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HomeMy WebLinkAboutBuilding Permit #108-2017 - 97 SUTTON HILL ROAD 8/2/2016 I I NORT#1 q BUILDING PERMIT O gLED TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �nD Permit No#: Date Received o �Q �gSSacHus���5 Date Issued:up p7i lew IMPORTANT: Applicant must complete all items on this page LOCATION 97 S( on kill &4 CLdr 4) Print PROPERTY OWNER TU LLL Print 100 Year Structure yes no MAP (n A PARCEL: t� ZONING DISTRICT:KI Historic District yes n boo Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential <New Building XOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic []Well ❑ Floodplain ❑Wetlands ❑ Watershed District Water/Sewer DESCRIPTION -WORK TO BE PERFORMED: i � Lam y -- -�- r �"'' -- .: i Identification- Please Type or Print Clearly ,OVVNESRR`"Nam-e:"�'`�1���-LL.C, Phone*TZ7 ''gS2' Y6V2-' Address: zoi r Contractor Name: Phone: `17g'- Email: tzete-<0 Address: el Aik r 4 A Supervisor's Construction License:_e S^��lf Exp. Date: Home Improvement License: Exp. Date.: ARCHITECT/ENGINEER Phone: b 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: $ I ZI S'60 .a0 FEE: Check No.: Z I ZZ Receipt No.: 306 93 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty f Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ,� Tanuing/Massage/Body Art ❑ Swunming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On h)I b Signature_ COMMENTSc�E� t�� t b� 2�`b � e Sju%yyJo-r�Lc G+ Oxutsl eN V ()C�"tnSLa Is'S �Q V is 1 Dr ' '''�U `�(�CN.!` ►JNt �C�In I"�G CONSERVATION Reviewed on to Signature COMMENTS HEALTH Reviewed on50&ae ze COMMENTS n IDQrr Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes , Qkgn t'4 LloLI L.--lanning Board Decision: '6hRoak Ili S5-7 Comments CD Arab Z 11(o1►6) Pd t 4� Conservation Decision: N Comments 7,z�, Wafter& Sewer Connection/Si nature& Date l Driveway Permit DPW Town Engineer: Signature: _ a'-'w F-2?--)k,- /Located -Zz-)k,-Located 384 Osgood Street F IREDEP,gR�TMENT TempQumpster onsite, ryes__ lno j,Locate�af`x12�'4fMaintStreet 1 FI`r.,e Departnient�signature/date 0.7 , r__ COMMENTS i Dimension Number of Stories: /Z Total square feet of floor area, based on Exterior dimensions. Z�l3Z Total land area, sq. ft.: ZS,U33 sF 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 Call Email Date Time Contact Name Doc.Buildinab Permit Revised 2014 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4, 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 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 E. Location 1 h-60 No. � ' uf Date ` ! • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ , TOTAL $ -r Check#���` j Building Inspector l Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer X Tanning/Massage/Body Art ❑ Swnnmmg Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING (OX DEVELOPMENT Reviewed On Signature_A!4_ COMMENTS �C�- 10(- lbz(' .k Lk- -FIZO 1 ec A ti-i k V is t On tAV-1-ko 4(z-0f-1 t o's ?Gj'l[� - i CONSERVATION® Reviewed on to Si nature COMMENTS HEALTH Reviewed on s COMMENTS Zoning Board of Appeals: Variance Petition No: -Zoning Decision/receipt submitted yes Pkgr\ 1-44°y Planning Board Decision: h24Ak 1'-1 55;t Comments ca Ale_�- Z h(0116) Paso I LAI Conservation Decision: N Comments Water& Sewer Connection/Signature& Date �, 7J Driveway Permit DPW Town Engineer: Signator-e:�/C� ,G -Located 384 Osgood Street FIREtDEPAReTrMEIVT�`�TempDumpster onsite. �yes_..