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HomeMy WebLinkAboutMiscellaneous - 24 NORMAN ROAD 4/30/2018Location { No. Date ,&ORTH TOWN OF NORTH ANDOVER I Certificate of Occupancy $ Building/Frame Permit Fee $ "S C14' Mus Eth � Foundation Permit Fee $ Other Permit Fee $ RCF/� Sewer Connection Fee ;4 YJ Connection Fee ©0,19e qn — dAb or — Building Inspector Div. Public Works PS&I IT NO. �10 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. `" PAGE I MAP i4O. LOT NO. 2 RECORD OF OWNERSHIP IODATE BOOK -'PAGE — ZONE SUB DIV. LOT NO. I LOCATION 1l PURPOSE OF BUILDING % f�+✓ �(, i3P�® J" �Cl� OWNER'S NAME(A�fjB is � NO. OF STORIES SIZE25 OWNER'S ADDRESS?G/ �l��li.� D� 11 r BASEMENT OR SLAB - ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST 2ND 3RD BUILDER'S NAME SPAN --- DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET DIMENSIONS OF SILLS 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 SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS I PLANS MUST BE FILE/D AND APPROVED BY BUILDING INSPECTOR DATE FILED ( V q T OWNER TEL. # y -45- 6-700 PERMIT GRANTED CONTR. TEL. # l t9 CONTR. LIC. # L 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUIWIN" INSr6CTOR 1 OCCUPANCY SINGLE FAMILY STORIES MULTI. FAMILY _ OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH 3 1 2 I— PINE CONCRETE CONCRETE BL K. BRICK OR STONE 4 WALLS I g FLOORS CLAPBOARDS HARDW D WOOD RAFTERS B 1 2 _ PIERS DROP SIDING WOOD SHINGLES PLASTER CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING DRY WALL VERT. SIDING _ ASPH. TILE _ _ OI l STUCCO ON FRAME _ UNFIN. 3 BASEMENT BRICK ON MASONRY BRICK ON FRAME CONC. OR CINDER BLK. AREA FULL FIN. B'M'TAREA '/. '/t '/. FIN. ATTIC AREA N_O B M FIRE PLACES HEAD ROOM MODERN KITCHE 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. N BUILDING RECORD 7 ROLL ROOFING I�I MODERNTILE I_I 6 FRAMING 11 HEATING a a PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. 4 WALLS I g FLOORS CLAPBOARDS WOOD RAFTERS B 1 2 _ 3 I_ _ DROP SIDING WOOD SHINGLES RADIANT H'T'G CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING HARDW D COMMGN VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY OI l STUCCO ON FRAME B'M'T 2nd _ 1st 13rd ELECTRIC BRICK ON MASONRY BRICK ON FRAME CONC. OR CINDER BLK. ATTIC STRS. 6 FLOOR I_ WIRING STONE ON MASONRY _ STONE ON FRAME SUPERIOR I --I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBREL] HIP BATH 13 MANSARD M. 1 TOILET RM. 12 FIX.) FLAT SHED I WATER CLOSET ASPHALT SHINGLES LAVATORY 7 ROLL ROOFING I�I MODERNTILE I_I 6 FRAMING 11 HEATING a WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OI l B'M'T 2nd _ 1st 13rd ELECTRIC NO HEATINGEEEEd L I 0 im" A z i y O pp 1k �s Z w o �, }e .o LU cim 4 taj O d a d > P c ',a cc :o C6 .v cc Q O U LO z O V) W J z Z) N H E a .0 0 V c. 0 V CL. 0 V ev i.; IMI CL. c 1w OC led H O V O Q W W O W U of Z Z W 96 ma Q O z z IA �_ o z u Q c m oc < m mm V L C J 96 L L LY E Q U iI cc • ii Q CO ii m U. m t i y O pp 1k �s Z w o �, }e .o LU cim 4 taj O d a d > P c ',a cc :o C6 .v cc Q O U LO z O V) W J z Z) N H E a .0 0 V c. 0 V CL. 0 V ev i.; IMI CL. c 1w PROPOSAL `= Proposal No. �'''i��� , "WE'RE ALWAYS ON TOP" ALL TYPES OF ROOFS Sheet No. CHARLES WOOSTER LOW ELL—(508) 459-1501 Date 8/20/92 LAWRENCE—(508) 689-2174 REASONABLE • • ' • • NASHUA, NH—(603) 886-6818 • Put Your Root under the protection of Our Umbrella DEPENDABLE P.O. Box 8051, Lowell, MA 01853 Proposal Submitted To Work To Be Performed At Name Bill Hickey Street Street 24 Norman Rd City City N Andover State Zip Code Date of Plans State MA Zip Code 03.845 Telephone Number 475-5100 6823980 Architect he,��following jo We hereby propose to furnish the materials and perform the labor necessary for a ompletion of t- N Strip entire roof of asphalt shingles. 1. Install 8" metal dri ed e. 2. Paper entire roof. 3. Install Bird PRC Seal King 25 yr. shingle. 4. Install new pipe boots. 