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HomeMy WebLinkAboutBuilding Permit #509-211 - 95 LACY STREET 12/28/2010-0�-��/ Permit NO:_5 BUILDING -PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received/ /d ucaLPrur i 1UN Ur VVUKK I U BE PREFORMED: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULD/NG PERMIT; $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 2 -ow FEE: IS . 3b-_' Check No.:4 Receipt No.: 7_3,f;7-3 NOTE: Persons contracting with unregmtered contractors do not have access to the 10=ranty fund 'Z 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 onSignature - UVIVI1VIGiY i J HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Baard Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine No 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. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of N.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 o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ IVI "ass 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 --",:.New Construction (Single and Two Family) ❑ Building Permit Application n _r:r•_j n U el �lHei t ❑ U r-roposed 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 ❑ 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 Location 1.7 4 No. -5-0 5; -moo// Date Check # `21-12/ 23625 B ilding Inspector �% TOWN OF NORTH ANDOVER AwFaw• :. Certificate of Occupancy $ ' JwcNusEt� Building/Frame Permit Fee $ 3G Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # `21-12/ 23625 B ilding Inspector �% �1 z rA W w W4 o w° a C/)w° O z C CO) -g C2 U `°a w O- W °�° a°' w O W c�° 5� cn `3 w a a�' w :.c N O w cA CO o cn I �� 2 6 O co O 03 L O v Z CD CL O CO) o c C13 cm c o O 0 C CO) -g O O m m a+ c C2 0 CD CD c CD o O ` a c :.c N O cc c �c O O a+ Z C 0 CD CL LD to C R C� C _cc C c ev ev m c Yj� O 0 L Ea :mom Tj D : O 0. �l Go E c Crc 2 u c=m(,: m c E m d Q C=2, r y H C m ;ce (� _ y cm ca "• m. E y L � O � Kc..7cm V ca m m o m cm te -v c OQ 32 m o� m V h Z O C w■y. O. m c •O Q = m m= c N H p y m off t m •VJ R �... .E dt m . C=JLU C.3 ca Z C2 'O y am O CD F- 2 ��..�_...m 5 I �� 2 6 O co O 03 L O v Z CD CL O CO) o c uj uj (4 W W W U) C13 cm CO) O 0 C CO) -g O O m m CD CLI..-_... 0 CD CD CD o cc a c o-0 cc �C. O a+ Z C 0 CD CL C..D to C R C� C _cc a uj uj (4 W W W U) 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: - ST is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section l OA. The debris will be disposed of in: E 1'1'Cd - a7U xe%4 X) A Pr,&6-,v. //- (Location Date Town of North Andover Building Department 1600 Osgood Street North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT P / q3 21�c NORTh w. 0LED /6 1 4 C .r.: AL ?� 1b OLAKI � COCKICNl WICK 1 AERATED rPp�y'�5 '9SSAC HUS�'� DEPARTMENT DEPT. OF PUBLIC WORKS - WATER:_________ DEPT OF CONSERVATION / HEALTH DEPT: Septic Well HISTORIC COMMISSION �Y/� l% GAS N *ELECTRIC TELEPHONE CABLE j� lief TAXES N I� POLICE EXTERMINATOR DUMPSTER - ON/OFF STREET DIG SAFE NUMBER 2-0 1 l S DATE REC'D Doc.form demolition of building affidavit BLDG. INSPECTOR From:National Grid nationalgrid 40 Sylvan Rd Waltham MA 02451 December 28, 2010 Joseph Crescio 95 Lacy St North Andover, MA 17815221067 1212812010 11:40 #076 P.0011001 RE: Service Removal for Building Demolition. Dear Mr. Crescio, This letter is to confirm that, per your request, National Grid has confirmed that there is no electrical service going to the barn at 95 Lacy St North Andover, MA as of 8/2/10. If you have any questions or need further assistance, please feel free to contact me at (508) 357-4519. Sincerely, ,..� ' 6-x1X�&-Lt4 - Angelic Butler - Order Processing Representative Customer Order Fulfillment ph # 508-357-4519 fax # 315-460-9149 angelic.buder@us.ngrid.com WR 9342072 for Overhead service WR 9512299 for meter removal �q � wk �"1W.0 sohSRn' a . ., �x :.J a' .