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HomeMy WebLinkAboutMiscellaneous - 31 CARTY CIRCLE 4/30/2018 31 CARTY CIRCLE 210/047.— a 0000.0 -- k ` �j✓1 PERMIT NO. s APPLICATION FOR PERMIT TO 13UILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE I SUB DIV. LOT NO. I_ LOCATION ��_ PURPOSE OF BUILDING OWNER'S NAME J'J/ • NO. OF STORI OWNER'S ADDRESS Wr3 r BASEMENT OR S LAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN I— 'j_'j - Av —._ ^ DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILL*S ✓we'-�+`� DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES �^�- REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Ve SIZE OF FOOTING X IS BUILDING ADDITION �-�✓ MATER;AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE l 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 G SEE BOTH SIDES EST. BLDG. COST /1 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 r_y PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING (fy 4 APPROVED✓B-Y ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGr4ATtjRE OF1;Tipm / °k ; D AGENT FEE v PLANNING BOARD PERMIT GRANTED j 19 BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/ '/z 3/ FIN. ATTIC AREA _ NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ'D _ ASBESTOS SIDING _ COMMCN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME �_ BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR EQUATE _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX. GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK " SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO —d 6 FRAMING II 11 HEATING 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 GAS 7 NO. OF ROOMS OIL B'M'T2nd ELECTRIC 1st 13rd NO HEATING FI TOWN OF NORTO ANDOVER BUILDING DEPARTMENT APPLICATWNTOCONb7 MAV RBI�DOYAT OR OnMUSH AOMORTWOFAMMY>1 O ._ , . x BUI[DING PERWr NUMBER 0/(C)0/(C) DATE ISSUED: a SIGNATURE: Elsildi Commissioner r of Bui Date SECTION 1-Sln INFORMATION - l.i Property Address: 1.2 AMMM Mw and Pmaet Narabec 3 f C.crt� L4-7 3 Map Numbgr Pomo!Nva*r 13 zamaglofo "W- 1.4 HapatyDimer km , (� 32t.Z3q 1.75 v Zama Dblric! Lat Arae F 1.6 BUR DING SETBACKS B Front Yard Side Yard Rear Yard Repired Provide Provided- Provided 47Vraar St�plyM.tll.Gte. 3� I.S. FloodZwsbefmar6oc l.i' SenosserDiipasdSystest: Yat+Cw Aivue D 7cat Oe�i�raaei7aaE X t:4rsidpel. OaStieDispowl S7snm a SECTION 2-PROPERTY OWIYERSMIAUTHORUMD AGENT 2.1 Owner of Rwwd I Tura b�J�•^e D 31 Csrii+' ! civ"Ue�/Ja ✓�t�o��. Name( Address for Service: S' Telephone 2,3 Umar of Rsawd: wins PrW Address for Serhm s' mm T SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Coaoucrion Supervisor; Nos ApphoWe tweased Cammuoon Supervisor LicauseNumber Address Es�pirxtian Date /=�' Tdepbm r 3.2 Rcgismwd How rm aftumt Cantraw lid Company Name Number r Addr r 5i rare TExpWdocDatv SECTION 4-WORMS COMPENSATION OL L C 152'1X0(6) workers CwOtD uA=Iasuraaoa atBdwit must be oompimd sod submitted with this gromom a.,Failere m provide this aSdm wdi rma indodcnWofdwimmmoftbcbuRgagpanut ARW AM"Attached Yes......,0 No.......0 SECTION 3 lon offtogow Wait ohadcaa New Coinstitufirno D Existing BuiMw Repai(s) D Alteratim*s) Addition -0 AcaessmyBldg, 0 Dernolitim 0 Other 0 SpataCy &WDtscription ofPropowd Wo&- ��c{-�row c.•�&A SECTION 6-WIMATED CONSTRUCTION COSTS , Itao Estimated Cost(Dollar)to be I. Bw7dittg � 3t�Of1�`= (a) BuildingPermit Fee t. 2 Electrical (b) Estimated Total Cost uf Consbucdm 3 EMLing Q Bttildirg Permit faa(.):.