5. Clean and dispose of all debris. se10/1 O tions: To install ice and wacer barrier on eaves of main house be 120.00. To ' s _ —v - -- -- — Workmanship guaranteed for _1_0_ years. We are fully insured with workers' compensation as well as liability insurance. Please return copy of prt ned in accordance with the drawings and spec- All material is guaranteed ifications submitted for rkmanlike manner for the sum of Dollars � � ($__3_7 2 5 .0 0 ), with p plef by Call For Our References €�� e—This proposa may drawn Fully Insured 1, U> if not accepted within days. ,- p air80�SAL �►{ You to do the The above prices, specifi l .► areby accepted. are authorized work as specified. Paym (� Date N M r. IJ D H O O y ' � s a mom ; D ; o o'`�Z m p 1 � W m X Z. c m < r N N m r n rn L7 �� O Z xm 000 ..� '000 C3 . O v _;_; .. o i N RzD� +O CmNC � 1 >OZ� �a appm 7 _ Z_ a OFFICES OF: APPEALS 131,11I.DING C:UNSL-'1tVA'I'IUN HEALTH PLANNING r ,.owry 0 `?,....... �o Town of NORTH ANDOVER t)IVISU N OF PLANNING & COMMUNITY DEVELOPMENT KAREN FIT. NELSON, DIREC'I'0I1 120 Main Street North Andover. MF1SSM-11USCIIS0184 i (6 1 7) GHS -4775 In accordancewith the provisions of MGL c 40, 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 dcfined by MGL c 111, S 150A. The debris will be disposed of in: Z—oz'e—� 4)6e�j�—" (Location of Facility) Sig re of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 1p Dec415 09 10:42a Sam Nigro i 781-270-2652 p.1 1P.1RVWG1 -wlT A Asbestos Abatement Professionals P.O. Box 132 Arlington, MA 02476 Tel: 781-270-2650 Fax: 781-270-2652 Email: dudleyservices@gmail.com MA Lic. # AC000112 Date: �' l �e To: N, RT)�Uvv-oard of Health - e snake ueteat`ive havembtified the Division of Occupational Safety and the Department of environmental Protection with form ANF -001 regarding an asbestos abatement project to be performed 11 your city/town. Please feel free to call if you have any questions regarding this notification. Sincerely, x Samuel J. Nigro III Pres. Dudley Services Inc. Dec,45 09 10:42a Sam Nigro 781-270-2652 LlCommonweaRth of Massachusetts Asbestos Notification Form ANF -001 100099108 Decal Number p.2 Important: When filling out A. Asbestos; Abatement Description P on and the Division .. __..._.:.=o't.occupationai forms on the Safety (DOS) 9. computer, use 1. a. Is this facility fee exempt -city, town, district, municipal housing authority, owner -occupied only the tab key residence of four units or less? Z Yes ❑ No AC000112 to move your f. DOS License Nurribar 10. cursor - do not b. Provide blanket decal number if applicable- l use the return Blanket Decal Number key. €� -. ..facility Location: SEAN GILBRIDE 24 NORMAN ROAD a. Name of Facility_ (North Andover_ MA b. Street Address 01845 c. City/Town d. State e. Zip Code I. Telephone Number INSTRUCTIONS "3.Worksite Location: -.d.Allsections ortht'-_. BASEMENT form must be a. Building Name/Building Location b. Building # cc. Wing d. Floor e. Room completed in order to comply with A. Is the facility occupied? C Yes [❑ No DEP notification requirements of 310 CMR 7.15 5, Asbestos Contractor: and the Division .. __..._.:.=o't.occupationai — -�.n JIJI�l.Sdt' SERVICE54NC Safety (DOS) 9. notification ARLINGTON requirements of 453 CMR 6.12 —02176 C. C!tyfown d. Zip Code AC000112 f. DOS License Nurribar Q !SAMUEL J NIGR.O III I a. Name of Un -Site Supervisor/Foreman ,ENVIRO-SAFE ENGINEERING ERING a. Name of As 12M 612009 a. Project Sta 8AM-3PM a Work hours a. What type of project is this? ❑ Demolition Renovation ❑ Repair ❑ Other, please specify: 43 DUDLEY STREET PO BOX 132 i b. Address 7816434328 e. Telephone Number g_ Contract Type: ❑✓ Written 0 VerbaJ i b. Describe 0 ❑ Glove bag ❑ Encapsulation -o ❑ Enclosure ❑ Disposal only �� ❑ Cleanup ❑ Other, specify: ow Full containment b. Describe `Q. 12:' Is the job being conducted: 0 Indoors? ❑ Outdoors? E anf001ap.doc • 10102 Asbestos Notification Form - Page 1 of 3 N 7. 