•+••o e�",�y THIS INFORMATION
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North Andover MIMAP 89 Windsor Lane April 13, 2010
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Interstates
Interstate Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
—Major Roads Meters Data Sources:The date for this map was produced by Merrimack
Roads Ct NORTq q Valley Planning Commission(MVPC)using data provided by the Town of
•�t o ,�. North Andover.Additional data provided by the Executive Office of
Ci Easements ? bas 'e•6 OD Environmental Affairs/MassGIS.The Information depicted on this map Is
Tralls C _ for planning purposes only.It may not be adequate for legal boundary
Q MVPC Boundary (. MAKES definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
[3 Municipal Boundary 4, r� THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
El Parcels + >r ^ Y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
* o'q, • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
Hydrographic Features THIS INFORMATION
Streams �,SSgCMUS�<
Wetlands
0 Exempt Lends 1"=101 ft ^�`
Residential Property Record Card f
PARCEL ID:210/106.D-0068-0000.0 MAP:106.D BLOCK:0068 LOT:0000.0 PARCEL ADDRESS:89 WINDSOR LANE FY:2010
PARCEL INFORMATION Use-Code: _ 101 Sale Price: 265,000 Book: 03548 Road Type: T Inspect Date: 0105/2003
Owner: Tax Class: T Sale Date: 09/16/92 Page: 0021 Rd Condition: P Meas Date: 01/05/2003
WILES,STEVEN JAMES Tot Fin Area: 2464 Sale Type. P Cert/Doc: Traffic M _Entrance: X
La
Address: lot nd Area: 1.05 Sale Valid: Y Water Collect Id`. RRC
- --
89 WINDSOR LANE Grantor: FERNANDEZ-CUERVO,O. Sewer: Inspect Reas: C
NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% /
RESIDENCE INFORMATION LAND INFORMATION
Style: CL Tot Rooms: 7 Main Fn Area: 1232 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R2
Story Height: 2.00 Bedrooms: 4 Up Fn Area: 1232 Bsmt Area: 1232 Seg . Type Code Method Sq-Ft Acres 'Influ-Y/N Value Class
Roof: HFull Baths: 2 Add Fn Area: Fn Bsmt Area: -600
1 P 101 S 43560 1.000 206,910
Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: A 2 R 101 A 0 0.050 380
Masonry Trim: Ext Bath Fix: 6 Tot Fin Area: 2464 DETACHED STRUCTURE INFORMATION
Foundation: CN Bath Qual: TRCN_LD: 287769
Kitch Qual: T Eff Yr Built: 1987 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: 19.86 Sound Value: PC S 800 0.00 1987 A A 50///50 24,800
Fuel Type: O _Grade: 'G Cost Bldg: 287,860 ' VALUATION INFORMATION
Fireplace: 1 Bsmt Gar Cap: Condition: A Aft Str Val 1: Current Total: 519,900 Bldg: 312,600 Land: 207,300 MktLnd: 207,300
Central AC: N Bsmt Gar SF: Pct Complete: Att Str Va12: Prior Total: 550,500 Bldg: 341,500 Land: 209,000 MktLnd: 209,000
Aft Gar SF: 576%Good P/F/E/R: /100/100/88
Porch Tvae Porch Area Porch Grade Factor
P 120
SKETCH PHOTO
P
10120 Sq 0
2 24
� G
1232 SgFt 576 SgFt
24 24
28 28
24
44
89 WINDSOR LANE
Parcel ID:210/106.D-0068-0000.0 as of 4/13/10 Page 1 of 1
F NORTH TOWN OF NORTH ANDOVER
OFFICE OF
° " BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
No Andover Massachusetts 01845
9SSgCHUSE�
Gerald A.Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
BUIDING PERMIT APPLICATION
Please print
DATE: ,' ( 1�01
JOB
LOCATION: Z
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Number Street Address Map/Lot
HOMEOWNER V �� R 9R= � 3
Name Home Phone Work Phone
PRESENT MAILING ADDRESS Vq �� {?
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W6r-F 4n A ce" MA 194
City .own State Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and
to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner
acts as supervisor). State Building (Code Section 108.3.5.1)
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 structures. A person who constructs more that one home in a two-year period shall not be
considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliances with the 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 7.2009
Form Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
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