(s) 4 Mechanical MVAC). C7 5 Fire PmQectian ti T 1+2+3+4+5 3000 CbKkNmnbW SECTION 7s OWNER'AUTHORIZATION TO BB CONmM WREN OWNERS ACE"OR CONTRACTOR APPLM%FOR 1311"ING PERMCL as Owner/AUQMiW Mot of subject property hereby autlmnte to act on My behalf,in all antlers rciatiw to work anther nd by this NuM*panic application. Si of Owtrer Date SECTION 7b OWNER/AUTHORIZED AGENTAECLARATIOH iyi J���� Our orizM Agent of subject Why Hereby declare that the statements and information on The foreboW application are the and acmte,to the best of my knowkdga and belief Pmt ._,.. Si f 0wnme0 t Date go,OF STORIES SE BASBEENT OR SLAB SIZE OF FLOOR TIMBERS ] ? 3Ku SPAN DMENSIONS OF•SHU MENSIONS OF POST'S DRaNSIONS OF QjffW S HEIGHT OF FOUNDATION TMg.NESS SIZE OF FOOTING g MATERIAL OF CHMNEY 1S BUILDING ON SOLID OR FELLED LAND IS 13UR DING CONNECTED TO NATURAL GAS LINE Location No. U Date /q�G F MORTM TOWN OF NORTH ANDOVER I Of�•.•o '•,h 3j � .. •OOL x Certificate of Occupancy $ NUSE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ . TOTAL $ �- � Check # 1958? `Building InspC` br Location-2/ No. �0 Date Nop•��h TOWN OF NORTH ANDOVER s ; ; Certificate of Occupancy $ ;,s ^°•'t�' Building/Frame Permit Fee $ s�cMust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ erg Check # !� 19587 wilding Insp or w � TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION °'.«•° 1" . o Permit NO: Date Received Date Issued: �� D IMPORTANT:Applicant must complete all items on this page LOCATION_ I G� C- ✓-G 1 e Print PROPERTY OWNER �e �'� M a- ��c e C J Print MAP NO.: 7 PARCEL: 3,6 ZONING DISTRICT: 3 TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building 0 One family 0 Addition 0 Two or more family 0 Industrial 0 Alteration No.of units: ;KRepair,replacement ❑Assessory Bldg ❑Commercial ❑Demolition 0 Moving relocation ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED 01#111 ALZ15 Q-�Ld 2 dentification Please Type or Print Clearly) OWNER: Name: �e- �`, NI .4 J-,.,-C_D 0 _{7ay� Phone: Q?e� ?.S$ 06 Address: C--c-e- C— /`d e- /y A- y AIA CONTRACTOR Name: o W i q-, Phone: :., Address: u Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCMTECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT.-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ �Lc>00 - x12.00-FEE:$ 30- Check No.: Receipt No. 1 ��►" Page I of 4 ,_ _ r" :��:� . �� '~f � '. ee er f', . � � � .. F. � i 3 'L � c .. t � � � . � ,' � w '. J .. • �N i�, _� _. _ '. .. �. S , . . _ _ _._. _. o �^ .. _ � .. ._ .. � � �.. .., r .�. � :� TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting"*h unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 I Conservation Decision: Comments Water&Sewer connection/Signatum&Date Driveway Permit Temp Dumpster on site yes—no— Fire,Department signature/date I �„ � , it ♦ � 1 t , t' _ .. `� R y ` I -r r. 1 t ' .. `�`. '_t"' � �� . �`, r� ._. . _ _ . _,._ . . _ ... .. � S 1 I I I I _. _ _ 4'. .�,t. . .. ... i_r. � .. 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 DEPARTMENf:$PFORM05 Created JMC.Jan.I006 The Commonwealth of Massachusetts Department of Industrial Accidents -Office,of hives tigaticmIts Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: M DJ boVl Lo tion: 3 1 r_ickrty Gi rAe City No r#zl MA Phone 'L -$ 0 6 67. am a homeowner performing all work myself. -7 1 am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policv# Company name: Address City: Pone#: Insurance Co. POIICV# Failure to secure coverage as required under Section 25A or 