� Locatep 41MainE5t`reet rFi'reDepa A rtrient sig � nature a /YJ I COMMENTS-. NO R TIi Town of.. _ s ndover No. - E h ver, Mass.Al a COC NIC N[WN:M �• A�RgTbar E D AkLv y S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ........ ..........2...,I...`„L&............... .,. BUILDING INSPECTOR has permission to erect ...... ................ buildings on All....SI&.. ,,,, ,,,,/� Foundation �M...... .Vit.. Rough to be occupied as ............. � ............................................ Chimney provided that the person accepting this permit shall in every respect conform the terms of thea 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 CONST I ST Rough MP2rvice .... ...... ... ............. Final BUILDING INSPEC 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. C17 SUTTON HILL RbAQ 34-o tp-o 24-0 � N C42 AL�CONGRF�� I oP£wslra6 I � 4p 3N�w � 30cw$SI ap P aJ�a e. N I90 0 _. _.— k'i]cMr."T _�.._.._. }bCKfT I � �20••�10° • IDR. lJ YIaVJ I-- - — — 40 0.0 a—� -o �.o a-o I � � iJ wilcevwm k�VVVa��` Czl'f¢••ReanR /' o O I I I iy. O tlill PF-00 4lPE ta%3.3p x -Y4" sma vie � O I I I I 7 I SE GTl41.1 CTYP� 0 N — I bRoP PoRC1�811 O JL H. St HDLpU ScaRPs Crsp� ty-O f'9 9.8 1.b q.b tS'1 18-0 _ 14-0 lO'i O �}�1 97 S UT(o w 411LX-i off NoR�N 3�N�oU�R, i'AA FOw,3r)At IoM PL.N -T Y,7LLG Zt,>_y 2.9, 2011(o 97 5 U r0 HiLL ROAD b!0 24-0 34-o ' •j Gkh.ctlCryp) ti _ _ d I 6uttti�kpAD —— ------- I � 6PE1J1 ed 6 I 10 p 2 3N�a � 3ocwPsi N 0 _ c —fou — .•__.--._._ ( Fti'C154`P _ — �CKfT I ion • • DRQ rk!•Wo Wm (i••Kea�nRESA I X21 R o 0 C. 0 4/l P@Rt° PIPr- kJ3 O I X -1N„ sr-,,e D S � S@c't-lam C'ry2' cj I I I I h bAoP PoP:CW 811 O D.3 9�aRPsC-ropy t4-o }— 9,7 S uljo Al f11L L S��tD S.ioR�H xwDoVzR, iAA FZOUN )AI IOM PLAN T4:ZL1G 3u1y 2.8, 201f -PRoPmm AtaioP, fomfal T TtgVS. "V2q/16 f` t /15G-/t 72 CHESTNUT STREET -----298- \, /132 CHESTNUT STREET 'GREY ROCT!CONDWIMUM' \ ?.y N/F ROBERT 3 SHERRY MARCOM nt TAX MAP 60 LOT 71 N21.46.30-N .87 6 TAX MAP GOA LOT 22284.96* SS 9Y \ m,hoH c aft ct fbw d Por / K/' a awe mm.s—rro.. LOT 2 RaP.s.00C cam \ , .A. lowax C. ) o Tos+) \ '':�`_ `Ij\\ /t2 HEATH CIRCLE ��-� e 1 °q N/F GA MAPFNY REALTY TRUST �a'�S � \�\ -t / 1 °) TAX MAP 60A LOT 17 j 'oJ meso- cr�� cry t P-Ad. • ! \ // , Q -a wod tlwi a H3,M.d baa. Rmwr. i o ° 1 _ 4a.J. \ m awt mm a qem wrrow, WATERSHED BOUNDARY • ,/ tlNE 7A1fDJ FROM T011N � � ^ a OF NORTH ANDOVER QS Owl*- f LOT 1 2D=SFS SHED TO BE RAZED o \ I OI #9 WATtt C;;R�- ____-- /// j �/' O ~ --'`O O I NA CURTIS h XNMFER COMANO // l / O \`\ TAX MAP 60A LOT 18 13x0.10'Powd at­y / r'1►� O ` ' co - � O _O __ Acp.Y�Oow1 A4Adn O + I+I N'PAl \\ \\ LOT 3 C.B.A.-t00x L �• j O 1 /T EX TSTORY o H` 30.T Ptao.t•°°° FRAME GARAGE 0 3 3 o I /f)0000 ° <. \ t�s«KC.m.) (OW-2J �'n�a�^ nd 0"*m aws mts .,rm ,115 O $ ! I , i �T Io* .2' .ecn Ax IrDA+ \ 3+ \ Bit Cd°e. .Is it .1. �. \ Di).almy Cf �) o• 1 \ V A3 \\ ` \ 01 f � FRAME O O t \ RE O n •Di FTT-. 37* - i5 b R-12.30' £ I Y ..Y.i\- I3°+ lin.prlc�.putl.+Tr L-2ZOS' T� ' T . O Roof.W -tl B-T68 40: O Pt.P-Oro Ama 17 _ r 30.0' tC _ `M n.+mam. a pa.v1ce.\ C.1j•{�3' s6's.I o •�/� ISPAZ p Rte,t.t10D Qam ��\ f t_ `. Pn4�'�t // m—07`a 0-3) \ _ •� ` N L O w.°ow A, i0•� I -w_ 12b•91 -„�/�—ls� `\ cv.sa rAsc �'�r >\ ; � �;f�� 2 ��', �, ,��R"0Y1 ,�� z`io3333 sFA pkp T i R-„Rw \� C.B.A. -t00x v.ssrAar GRAPHIC SCALE \ / !I 1\► \ ---- m 0 ,p m 40 I b b-ID a. I cr>RUTt�w c• +�/ _ R s ;6 sww-ax TARE O ttaL#I DwnaL 7a ORTL !l ♦ Rv#M&-"I-,dr�.s T« L on Reer q.a.w swo+.+. M-OF tAMK II).Y. x96fY 39637 31W .. �- MEW t3Ett xD7.�T t 3Gt.T7' 311.tT 1 � , y�•t3'� \\_ �� — — � w°irar a rroc xw.x 3°..S 3oav 4 / ck �SRSVO'00'E �. QtMPC RP WILL 2936 ]S15' J07.0 � , a °•--- \xte t.T7 Si01[SAill°UrICNR 7Y +Y 7Y Y` h' . i g 99990 Verizon LTE 10:00 AM �3io All Inboxes (2) Sent from my Pad DATE(IAM710OYYYY) ACRD CERTIFICATE OF LIABILITY INSURANCE 6/21/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. I IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). I PRODUCER CONTACT NAME: Sandi Munroe M.P. Roberts Insurance Agency PHONE9781 683-8073 i AX No: 1978) 683-3147 1060 Osgood Street ADDRESS:ADDRESS North Andover, MA 01845 INSURERS)AFFORDING COVERAGE NAICI) INsuRERA._Essex Insurance Co INSURED INSURER e:Associated Employers Insurance TKZ, LLC INSURER C: c/o TOM ZAHORUIKO --�----— —`- -- — INSURER D: 78 GREAT POND ROAD INSURER E: NORTH ANDOVER, MA 01845 1 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ! INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY TW POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID GLAIMS. LTR 'AMPOlCEIPOUOEXP fPOUCY NUMBER TYPEOFINSURANCE GENERALLIABILIIY 1 7/13/15; 7/13/1EACHOCCUMCNCE _ S 1,000,000p X;COMMERCIAL GENERAL LIABILITY i i 1 '� PREMISiR;ES(RENTED ,- -_ - `- _� I PREMISESrEaocurcrrxei.- S..- _Q,0O0 _ CLAIMS�AtAUE f )( OCCUR 6hf D EXP;A"i I,— . �S _ 55 5,000 ' I E I PER SO MLS ADV INJURY i S 1,000,000 GLNERAIAGGHFGAII 13. ,2.,000,000 I i GEN'L AGGREGATE 1.MT APPLIES PER f � PROD CTS CXJt:PIOP AGG I S I X!POLICY F --!PRO LOC LOXAINW bIN(,LL LIMII AUTOMO01LEUABIUTY ! I ! I iEaaeratlenl7 j s f ANY AUTO BODILY INJURY(Per person) 13 ALLOWAE-U SCHU)ULLD i I BODILY IN.IURY(Pnrxdtlent)i S I AUTOS AUTOS j NON-OLAR•IED :PROPERTY DMAGE- 1S HIREDAIITOS AUTOS (Per atfJAAnI) 4 i I •, UMBREU.ALIAB OCCUR I i ,EACH OCCUNKCNCL, EXCESS LIAR C_LAIIAS-MADE{ j + AGGREGATE DFA) RETENTIONS t WCSTATU• iOTIi B =WORKERS COMPENSATION ( ! IWCC5005006517-2014Ai 10/1/15! 10/1/I6i�(' AND EIAPLOYERS'LIABILITY YIN f ..---IORY.LIF.711S LR I ANY PROPRIETORIPARINERIEXECUTM N)A� f �E.L F.ACH ACCICE Nr i5 1_.DOU,DOD OFFICE-Mal ERFxCt.Lr)rD? � f I j(IAardamryin NH) DISEASE-[A ECLPIf)YE F_,5. 1,ODl7,ODD if 9rs tlrztuihn &f. ! 1 1 11 d Uk5l;FtIP'TIUNt]FOPERA710NSbebw I 'EL.OISLASE-POLICYLIMR�S 1 DDD OOD 1 DESCRIPTION OF OPERATIONS I LOCATIONS IVEIGCLES(Attach ACORDTOI,AULfifional Rennrks Sthcdnle,itmwesp"misr"Li FM) I I CERTIFICATE HOLDER CANCELLATION S14OULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF NORTH ANDOVER ACCORDANCE WITH THE POLICY PROVISIONS- BUILDING DEPT 1600 OSGOOD STREET AUTHo O £PResEt+TA NORTH ANDOVER, MA 01845 fIf ©1888 2010 ACORD CORPORATION. All rights reserved. ACORD 25(20101105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-055417 Construction Supervisor l THOMAS D ZAHORUIKO 4 HIGH STREET SUITE 201 NORTH ANDOVER MA 01845 ���jz;:K Expiration: Commissioner 04/05/2018