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Home My WebLink AboutMiscellaneous - 13 Beech Avenue G4 m ) TOWN OF NORTH ANDOVER VtORTFf APPLICATION FOR PLAN EXAMINATION o`<t�VD '6q�o O " F• � Date Receivedf / Permit NO: �9SSACHIIS�� Date Issued: ® �� IMPORTANT: Applicant must complete all items on this page Pr, t PROPERTY OWNER 4(1-149 ��Ls Print MAP NO.: 37 PARCEL: L/ ZONING DISTRICT: )E OF IWILDING HISTORIC DISTRICT YES ❑ FEI YPE Ol~ IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ne family Addition ❑Two or more family ❑ Industrial ❑ Al ion No. of units: epair, replacement ❑ Assessory Bldg ❑ Commercial !E] Moving emolition (relocation) ❑ Other ❑ Others: UUa�..: ull Uliiy DESCRIPTION OF WORD TC) BE PREFORMED � Identificati n Please Type or Print Clearly) OWNER: Name: �/ U 117 LS Phone: A� A/D htly,J 4y6R hone• �(9 4 X6,31 P Lam. Address: �t5 J'�1o/��/�� 97- Supervisor's Construction License: Q 2i2 Exp. Date:—!, O Home Improvement,License: 1��,�J Exp. Date: Co �My- ARCHITECT/ENG NEER yARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERM T:$12. 0 PER$1000.00 OF THE TOTAL ESTIMATED COST BASTD QN$$1 _00 PER S.F. Total Project Cost FEE:$ Receipt No.: Check No.: Oe .. Page I of 4 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 Pp Permit Application Comp Affidavit o Workers C p ❑ Photo Copy Of H.I.C. And/Or C. tenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ ilding Permit Application `Surveyed Plot Plan Workers Comp Affidavit d 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) ❑ Mass check Energy Compliance Report (If A oplicable) 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 o Two Sets of Building Plans (One To Be Returnect) to . lude Sprink�. Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report 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:INSPECTIONAL SERVICES DF.PARTMENT:BPFORM05 N-P..4 of 4 Location6em -14 X, No. P?'? _ Date ,115 -) xr NORTFTOWN OF NORTH ANDOVER F? • • L9 V, Certificate of Occupancy $ Building/Frame Permit Fee $ / — s�cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0 19669 Y Building Inspector TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools 11 Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons contractingwith unregistered contractors do not have access to theuar g anty fund Signature of Agent/Owner Signature of contractor L4'q Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Tans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 Temp Dumpster on site yes-G— es no Fire Department signature/date r Building Setback (ft.) , Front Yard Side Yard Rear Yard Required Provided Required Provides Required 7 Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 7.2 Street Frontage Minimum street frontage shall be as set forth in Summary of Dimensional Requirements(Table 2)and the lot line meeting these requirements shall constitute the"street frontage"for the lot. In no case shall actual street frontage at the street line be less than seventy five (75) feet; except as allowed by Section 7.2.2. Corner lots shall be required to have the required frontage only on one street. In determining the fulfillment of the minimum area and minimum street frontage of a lot required in any zoning district,there shall not be included any land within the limits of a street upon which such lot abuts, even if the fee to such street is in the owner of the lot; except that if a corner lot at its street corner is bounded in part by a segment of curved line not more than seventy five(75) feet in length connecting other lines bounding such lot which if extended would intersect, the area and frontage required in such lot shall be computed as if such potentially intersecting lines were so extended, but if a curved line more than seventy five(75)feet in length is the whole of any one boundary line of a lot, the minimum area and minimum frontage required shall be determined entirely within the lines bounding such lot, including such curved line. 7.2.1.Access across street frontage Access to each lot, except for corner lots, must be provided across the street frontage. If access to a lot is not across the street frontage as of the date of the adoption of this Section 7.2.1, the lot will not be considered non- conforming as to use or as to an existing structure on that lot. (1994/39) Exceptions to this requirement may be granted by the issuance of a Special Permit from the Planning Board. A street frontage access Special permit may be granted for a lot in any residential district provided that: a) The specific site is an appropriate location for access to the lot given the current and projected traffic on the roadway,and the site distance to adjacent driveways and roadways,and/or b) Special environmental conditions exit such as wetlands and/or steep slopes such that access across the street frontage would require wetland filling or extreme cutting and/or filling of slopes or would be otherwise detrimental to the environment, C) The access will not adversely affect the neighborhood; d) There will be no nuisance or serious hazard to vehicles or pedestrians; e) The access is in harmony with the general purpose and intent of this Bylaw. 7.2.2 Frontage exception Exceptions for meeting the frontage and lot width requirements required by sections 7.1.2 and 7.2 may be granted upon the approval of a Special Permit. The permit granting authority shall be the Planning Board. A street frontage and lot width exception Special Permit may be granted for a lot in any residential district provided that: a) The area of the lot exceeds by three(3)times the minimum lot area required for that district; b) The lot has a minimum continuous street frontage of not less that fifty(50)feet and a width of not less than(50)feet at arty point between the street and the site of the dwelling; C) There is not more than one other such lot with frontage contiguous to it:and d) It is so located as not to block the possible future extension of a dead end street. e) The creation of the frontage exception lot will not adversely affect the neighborhood; f) The creation of the frontage exception lot is in harmony with the general purpose and intent of this Bylaw; g) No such lot as described above on which a dwelling is located, shall be hereafter reduced in area below the minimum area required in Section 7.1 (1985/16) 7.3 Yards(Setbacks) Minimum front, side and rear setbacks shall be as set forth in Table 2, except for eaves and uncovered steps. Buildings on corner lots shall have the required front th streets, except in Residence 4 (R4) District,where the setback from the side street shall twenty(20)feet minimur�`--,, 78 N®RT Town of over 0 - . : No. 2�7 i dover, Mass.,_/d//`0/04P T Q LAKE COCHICHEWICK V ADRATE D PP��.