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 ORDFR and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify under and penalties of perjury that the information provided above is true and correct. Signature ' ^ Date Print name Phone# Ct"7T 2 S'16-- D WSJ `r_T Official use only do not write in this area to be completed by city or town official' O Building Dept ❑Check if immediate response is required Building Dept p Licensing Board p Selectman's Office Contact person: Phone#; 0 Health Department El Other FORM WORKMAN'S COMPENSA77ON e 5. AST 'F:K �� �'� S fir• �" j n . f IW . f S 7 y 1. v .. 1 ' Jeff Duboff, 31 Carty Circle, North Andover 978 258 0668 /North Sept 2006 - Replace breezeway windows, doors, insulation 2-Car' Garage 30"Door c --------------------------------------- Replace=-------------------------------------------� c Front of A-" Breezeway --� House 0 22x 11 0 � o 5 � � 32"Door Kitchen Living Room • "E _ :f ` � .. ` -- - ,.. .. .. 4. { � _ - 1 _ 1 t... _. � .... t f S _ _ - � - E ,. 1 ' t } ' _ u ti _s_.. t, wS..-$�A..=-._�. � - �♦ ... �.. _ ....7�..- c �. � 4w .. ac;a. `'YJc.ve>� - ...K.o. �..a YR_r.::.:r.. ....' .. _ s.�:..:... :aver -r.x 4 J �'. .. .. y F' � . TOWN OF NORTH .ANDOVER _ OFFICE OF BUILDING DEPARTIIMENT = 1600 Osgood Street Building 20, Suite 2-64 9 North Andover, Massachusetts 01845 "gcr+u5 Gerald A. Brown Telephone(978)688-9545Inspector of Buildings Fax97Q (. )648-9542 HOMEOWNER LICENSE EXEMPTION Plcasc print DATE:_ JOB LOCATION: 3 Cay r G[Ir Number Strc Address — Nfap/ of HOMEOWNER � � D��D - o66$ Name Home Phone Work Phone PRESENT MAILING ADDRESS` MA D f 4S City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two to allow such homeowners to engage an individual for hire who does not possess a licensed acts as supervisor). State Building (Code Section 108.3.5.1) ,provided units or 1 that the owner DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other :applicable codes, by-laws,rules and regulations. The undersigned"homeowner"certifies that he,'she understands the Town of North Andover Building Department inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS .SIGNATURE APPROV;_OF BUILDING OFFICIAL Rvvised io.'oi z - --- — Form Homeowners E.Xemplion 0ARI�GF,1Pf 1=i'�L.;i 4::,_gc,l OJ.N.SEKVA i'IQV ORT Town of _ 4Andover No. � ._ -/S-ate z = _ dover, Mass., O LAKE COCHICHEWICK V OOATED PV qS f� BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT.......... 4 ............. .. ........................... ........................................ ....................... Foundation has permission to erect........................................ buildings on.....J/..... verms ...... .... Rough to be occupied as Ir�/►� !! Chimney ... . . ... �... ..provided that the perso cepting this permit shall in every respect conform to theof the application file in Final this office, and to theisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. u Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS CTION ST Rough ..................................................................... ....................... Service B INSPECTOR Final Occupancy Permit Required to Occupy Buildin 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. r Location 3 CA 1�� `I C It,c ( t- No. t- No. Date 9-0 NORTq TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ ;ssACHUSEt� Building/Frame Permit Fee $ 3 a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '30 —y __._ Check #+ 13 9 i 165 '1 1 M ��-�---- Building Inspector e .TOWN OF NORTU