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HomeMy WebLinkAboutMiscellaneous - 11 SILSBEE ROAD 4/30/2018 / 11 SILSBEE ROAD ` 210/020._ 0-0038-0000.0 �rt i Location No. A6-b Date NORTh TOWN OF NORTH ANDOVER 3+ •. • O A � y } ° Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ s,+cMuse 9 A t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ // ✓ Check # � r 1818, 1 Building Inspector c ` TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING flu BUILDING PERMIT NUMBER. DATE ISSUED: a� SIGNATURE: -.04164W 0 ` Buildin Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Woe /ZIP moo- 0, © X0038 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'redProvided Required Provided 1.7 costa Supply M.G.Lc.ao. sal 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: v Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT MISturt Districts MS 190rn 2.1 Owner of Record bh h a' Ma i CS�r� 11 i I S hie. �i oa(l Name(Print) —r Address for Service q� r Si0fiture Telephone 2.20WM4c99#9Wr7 I�FUFho�' ZZCat.✓ CVirS+D I r r� 11 �� sbiae- ` cao t 'nt /4/� / Address for Service: z WZti ND&n niqdoV(!,(- m SI nature Telephone SECTION 3-CONSTIfUCTION SERVICES go 3.1 Licensed Construction Supervisor: Not Applicable ❑ -� k Licensed Construe ion Supervisor: 961) Q5-1r( 5.3 O I t n C /I l_\ License Number 0 1 V ('Clr �,l�j, Addres 4" 04pf `J 7A t 04 ZJ4 Expiration Date ic Signature VTe ephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company Name lel Looq rn Registration Number r.. Address t _� pp ll/ J-co 10 -7141 'D k4 Z Expiration Date —� ^Z Si nature Telephone V SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check su applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ J Alterations(s) Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify ,,,,• , Brief Description of Proposed Work: ' In-SIO-11 QY) b � ViC�U ( boui r olaceme me-t iiindo ) . SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building r` (a) Building Permit Fee 7 (�. Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x (b) 4 Mechanical HVAC /y 5 Fire Protection 6 Total .1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZA ION TO BE COMPLETED WHEN OWNERS AGENT OR/CONTRACTOR APPLIES FOR BUILDING PERMIT _T as Owner/Authorized Agent of subject property Hereby authorize C_ 1(L Stn I)hP,C to act on be t;i all matters relative work authorized by this b • ing permit application. 4h'-;A s` (Sig6t&of Owder D eateatIc SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, Cion p ha- -,o r�,(A property ,as Owner/Authorized Agent of subject Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Cir Print N Si e o wner/Agen'tV Date j1 NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS iST 2ND 3RD SPAN DIN ENSIONS OF SILLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE S1 Ay � fry+�.�/ �f+ ��ii►►��++,, L-iU III �V►1i.�7 r �.i�rJr�L�1IIII��r. ��- t�uil�inII a�rra;zni Ort Er.. 3313 DiS?OSAL 0; DS33IS A 77DAVI T In accordance Lith the provisions of 14CL c 40, S54, I acknovIedge that as a condition of Building per t V , all debris 2'asllltin� from the consLruCLion activity governed by this Building ?e Lit shall be disposed o a properly licensed solid Laste disposal facility, as defined by MGL c III, S 150A. Salem Transfer Station owned by: The debris Lill be disposed of at: Northside Carting location oI iacl_1ty $1gnaLllr� Of ? r",..• = :applicant Date Fully co=plete the follo::ing information: (?lease print clearly) ChkiAt6phetc7opiyc . Name of Dermic ADD:icant A & A Services, Inc . Firm tiame, if any 115 North Street , Salem, MA 01970 Address. City b State The above statute 7enu4r=5 that debris from. the demo-1 --on. ren0:'aL1Dn. rens` or other alteration of building or structure be disposed of in a properly licensed solid :taste disposal facility as defined by MGL cIII . 