9. MEME� N �0 10. o !SAMUEL J NIGR.O III I a. Name of Un -Site Supervisor/Foreman ,ENVIRO-SAFE ENGINEERING ERING a. Name of As 12M 612009 a. Project Sta 8AM-3PM a Work hours a. What type of project is this? ❑ Demolition Renovation ❑ Repair ❑ Other, please specify: 43 DUDLEY STREET PO BOX 132 i b. Address 7816434328 e. Telephone Number g_ Contract Type: ❑✓ Written 0 VerbaJ i b. Describe 0 ❑ Glove bag ❑ Encapsulation -o ❑ Enclosure ❑ Disposal only �� ❑ Cleanup ❑ Other, specify: ow Full containment b. Describe `Q. 12:' Is the job being conducted: 0 Indoors? ❑ Outdoors? E anf001ap.doc • 10102 Asbestos Notification Form - Page 1 of 3 N Dec 15 09 10:43a Sllbr Nigro CommonweAth of Massachusetts i Asbesto:3 Notification Form ANF-001 "'A.Asbestoi'�'AbaternentDescription (cont.) 781-270-2652 p.3 ■ !100099108 j Decal Number 13. Total amount of each type of Asbestos Containing Materials (ACM) to be removed, enclosed, or encapsulated: 1110 1,220 a. Total pipes or d'uc s (linear ft ��--o. i o---taTo— ei��r s�fiur aces square c. Boiler, breaching. duct, tank L-11 20 surface coatings Lin. ft. Sq. ft. d. Insulating cement Lint _J ft S4tL � e. Corrugated or layered paper'110 pipe insulation Lin'. ft. � gq�� f. Trowel/Sprayer coatings Lin- ft. Sq. R. Lin. Sq {t: h. Transite board, wall board LU."-ft_'J^ am. t- �j Sq. ft. i. Cloths, woven fabrics j. Other, please specify: �1 Line Lin. R. k. Thermal, solid cone pipe insulation Lin. R. Sq. ft. I. Specify ,."14. Describe the decontamination system(s) to be used: CONTAINMENT BARRIER WITH CLEAN ROOM USING NEGATIVE AIR SYSTEM AND HEPA 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR H IWET ASBESTOS PROPERLY SEALED IN SIX MIL POLY BAGS PLACARDED FOR ASBESTOS 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: a. Name of DEP U i al b. itle 0912923 c. Date (mm/ddfyylry)ofAuthorization d. DEP Waiver# BRIAN WONG e. Name of DOS Official. DOS icia� i le SP -09-565 �N I + g. Date (mmlddlyyyy) of Authorization h. DOS Waiver # ---�.o 17. Do prevailing wage rates as per M.G.L. C. 149, § 26, 27 or 27A–F apply to this project? Yes No H. Facility Description 0 1. Current or prior use of facility: RESIDENTIAL DWELLING —o 2, Is the facility owner -occupied residential with 4 units or less? 0,( Yes ❑ No T_ �- SAME i ■ anfOOfap.doc- 10102 Asbestos Notification Form - Page 2 of 3, f 4.�Q ■ anfOOfap.doc- 10102 Asbestos Notification Form - Page 2 of 3, Dec 4-5 09 10;43a Sam Nigro 781-270-2652 p.4 Note: Transfer Stations must comply with the Solid Waste Division Regulations 310 CMR 19 -Doo Commonwealth of Massachusetts Asbestos Notification Form ANF -001 B. Facility Description (cont.) 5. a. Name of General Contractor I _ c. Cit crown d. Zip Code f. Contractor's Worker's Comp. Insurer .6. What is the size of this facility? 1100099108 Decal Number i b. Address e. Tele hone Number (area code and extension 9. Policy Number h. Exp. Date mmlddl a. Square Feet b. Number of floors J C. Asbestos Transportation and Disposal __1.. TranspoideF., f asbestos -containing material from site to temporary storage site (if necessary)-. .2- 3. 4. . l a. Name of Transport+:r b. Address c. Citylrown d. Zip Code e. Telephone Number =Traagawi®caf -containing waste material from removalitemporary site to final disposal site: J.O.B. ROLLOFF_ a. Name of Transporter b. Address _ 7 F I c.-Ci!WTown._ d. Zip Code e_ Telephone Number a. Refuse Transfer Station and Owner L�! b. Address c. Cit !Town d. Zip Code e. Telephone Number WASTE SYSTEMS INCORPORATED I I a. Final Dis osal Site Location Name b. Final Disposal Site Location Owner's Name 90 ROCHESTER NECK JROCHESTER c Final Disposal Site oaddress d. Citv/Town INH I I I �m e. State f. Zip Code g. Telephone Number D. Certification i �N The undersigned hereby states, under the 0 penalties of perjury, that he/she has read the 4 - 0--CommonW661th 6f -Massachusetts regulations 1Or"itie1Rernbv91, C"#"inment Dr Encapsulation of Asbestos, 453 CMR 6.00 and 310 CMR 7.15, and thatthe information contained in this notification is true and correct to the best of his/her knowledge and belief. �Q SAM NIGRO — I a_. Name b. Authorized Si nature 112/15/2009 c. PosilioNTitle d. Date mmfdd1 DUDLEY SERVICES INC. e. Telephone Number f. Representing q. Address i. Zip Code h. City/rown E anfo0lap.doc • 10102 Asbestos Notification Form • Page 3 of 3 0