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Home My WebLink AboutMiscellaneous - 15 WOOD AVENUE 4/30/2018 (2)i /� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING rix �, e•,c...'g�. �'-�,.,��, � :�k,.€fai, . .a:..' .. - �tl:=., m, ��e �3 � 4 z BUILDING PERMIT NUMBER:•DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: ,rs .0 oo (i A � e- 1.2 Assessors o �16 Map Number Map and Parcel Number: 0009 Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.I-C.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record / �D1jJ� —�" SylvlKl SIP%�yP�Sp/J ��' GIiDOd LA/✓� Name (Print) Address for Service: Signature Telephone f 2.2 Owner of Record: I� n Name Print Address for Service: /✓ ley Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: f -Tc P#,- i.-) A-\ ee 1 s 6A) Licensed Construction Supervisor:61P dd7 A �'%? 6 P 2 " 2p 2-2 igna a Telephone Not Applicable ❑ d T License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ I / G Company Name P MP f�S 0 L/ �e— _ Registration Number a9- 0a Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (AG.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 .......❑ No ....... 0 SECTION 5 Description of Proposed Work (check all applicable) New Construction A I Existing Building ❑ I Repair(;) ❑ , I Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other ❑ Specify Brief Description of Proposed Work: Qui 6d -7X 7 94Pa ogee k WIT% S`TR12S &gC� bM2 I SFCTf0N 6 - F.IMMATRr1 CnNCTRrrf TTnN nncTC 1 Item 1. Building Estimated Cost (Dollar) to be Completed b permit Applicant A61, c� 7.5 • sb _ �k (a) Building Permit Fee ra Multiplier d3 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Tota] 1+2+3+4+5 p O'u Check Number — A-11 i a v TV INXn i'lu lilunXI"'Vllul\ 1u Dr l.ulvirLLI hill WtIMN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, S�// ryPY�3 �e w G as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, i�i7 PrJ e 1 S�f 0 t'r ,ate/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief STe P PS 1[2I sCI Au G of Owner/ Date NO. OF STORIES SIZE 7X7 BASEMENT OR SLAB N© SIZE OF FLOOR TIMBERS Or Axw 2ND 3 SPAN DIN ENSIONS OF SILLS DM ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING R X f2 " MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verifythat all -necessary approval /permits from Boards and Departments having jurisdiction have been obtained. This. does not relieve the applicant and or landowner from compliance with any applicable requirements. .■■.■■■■■■■.■■.■■■■■■■■■■■■■ mammon ..■.......■■■r■..■.■.■....r.■■■■....,... ■, APPLICANT SC /� fIJ 1 S ZI AJ G PHONE GO2 ^ 207 2 ASSESSORS MAP NUMBER c� yC� LOT NUMBER OJ© SUBDIVISION LOT NUMBER STREET wood �_6 N STREET NUMBER _...r..........................r....,,..,.......,.....,..,r,..... 4....., ■...■ OFFICIAL USE ONLY .............................'......r■.......... .....■ r....■.■■. r....... r.,■. R.ECONAdENDATIONS OF TOWN AGENTS i,,...,..■...,snow ...,........■ ..............■■.,.....■ MEMO .■m'..■..■.■...■■■ DATE APPROVED CONSER VATION ADMWLSTRATOR DATE REJECTED CONOAEENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR -'HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CONINMIM PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR P:L0 T PLAN 1,5 Wood Lane North Andover., .M`,ssacimsetts r Date: Jtanex 1.5. Revised: June b, _ `�%c• Utz c ,h4 on, this I of ;t,:. .-hrx,zi- cin rlaLn skid compl-i e :JAW llc:, ML? SS . 1 n I B. Do not ., cf" ,ctc .fo.