5150A and tha building permits or l_c=nses are to indicate the* location o-a the Iac-;-Iity at i The Commonwealth of Massachusetts Department of Industrial Accidents On/ceo/%resdast/oos 600 Washington Street Boston,Mass., 02111 V r Workers'Compensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ 1 am an employer providing workers'compensation for my employees working on this job. companyname• , Inc. ti.; :,,c �•' '; : address: 115 North Street ; aiV ,�%"' `' city: Salem"..''MA 01970 l:. t••: �'• h�'A phone#• 978-741=Q424 ' .u�ck- Z;0 �1% insurance co. The Travelers policy# W C 9 3 9 X 12 5 6 �� �"-%s�''�+ •�, ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: company name! address.. city.. 'X`r.�ri hone#: insurance co: . policy# company name• addressr y. city: insurance co, # ' ' r ►°a.+' ;� (s r'. "'f Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. /do hereby certify u de the pains and penalties of perjury that the Information provided above is true and correct. Signature Date Printname Christopher Zorzy, President Phone#978-741-0424 official use only do not write In this area to be completed by city or town official city or town: permitAicense# f"lBuilding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's so ❑Heaith Department contact person: phone#; f—IOther t „ r `.—_—-. _ ,_..�J— ` - zmzonrua o ✓ sac�ivar6:...C; BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 057733 } Birthdate: 05/26/195B ' i Expires: 05/26/2005 Tr.no: 12224 Restricted: 00 CHRISTOPHER ZORZYr 115 NORTH ST '"°�' SALEM, MA 01970 Administrator I� ✓�ie "(oanvinaiuo� o�✓�sar�.ube�a Board of Building Regulations and titandards HOME IMPROVEMENT CONTRACTOR Registration: 101609 Expiration: 6/26/2006 Type: Private Corporation A&A SERVICES, INC Christopher Zorzy 115 North Street � �irL,� Salem,MA 01970 Administrator Commonwealth of Massachusetts Division of Occupational Safety Roberti,prezioso,Commissioner Deleader-Contractor CHRISTOPHER ZORZy Eff. Date 01/14/05 Exp.Date 01/13/06 DC000440 WmberOf C.O.N.E.S.T. 06 BO t ': !; I IIIIIIIIIIIIIIIIIIIII I L}�, IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII BOSTON-RENEW of SeabrookeRT L � . :._ �'`II` I W NFRC Certified Solar Heat Energy Product Directory Gain Visible Light Condesation Star Product Type/Popular Glazing Options Number U-value Coefficent Transmission Resistence Approved Report# Expiration Date All Grids(<1") 0.21 0.25 0.44 65.00 Yes All Grids >1") N/A N/A N/A N/A N/A Casement GLW-N-033 ETC-02-552-12497 11/7/2006 Clear IGU GLW N 033 001 0.45 0.51 0.54 No All Grids <1" 0.45 0.47 0.49 No All Grids >1" 0.45 0.43 0.44 No HI-R Plus Low E Argon IGU GLW N 033 083 0.30 0.27 0.47 Yes All Grids <1" 0.30 0.25 0.43 Yes All Grids(>1") 0.30 0.23 0.39 Yes Fixed Casement GLW-N-001 ETC-02-552-12499.0 11/8/2006 Clear IGU GLW N 001 001 0.50 0.63 0.67 No All Grids <1" GLW N 001 002 0.50 0.57 0.60 No All Grids >1" 0.50 0.52 0.54 No Hi-R Plus Low E Argon IGU GLW N 001 005 0.31 0.33 0.59 Yes All Grids <1" GLW N 001 006 0.32 0.30 0.53 Yes All Grids >1" 0.32 0.26 0.41 Yes Awnin GLW-N-034 ETC-02-552-12497 11/7/2006 Clear IGU GLW N 034 001 0.45 0.52 0.54 No All Grids <1" 0.45 0.47 0.49 No All Grids >1" 0.45 0.43 0.44 No Hi-R Plus Low E Argon IGU GLW N 034 083 0.30 0.27 0.47 Yes All Grids <1" 0.31 0.25 0.43 Yes All Grids >1" 0.31 0.23 0.39 Yes Midina Patio Door Premier(cm) GLW N 062 ETC-04-552-15098 5/27/2008 Clear IGU GLW N 062 0001 0.43 0.52 0.56 43.00 No All Grids GLW N 062 00001 00001 0.43 0.46 0.48 43.00 No Hi-R Plus Low E Argon IGU GLW N 062 00003 0.29 0.27 0.48 56.00 Yes All Grids GLW N 062 