«. }.r.��,� ,#�,a. 7$. k r 3 jai m s . R 71k Ali 4 ,�V 5 k �i f :Y&4w�y �: 1 ✓fokr� t :"' �ta�Sal'hl,SMrti - Deparin,cnr UI Public lail'r\ Board of Builtlinu Rc ulatinn. and Standards Construction Supervisor License $ License: CS 104136 JOSEPH CRESCIO 11 MICHELLE DR pY BURLINGTON, MA 01803 Expiration: 12/28/2013 7 x��x Cunmis�i�utcr Tr,: 1 041 36 �q � wk �"1W.0 sohSRn' a . ., �x :.J a' .«. }.r.��,� ,#�,a. 7$. k r 3 jai m s . R 71k Ali 4 ,�V 5 k �i f :Y&4w�y �: 1 ✓fokr� t �• <*6" �6.6ryC 'e` �9_ •.I& CONSERVATION DEPARTMENT Community Development Division December 23, 2010 RE: EMERGENCY CERTIFICATION- Removal of Unsafe Structure (large shed) at 95 Lacy Street, North Andover (now to include barn near roadway) Dear Mr. O'Mahony: On December 11 of 2009 the Conservation Department issued an Emergency Certification permitting the removal of an unsafe structure located on the above referenced property. The structure is located within jurisdiction of the North Andover Conservation Commission. The structure was ordered to be removed or repaired by the North Andover Building Department in a letter dated December 2, 2009. That Emergency certification has since expired but will be renewed for an additional 30 days due to the many legal issues that prevented the work from being done when initially ordered. Per a phone conversation with you today, all work shall be done under frozen conditions. This will allow a tractor to access the structure to remove an old vehicle and all other materials that cannot be removed by hand with the least amount of disturbance to adjacent wetland resource area. All work shall be conducted within the existing fenced paddock area and not beyond the existing structures and fencing. In addition, all disturbed soils shall be stabilized with straw mulch following repair or removal. Areas that do not re -vegetate naturally in the spring shall be seeded with a seed mix prior to June 30, 2011. All debris from demolition of the structure shall be disposed of properly outside wetland resource areas. Please contact the Conservation Department before starting work and when the demolition is complete. This approval is valid for 30 days from the start date which is considered today. Please feel free to contact me if you have any further questions or concerns in this regard. Sincerely, Je er A. H hes Conservation Administrator CC: Building Department 1600 Osgood Street, Building 20, Suite 2-36, North Andover, Massachusetts 01845 Phone 978.688.9530 Fax 978.688.9542 Web: http://www.townofnorthandover.com/Pages/NAndoverMA_Conservation/index ON, TARGET' Jtility services Date 1 Time : 12/28/2010 10:57:25 AM To : JOE Locift sendces 99 Enterprise Avenue Gardiner, Mine 04343 te1800-398-0628 fax 207-388-3302 Company : CRESCIO TRUCKING CO INC Tel.: (978)-667-3363 ext. Fax: (978)-439-9166 ext. W W W.Ontargets ervic e s. c om email: smening@onttgetservices.com This message is being sent in response to your request for underground cable location. The following represents a list of responses for the indicated member. These reponses only pertain to the specific member. Ticket # : 20110100731 Place : NORTH ANDOVER, MASSACHUSETTS Address : 95, LACY ST 1- NATIONAL GRID ELECTRIC - NE NORTH Ticket Screened on 12!28!2010 2- COMCAST CABLE -GREATER BOSTON -NORTH Ticket Screened on 12!2812010 This ticket is clear of conflict and has been screened by On Target Utility Services If there are questions regarding this transmission or if you arrive at the site and have a question about the markings, please call 1-800-598-0628, extension 3347, during normal business hours, Monday- Friday between 7:00 and 4:30