AVER BUILDING DEPARTMENT T33i MIMUCr3MAMjM!VAM OR B23601M AON303TWOFAMMY9 J3 t8 BIJII DM PB1M NiJNMR- �� DATE ISSUM. O� i SxGNA'TURE: - � of Bmldbm Dw Z SBCIMN i-STTR DWORAUTI AAI — -- - 1.1 ft"VAdkm L2 q MppmdPsmdNwmbw O MjlpNwmbor Paw IA . � Ixbuedee>; s 1� 1 Q3 -7 s. �..,. ., � a►de�,� 32�Z3� I S Zmk&DWAd �' rd Atm 16 BURIMNGUTBACKS Front Yard Side Yard ReorYazd Provide T'ovidad Plod" LTwamr 54) RA PioAira.Ida�A� u' s, wpn4wds3— rmoe X l*Wa D ter orm<;iaRMAZ ao X Wd*d oasGsirimad a SON 2-PROPERTY OVINERSMAUTHORM9D AST – — ZI Owaeeof Reowd TCQc DJ 31 �ud'�� C:r✓c�e���r, /�tir��u�e-� N. Addm EorSev0w " 4 7-t -7-SV 0 66 8 1 T� - - 3.2OwnerofReooyd: - - - xamel AdhmforSavicc a m sBc nm 3-coNgmucRToN sERwcxs • 3.1 Lkmscd Conwoodw Sopnisor. Kot Apptaarbla r Lioeaxd Qoen Suparvimr. 0 tiomNombw on Aftm Eq&*Sm Daft Siwe Tdephane 3.2 Rgoatared Ham Impmwmmt Conhariat � CompaeyName r Adhm ~' T Dft W - - i - -- i �� - � � - 1 s 1� �4m . . � - ' � t i� � i F � - ��„ � 1 : 1 j• ' y i � 1 1 1 — i o 1 f � N 'Nti I , # � 1 1 . � 1 � j - 1 1 � ' ' '1 + i � � ' i 1 . � #Y ! f 1 6 � t . <t ! . � � 1 1 1 , — �f t 1 1 i f , , i - ' 1 V � � t � I 1 J r � ' � ; ; R � i � 1 t ' � � � � , r t ' SI=N 4-WORJSS CONFENSAMON(NLCnI.C HX Waimea on affidzv w=beeooyimdud=b maadldngpfico .Fahempuma O dsdm*va nwk FAWW;other deem of6uissmmoe of the affidukANKW Yes......D No......A slerms Nftof We*dwcks i New'Con andion'0 E BWWinB Rspeir(s) © Altetadm(s) Addition -0. Am="BW& 13 Dandition 0 Odd 13 Spaeity Brief Dmiptim of Pmposod wo& 0,V4, tF/e IXC' A001- t� QxiS�i�Q e?c�to,- L.3 S f-1sTmTm CON6wCIION COS= . hm Evlmwd Cost(Doltaa)tobe ,. 5'OFMAL.I - I' � 3oaQ� (a) Ba�7dagPetmitFx . 2 Electrical (b) Seth b Toed Cost of .Coa toc6m 3 Q Bm7ffiegPkamitfooul:.p� 4 Mecba*d AC O S FimPnh 6 Tauri 1+2+3*4+5 3DDD.� CbectN=gw SECWN Ts OWMM AVMORIZAIRON TO BB OOWLETBD W� OWNnS AGM OR COl!ETRACI ORAFFUMS FOR B EMMPZVWT L as OwnerlAuOmimdAgcA of mbjWpcw* FlaebYiughatsae _ _ j taactaIl ' My b&aX is all matterscdativa to VMk WffiMizod by this bMUM PaMit 4WHCdjojL i•: ofData sHCnm7b OWN=Au=oR=AGEp1T(D�33CLaATm 3< DJ Agent of subject ply �r Hendry daclteadtai toe statements and m&nmfian an It forte appbcatmarctm odamustp,to thebWaf mykaowkdga surd be3iet' �. y p;'0 Siwwkm%&OwwdAbd Data .OF STam sur BASEMWTORSLO WE OF FLWR TIMBERS jut2 Tw SPAR DBi+RN3 =SOF•.%= DRsdMIONS OF POSTS DRAONS OF OWERS HEIGHT OFFOUNDATMTINOM SIZE OF FOOTING X MATERIAL OF CHR&MY IS BUA DM(IN SOLID OR FRIM LAND IS BURDWO CONNECTED TO NATURAL GAS LM r .. �._ .._ � .. � ; � � .. �. _ .T P .. .. _ _' 1 .�.� t. - - - - -,.. _. - � i .. _ � • ' ___ ' ` _ f �. - j s - � �.� � .. - .�.. __ �v. � T - 1 19 `AZ I� FORM U - LOT RELEASE FORM 183 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FI(L�L(SS OUT THIS SECTION APPLICANT J e r-e M D J b a'C'� PHONE q-7 ®66 9 LOCATION. Assessor's Map Number L 7 PARCEL 3 6 SUBDIVISION LOT(S) STREET Go i`f`7 G c ST.NUMBER 3 I " "*** OFFICIAL USE ONL RENDATIQNS OFT AGENTS: CON ERVATION ADMINIS TOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS, PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR ®ATE Revised 9W7 jm M .a a Town of North Andover ; Building Deparbnent — -- ' 27 Charles Street North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER UCENSE EXEMPTION Please print. t DATE 2 T �t�`'�2 �L.DO 3 JOB LOCATION Number Street Address Section of Town "HOMEOWNER 91$ 258 0 6 6 g q-713 5-s`? '1-f6 Number Homee Phone Work Phone PRESENT MAILING ADDRESS 3 "�" y G11-4 ° ►^deoy��- /�V4 o City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. (State Building Code Section 109.1.