00003 00001 0.29 0.24 0.42 56.00 Yes Maxuus 7.6(Trile Pane Double Low E Argon IGU GLW N 062 00006 0.23 0.23 0.38 63.00 Yes All Grids GLW N 062 000016 0.24 0.21 0.33 63.00 Yes Premier with Euroglide(CPPD) GLW N 063 ETC-04-552-15100 5/27/2008 ' Clear IGU GLW N 063 0001 0.43 0.52 0.56 43.00 No Seabrooke k I, Seabrooke GREAT I . .._ WINDOW NFRC Certified Solar Heat Energy Product Directory Gain Visible Light Condesation Star Product Type/Popular Glazing Options Number U-value Coefficent Transmission Resistence Approved Report# Expiration Date Double Hun GLW-DH-135 ETC-04-552-15675.0 12/18/2008 Clear IGU 0.47 0.57 0.60 42.00 No All Grids <1") 0.47 0.51 0.53 42.00 No All Grids(>I.) 0.47 0.45 0.47 42.00 No HI-R Plus Low E Argon IGU) 0.32 0.29 0.53 52.00 Yes All Grids <1" 0.32 0.26 0.47 52.00 Yes All Grids >1" 0.32 0.23 0.42 52.00 Yes Maxuus Double Low E Argon IGU 0.31 0.27 0.47 53.00 Yes All Grids <1" 0.31 0.24 0.42 53.00 Yes All Grids >1" 0.31 0.22 0.37 53.00 Yes Maxuus 7.6 Triple Pane Double Low E Argon IGU) 0.26 0.25 0.43 60.00 Yes All Grids <1" 0.27 0.22 0.38 60.00 Yes All Grids >1" N/A N/A WA N/A N/A Slider GLW-SL-135 ETC-04-552-15793.0 1/4/2009 Clear IGU 0.46 0.56 0.59 42.00 No All Grids <1" 0.46 0.50 0.52 42.00 No All Grids >1" 0.46 0.45 0.46 42.00 No Hi-R Plus Low E Argon IGU 0.30 0.28 0.52 55.00 Yes All Grids <1" 0.30 0.25 0.46 55.00 Yes All Grids >1" 0.30 0.23 0.41 55.00 Yes Maxuus Double Low E Argon IGU) 0.30 0.26 0.46 55.00 Yes All Grids <1" 0.30 0.24 0.41 55.00 Yes All Grids >1" 0.30 0.21 0.36 55.00 Yes Maxuus 7.6 Triple Pane Double Low E Argon IGU 1 0.25 0.24 0.42 60.00 Yes All Grids <1") 0.26 0.22 0.37 60.00 Yes All Grids >1" N/A N/A N/A N/A N/A Picture GLW-PI-135 ETC-04-552-15755.0 12/11/2008 Clear IGU 0.46 0.66 0.69 43.00 No All Grids <1" 0.46 0.59 0.62 43.00 No All Grids >1") 0.46 0.53 0.55 43.00 No Hi-R Plus Low E Argon IGU 0.28 0.33 0.61 55.00 Yes All Grids <1" 0.28 0.30 0.55 55.00 Yes All Grids >1") 0.28 0.27 0.49 55.00 Yes Maxuus Double Low E Argon IGU 0.27 0.31 0.54 56.00 Yes All Grids <1") 1 0.27 0.28 0.49 56.00 Yes All Grids >1" 0.27 0.25 0.43 56.00 Yes Maxuus 7.6(Triple Pane Double Low E Argon IGU 0.19 0.28 1 0.49 65.00 Yes Seabrooke SeabrookeGREAT L&K NFRC Certified Solar Heat Energy Product Directory Gain Visible Light Condesation Star Product Type/Popular Glazing Options Number U-value Coefcent Transmission Resistence Approved Report# Expiration Date All Grids GLW N 063 00001 00001 0.43 0.46 0.48 43.00 No Hi-R Plus Low E Argon IGU GLW N 063 00003 0.29 0.27 0.48 56.00 Yes All Grids GLW N 063 00003 00001 0.29 0.24 0.42 56.00 Yes Maxuus 7.6(Triple Pane Double Low E Argon IGU GLW N 063 00006 0.23 0.23 0.38 63.00 Yes All Grids GLW N 063 000016 0.24 0.21 0.33 63.00 Yes Ho er GLW-N-005 Old design not labeling,Not Tested new design 01-33259.01 Not Labeling Clear IGU Hi-R Plus Low E Argon IGU) -Special Sha es Clear IGU Hi-R Plus Low E Argon IGU Footnotes: Residential values single strength glass U-values w/o grids total unit values DS or TS worst U-value w/grids t Seabrooke NORTH Town of Andover 80 No. X-0 AKE over, Mass.,COC - 0 L KIC ME WICK ��S RATEO P'PG �C5 BOARD OF HEALTH Food/Kitchen PERMIT T- D Septic System BUILDING INSPECTOR THISCERTIFIES THAT........ . ........ ...................................... .... ................ ..... ........................... Foundation buildings -- -- has permission to erect....................................... on.//... qW. .'............................... ..... ...•.............. Rough -.A 111400000 to be occupied as 100%4 Chimney h provided that the person Cepting this permit shall I very respect conform to the terms of the application on file in Final 17 1 mit if or this office, and to the pr lsionsoftheCodesandjB - ws 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 CONSTRUCTION r Rough ................................................