� ...._ e 'tahl:ian.i-, g lc , lines for the erect: on o, fences, �w:.:'-:_ ' hedges, etc. PROPOSAL SUBMITTED TO CITY, STAAT�TEE, and ZIP CODE ARCHITECT��j We hereby submit specifications and estimates for: Page No. of Pages STEPHEN M. KEISLING--- Ail'l YOU /J Building & Remodeling Goy t 0 Ft -F I �/�d W 68 Glencrest Drive V NORTH ANDOVER, MASSACHUSETTS 01845 MA Lic. 027489 Home impv. 101846 PE - .Phone �' Phone 682-2072 PHONE DATE X20,1,6 0 JOB NAME JOB LOCATION DATE OF PLANS I I JOB PHONE �-GC Y�-L'.✓X2-...0. ........................................................................................................ ............. ................................................... .. Or Propose. hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars ($ ). Payment to be made as follows: All material is gue.ranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders, and will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within Amptauce of Proposal— The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signatur ()6 to do the work as specified. Payment will be made as outlined above. Date of Acceptance: SignatureI --- - - -- - - - ------ -- %% days. Brockway -Smith Company AVirindowalls'ndersen Brosco Architectural Group Serving Greater Northeast Architects since 1890 A Office and Exhibit Area: 146 DASCOMB ROAD (Route 93 - Exit 42) 800-225-7912 ANDOVER, MA 01810 FAX (24 hours) 800-242-4533 COMMERCIAL - RESIDENTIAL DATE JOB f N�-' E i e y _ —4- I f f I ila6je_lo_ser-ue_ ou.�rr�rl��_.J3u I ENTRY DOOR SYSTEM I ( I Wood and Steel Hinged French Patio Doors ) I f , i k � i a ( t _ i rt � _ 1 Jrices,ino�ow__elailn9 ano� c�pec_iriliny_ Andersen "Rain Sensitized" Automatic Closing ROOF WINDOWS a Windmills` COMMERCIAL - RESIDENTIAL DATE Brockway -Smith Company Brosco Architectural Group Serving Greater Northeast Architects since 1890 Im Office and Exhibit Area: 146 DASCOMB ROAD P (Route 93 - Exit 42) 800-225-7912` ANDOVER, MA 01810 FAX (24 hours) 800-242-4533' JOB I ( I ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic Closing Hinged French Patio Doors ROOF WINDOWS ( 3 { j ` i f } Fj� Qe.r o ', - _. -_ — __ _..- tI �. ........... ,- 4 t I -4— i -4- + + _1 t { S _._ lo._ rerueyo1uu wll i_ J.�uo�9e1_ i 1 � 7r t_ , DefaiJi an or cSjvec 3 rill49.. I?rices,_Dinolow_ ' ; i�uaifa6fe I ( I ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic Closing Hinged French Patio Doors ROOF WINDOWS - -. �.. _._..._. _.....__.—.. .. ....,n.._—._�... ......,.w....... ....... .... b. ... _r. .._ .w ...en..4.� �v.=.. .ara9at.` . _Yi�YAL'M�". '�..�.«._..._. ........ .—y -.J r DECLARATIONS PAGE 1 Farm CONTRACTORS ADVANTAGE SPECIAL [Family Casualty lnsurana Company POLICY NO, 2005XO431 ® G, mmont, New York NAME OF INSURED AND MAILING ADDRESS: AGENT NO. 2591 OFFICE NO. 2591 STEPHEN KEISLING JAMES W UGONE 68 GLENCREST DR FARM FAMILY INSURANCE N A14DOVER MA. 01845-1315 10 S MAIN ST STE 208 TOPSFIELD MA 01983-1832 978-887-8304 RENEWAL TRANSACTION EFFECTIVE 03/21/01 POLICY PERIOD FROM 03/21/01 TO 03/21/02 12:01 A.M.; STANDARD TIME AT THE LOCATION OF THE DESCRIED PREMISES THE NAMED INSURED IS: INDIVIDUAL BUSINESS OF THE NAMED INSURED: CARPENTRY-NOC LOCATION OF DESCRIBED , 68 GLENCREST DRIVE PREMISES NO. 01: N ANDOVER MA 01845 PREMISES 01 BLDG 01 BUILDING MATERIALS / EQUIPMENT STORAGE BUSINESS PROPERTY COVERAGE: BUILDING BUSINESS PERSONAL PROPERTY BUSINESS INCOME AND EXTRA EXPENSE LIMITS OF INSURANCE 0 5,000 PROTECTION CLASS IS: 04 CONSTRUCTION IS: FRAME TERM ADDL/RTN PREMIUMS PREMIUMS 0 0 46 46 ACTUAL LOSS SUSTAINED NO EXCEEDING 12 MONTHS INCLUDED INCLUDED BUSINESS LIABILITY COVERAGE; BUSINESS LIABILITY - PREMIUM IS SUBJECT TO AUDIT BODILY INJURY/PROPERTY DAMAGE 500,000 PER OCCURRENCE 1,000,000 AGGREGATE 500,000 AGGREGATE FOR PRODUCTS - COMPLETED OPERATIONS HAZARD MEDICAL EXPENSE 5,000 PER PERSON FIRE LEGAL LIABILITY 50,000 PER OCCURRENCE CODE DESCRIPTION PAYROLL TERM PREM ADDL/RTN 91342AA CARPENTRY-NOC 20,000 379 379 THE LIMIT OF INSURANCE FOR THIS BUILDING SHALL BE AUTOMATICALLY INCREASED BY 5% ON AN ANNUAL BASIS DURING THE POLICY PERIOD. ACTUAL CASH VALUE (ACV) - BUzLDING OPTION DOES NOT APPLY. DEDUCTIBLE: $250 DEDUCTIBLE APPLIES EXCEPT WHERE NOTED IN THE POLICY OR ENDORSEMENT'S. COUNTERSIGNED BY: BF 30 05 01 98 INSURED COPY PROCESSED DATE: 02/1.3/01 �e eo»avnanaaeallfi n�./tiawac%uella - .. HONE INPRO"ENENT CONTRACTOR Registration' 101846 Expiration: 6/29/02 Type: Individual STEPHEN N. KEISLING Stephen Keisling GAf-m 2-v 7;�' e,r�I-1 68 Glenncrest Or. ADMINISTRATOR N. Andover :NA 01845 I :T111 �ammzanu�ea a�✓� adadti ' 6 BOARD OF BUILDING REGULAT; )NS 4, License: CONSTRUCTION SUPERVi. 1R ' Number =CS V 027i39 'I r Birthdate -07/16/1953 " Expires'. 07/1612001 Tr. no: 1 352 1t I !`# Restrdted To: 00 STEPHEN M KEISLING. �' ¢ 68 GLENCREST DR N ANDOVER, MA 011145 Administrator �. �y0 Trym Zoning Bylaw I view Form Town Of North F� adpr n ay °n Y y 4 �. of ver Building Department 27 Charles St. North ndover MA. 01845 Phone 978-688-9545 Fax 978-688-9642 Street: S W o O 1 nna E Map/Lot: �- Applicant: Notes Request: t) o A� D E c IL s Date: F racaac ue auvracu ural mUcr itivrew of your Appucauon ana Flans your Application is DENIED for the following Zoning Bylaw reasons: Zonina for the above is checked below. Item # Item # Other a PrNv, The above review and attached explanation of such is based on the plans, request for or Information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for this action. Any Inaccuracies, misleading Information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled `Plan Review Narrative" shall be attached hereto and incorporated herein by reference The build/n%g (department will retain all plans and documentation for the above file. —Budding Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies `1 'es 3 Lot Area Complies 3 Preexisting frontage 4 Insufficient Information -t'r S 4 1 Insufficient Information B Use 5 No access over Frontage 1 Allowed 5 G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient S 2 Complies 3 4 Left Side Insufficient Right Side Insufficient 3 4 Preexisting Height Insufficient Information y >° S 5 6 Rear Insufficient Preexisting setback(s) I t Building Coverage Coverage exceeds maximum ,� q 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting- -i Not in Watershed y( -e 4 Insufficient Information 2 3 In Watershed Lot prior to 10/24/94 d 1 Sign Sign not allowed AJ Iq 4 5 Zone to be Determined Insufficient Information 2 3 Sign Complies — Insufficient Information E 1 2 Historic District In District reviewuired �i Not in district K 1 2 Parking More Parking Required Parking complies 3 Insufficient Information for the above is checked below. Item # Item # Other a PrNv, The above review and attached explanation of such is based on the plans, request for or Information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for this action. Any Inaccuracies, misleading Information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled `Plan Review Narrative" shall be attached hereto and incorporated herein by reference The build/n%g (department will retain all plans and documentation for the above file. —Budding Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: I Plan Review Narrative �� + The following narrative is provided to further explain the reasons for the action on the property indicated on the reverse side: Referred To: