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