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. PERMIT NO. 7 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER MASS. V PAGE 1 MP-7 4-40:1w. o LOT NO. 7 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE I SUB DIV.. I-OT NO. �I I LOCATION > PURPOSE OF BUILDING OWNER'S NAME! DAa NO. OF STORIES SIZ OWNER'S ADDR BASEMENT OR SLAB «M�C.9, -- ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING �CAr.CJ1.( DIMENSIONS OF SILLS DISTANCE FROM STREET " POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED v BUILDING INSPECTOR SIG ATURE OF OWNER AUT IZED AGENT FEE � �� ��—�o/�� ( OWNER TEL.# PERMIT GRANTED a T `1 CONTR.TEL.N G� 0 � ` V/z Is Q� l� CONTR.LIC.# `'L VF H.I.C.# 10-32 f 7 BUILD% RECORD � 1 OCCUPA C 12 SINGLE FAMILY THIS SECTION MUST SHOW EXACT DIMENSIO O L AN TFROM MULTI. FAMILY OFFICES __ LOT LINES AND EXACT DIMENSIONS OF I HES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT LA N. CONSTRUCTION 2 FOUNDATION $ INTERIOR FINIS CONCRETE 3 1 2 2 13 71Vv� CONCRETE BL'K. PINE _ _ BRICK OR STONE HARDW'D __ _ PIERS PLASTER _ DRY VJAII UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ V. 1/1 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDV✓'D M ASBESTOS SIDING COMON _ VERT. SIDING ASPH.-TI LE _ STUCCO ON MASONRY _ STUCCO ON FRkML, BRICK N MAS N Y W STRS. tL FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR " ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) _ GAMBRELMANSARD TOILET RM. I2 FIX.I FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK h♦J SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE OR DA TILE DADO �f 6 1 1 HEATING 14S c ftwirw WOOD JOI P LESS FURNACE FO ED HOT AIR FURN. TIMBER BMS. LS. STEAM STEEL BMS. 8 L I W'T'R OR VAPOR WOOD RAFTER _ AI CONDITIONING RADIANT H'T'G I HEATERS 7 NO. OF ROOMS GAS OIL Bsf T 13 d I NOCHEATING r b j r ORTH i . own of 0 An CIL .over No. 67 a �o LAKE dover, Mass., - / 3 191 ' c OCKICKE W.CK y7' ' X7,95 RA rE o l�Pa\ •(y BOARD OF HEALTH " a P. ER Do Food/Kitchen Septic System THIS CERTIFIES THAT... •. BUILDING INSPECTOR �. ......... ! Foundation hi-is porrmission tt ! .. ,aidingc on �� Ao 1 ... ...�... .. .. .. ..... . ... ..�,.�,�c.�n s..o.r...r.,..Rs:c. ..Q.... ..i►.�r.. .a.. Rougl1 ' to. 8 F:�CUpied 8S Chimney ........ .... ..... . .......................................................... provided that the person ecce nlf t4isrmit aha i in every respect ' form to the terms of the application on file in Final office, and to the provisions of foie-Codes and By-Law4-rvlating o 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 IIT 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTTO STARTS Rough ........ .......... ....... Service ... .. ......... ... .. . BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises Do Not Remove Rough � Final No lathing or Dry Wail To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner I Street No. Smoke Det. Town of North Andover r1ORTly OFFICE OF 204',`.0 .. COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover,Massachusetts 01845 TT -T60 ,r,p WILL AM J. SCOSSS q � Director ACHUS In accordance with the provisions of MGL c40, S 54, a condition of Building Permit Number 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 111, S 150A. The debris will be disposed of n: (Location of Facility) c Signature of Permit Applicant 6 c� Date NOTE: Demolition permit from the; Town of North Andover must be obtained for this project through the G..'iice of the Bi.Cilding Inspector. 'tOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535