(y H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... ...... .../5... ........................... Foundation A has permission to erect........................................ buildings on. .. ... �............................ Rough to be occupied as....., �..... +4f soap *Irmtp�o � ,,,,, rteef�p �' � Chimney provided that the person acceptingthis permit shall in eve res ect onfthe trmA Tication fi in P rY P Final thisoffice, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Const ction 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 CONSTRUCTISTARTS Rough 0A............ ....... Service BUILDING INSP R 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Page# of pages CS # 022680 p 978-688-6737 HIC# 103358 A. J. Walsh & Sons or 55 Pleasant Street 1-866-AJWALSH North Andover, MA 01845 Proposal Submitted To: Job Name Job# Address Job Location Date / Date of Plans Phone# Fa�# � Architect We hereby submit specifications and estimates for: ... ..._... .._.._ .cc—� IF _._.__......._...__..._._ ......._.__...'�d�� ///111 � wv-�L♦�'%?�/�rf_,_/V ___ V'/V .._..._tI�:O\ l�,.��'_.�.._".._..—._._.....__._.i -._..__._...._...._.....� - _._ ...._...._. ..._.lL... ._........_ -- ___ ___ _ ____.._......We propose hereby to furnish material and labor—complete in accordance with the above spations for thi of: $ �✓ Dollars with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order,and will become an extra charge over and submittedYj above the estimate.All agreements contingent upon strikes,accidents,or delays beyond our control. Note—this proposal may be withdra n by us if not accepted ithin days. !.cceptact o drop al The above prices,specifications and conditions are satisfactory and are Signature hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature I/ The Conmtonwealth of Massachuselts Department of Industrial:lccidents a;yj;; Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance ,affidavit: Builders/ContractorslElectriciansiPlumbers Applicant Information Please Print Legibly Name(l3usincssi(hganiialit,nilnrlivi�luull: !/(//�Wl� `r \sU/ys ;address: �� j(�e 14S "I7- 'Y _ ,- C y '►t State;z[ Ali /4/1061P6 �APhone :4: ni 7d� - G�� -G 737 p: Are you an employer?Check the appropriate box: Type of project(required): [2. .❑ m to I aa employer with 4. am a general contractor and l p y 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors _ listed on the attached sheet. ' 7 Remodeling ❑ 1 am a sole proprietor or partner ship and have no employees These sub-contractors have 3. ❑ Demolition working for me in any capacity. workers' comp. insurance. y, ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.E] Electrical repairs or additions right of exemption per MGL 1111 Plumbing repairs or additions 3.F-1 I am a homeowner doing all work g P myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp, insurance required.] — '.\ny applicant that checks box It 1 must also lilt out the section below showing their workers'compensation policy information. +I Iomeowners who submit this aff idav it indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional:,beet showing the name of the sub-contractors and their workers'comp.policy information. I um an employer that is providing workers'compensation insurance fim my emplgyees. Below is the policy end job site in formation. Insurance Company Name:_ _-- Policy 't or Self-ins. Lic. 4: 7a/y& Yed Z OU _ Expiration Date:_�� Job Site Address: �L>l e�G/a /✓ice City:StateiZip:_/f40 ,Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to Secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a Fine up to$1,500.00 andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine Of up to$250.00 a day against the violator. Be adv ised that a copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification. I do hereby cern • under the pains and penalties of erjury that the information provided above is true and correct. tii"n,tture: Date: 9 "7 o� i � !Ijfrc•iul rase early. LIo,tut write in alms ur:�a, to hay cn,np/ctcd by rriy nr tr,wn,,%jic•ial. City or Town: PermitiLicense 4 - Issuing,authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk f. E!eetrical [nspector 3. Flumbing Inspector 6.Other Cnnt:ect Person: ___-- _ Phone r ` ; �!e {omneon� a� aaoar/.�aeka BOARD OF BUILDING REGULATIONS *V ti+ License: CONSTRUCTION SUPERVISOR Number, 022680 ts' J • Birthaiff 0�09/►J39 EE 11res)0$/0ft''008 Tr.no: 28249 /t moi' Restricted 00 ARTHUR J WALSk-fir`-��_' 55 PLEASANT ST Z`, N AND C OVER, MA Commissioner Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 103358 Expiration: 7/7/2008 Type: Private Corporation A J.WALSH& SONS,INC. Arthur Walsh,Jr. 55 Pleasant St � ..` N Andover, MA 01845 Deputy Administrator I I J,r A/ ` f,. At l III t� nj r � r I HEREBY CERTIFY To THE TI r INSUROR AND PLO T PLAN TO THE RANK THAT THE DUELLING IS LOCATED ON rN THE LOT AS SHOW AND THAT IT DOES CONFORM WITH THE> .T...., Ol�`.t• �► ,.ce.. ZONING REGULATIONS REGARDING SRFBACKS FROM STRRRrS & LOT LINES.' " I FURTHER CERTIF THAT THIS DUELLING IS NOT LOCATED IN r FLOOD HAZARD AREA AS DRAWN FOR SHOWN ON PANEL ,�/ ;� q i� Wirt c;� .. _ .. `j..? ' ) '-.��• . .�,. �' R,�'!»...� 'l .f.. "-;yrs �' j I..,✓r STEPhC L.S. THIS PLAN � FO PURPOSES - NOT FOR BOUNDARY DETERMINATION. _..&WAg RY INFORMATION M-RIMMACK ENGINEERING SERVICES TAKEN FROM EXISTING RECORDS. 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 I I