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one to six family dwelling,attached or detached structures ac- cessory scessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit.(Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes,by-laws,rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requireme HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,010 cubic feet,or larger,will be required to comply with State Building Code Section 127.0 Construction Control. I North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of IVIGL 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 defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit scant Z� d 200 3 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 175' Along Corty Circle N uarage 237.02' reezeway x 22' Main House % 40' x 32' Proposed' Existin Deck 12' 1 8' 184.84' of x,36 x 18' i" Sheet 47 Lot 36 0,74 Acre 128.22' Dubo�r 31 Cor t , Circle North A.nciover, MA 978 258 0668 Existing Windows. Double 2x8 header. Existing window. Andersen FWH416SAPLR Stairs removed for clarity as to pool Electric to pool. SPECIFICATIONS CONTRACT Na. CO�'Duboff, 31 Carty Cir., North Andover Deck 8' sleep by 12' tong. DRAWN ev DATE 978-258-0668 Height approx. 31" at house wall CHECKED BY TITLE Deck and French Door �— -- — 1 Rear Etevation 20' from deck stairs to pool. 'DESIGNED s'' SIZE ESCM NO. DWG NO. / FILE NAME DESIGN ACTIVITY A CUSTOMER SCALE DATE SHEET 1/4in = lft 1 of 2 \\ 12._0, Utilities to Pool 20, to Pool PANY SPECIFICATIONS CONTRACT Na. cOMDuboff, 31 Carty Cir., North Andover DRAWN BY DATE 978-258-0668 CHECKED BY TITLE Deck and French Door, Plan DESIGNED BY SIZE FSC M NO. DWG NO. / FILE NAME DESIGN ACTIVITY A CUSTOMER SCALEDATE SHEET 1/4in = lft 2 of 2 Jeff Duboff 31 Carty Circle North Andover, MA 01845 Mon Jun 23 23:09:45 2003 Deck Layout This view is a general outline of the dimensions and/or substructure layout of your design. If a deck is to be attached to your house, make sure a solid connection can be made. Your design should be checked by a qualified professional or inspector. Consult your local building department for your correct building code and fastener requirements. Some local building codes require different beam to post connections than what is shown. Portions Copyright © 1989-2003 Cad Quest, Inc. Big Hammer DeckBot, Version 5.4.4, Copyright 0 2003 Big Hammer, LLC. Jeff Duboff 31 Carty Circle North Andover, MA 01845 Mon Jun 23 23:04:40 2003 Dock Dimensions for Dock 1 12' W Deck 12' Joist Spacing = 16 in. o.c. Baluster Sp4cing = 3 3/4" Toe Spacing; = 3 3/4" Railing Hei4ht = 48" This view is a general outline of the dimensions and/or substructure layout of your design. If a deck is to be attached to your house, make sure a solid connection can be made. Your design should be checked by a qualified professional or inspector. Consult your local building department for your correct building code and fastener requirements. Some local building codes require different beam to post connections than what is shown. Portions Copyright © 1989-2003 Cad Quest, Inc. Big Hammer DeckBot, Version 5.4.4, Copyright © 2003 Big Hammer, LLC. Jeff Duboff 31 Carty Circle North.Andover, MA 01845 Mon Jun 23 23:04:40 2003 &Post Layout View for Dock 1 i i r i E Y r a i 8' $r � E ( i t i I s i 1 E s i t t !!i i 1 j 11 3" 1 1, 3,. f ! I - BasePoint ---- -------- ---------------- I ----- ----------------I I Y Y O F N I N Q { ` J I f Z I i This view is a general outline of the dimensions and/or substructure layout of your design. If a deck is to be attached to your house, make sure a solid connection can be made. Your design should be checked by a qualified professional or inspector. Consult your local building department for your correct building code and fastener requirements. Some local building codes require different beam to post connections than what is shown. Portions Copyright cc 1989-2003 Cad Quest, Inc. Big Hammer DeckBot, Version 5.4.4, Copyright cc 2003 Big Hammer, LLC. Jeff Duboff 31 Carty Circle Nor(h Andover, MA 01845 Mon Jun 23 23:06:10 2003 Construction Specifications deck 1: Construction Method=Beam to Side of Post Footing Type=Pier In-Ground Footing Depth=48" Live Load=40 Dead Load= 10 Decking Spacing=01/4" Joist Spacing= 16" Seam Spacing=72" Post Spacing= 144" Decking=5/4X6.40 Treated Southern Pine No. 2 Beams=2X10.40 Treated Spruce-Pine-Fir No.2 Joists=2X6 .40 Treated Spruce-Pine-Fir No. 2 Posts=4X4.40 Treated Spruce=Pine-Fir(South) No.2 Deck Height=32" Diagonal Bracing=Yes Deck Skirt=No Joist Overhang= 12" Beam Overhang= 12" Decking Deflection Factor=360 Joist Deflection Factor=360 Beam Deflection Factor=360 Diag Brace Height 1 =24"in Diag Brace Height 2=24"in Stair 1: Step Width=96" Step Height=32" Step Rise=6" Step Run= 11" Stringers=2X12 .40 Treated Spruce-Pine-Fir No. 2 Risers=514X6.40 Treated Southern Pine No. 2 Treads=5/4X6.40 Treated Southern Pine No.2 Railing 5: Railing Heigh�-"48" Baluster Spadhg=3 3/4" Toe Space=3 3/4" Railing 6: Railing Height=48" Baluster Spacing=3 3/4" Toe Space=3 3/4" Railing 2: Railing Height=48" Baluster Spacing=3 3/4°' Toe Space=3 3/4" Railing 1: Railing Height=48" Baluster Spacing_3 3/4" Toe Space=3 3/4" Railing 3: Railing Height=48" Baluster Spacing=3 3/4" Toe Space=3 3/4" Railing 4: Railing Height=48" Baluster Spacing=3 3/4" Toe Space= 3 3/4" Big Hammer DeckBot,Version 5.4, Copyright©2003 Big Hammer, LLC_ Portions Copyright©1989-2003 Cad Quest, Inc. ? _ Eli WHIM JE I� 'gra{ }}}hh `moi v� allw y {$ 8 Vz tea°m /YI .j _.�' Pa Or a� hYi4 X R7{iS�i.. . 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P r $� g��p +��1 Iran., P" y�lal. rN+ l.LSV ! - -Jeff Duboff 31 Carty Circle North Andover, MA 01845 6/23/2003 Materials for Deck: Qty UOM Use Description 29 EA Baluster 2x2x8.40 Treated Southern Pine; No.2 2 EA Beam 2x10x12 .40 Treated Spruce-Pine-Fir; No.2 17 EA Decking 5/4x6x12 .40 Treated Southern Pine; No.2 3 EA H Bottom Rail 2x4x4.40 Treated Southern Pine; No.2 2 EA H Bottom Rail 2x4x8.40 Treated Southern Pine; No. 2 2 EA H Top Rail 2x4x8.40 Treated Southern Pine; No. 2 1 EA H Top Rail 2x4x4.40 Treated Southern Pine; Not 2 EA H Top Rail 2x4x6.40 Treated Southern Pine; No. 2 1 EA Joist 2x6x12 .40 Treated Spruce-Pine-Fir; No.2 5 EA Joist 2x6x16.40 Treated Spruce-Pine-Fir; No.2 1 EA Ledger 2x6x12.40 Treated Spruce-Pine-Fir; No.2 1 EA Post 448.40 Treated Spruce-Pine-Fir(South); Not 10 EA Railing Post 4x4x6.40 Treated Southern Pine; No. 2 5 EA Riser 5/4x6x8.40 Treated Southern Pine; No.2 1 EA Stair Stringer 2x12x7 .40 Treated Spruce-Pine-Fir, No.2 3 EA Stair Stringer 2x12x12 .40 Treated Spruce-Pine-Fir; No.2 10 EA Tread 5/4x6x8.40 Treated Southern Pine; No.2 1 EA V Bottom Rail 2x44,40 Treated Southern Pine; No,2 2 EA V Bottom Rail 2x4x6.40 Treated Southern Pine; No. 2 2 EA V Bottom Rail 2x4x8 A0 Treated Southern Pine; No. 2 1 EA V Top Rail 2x4x4.40 Treated Southern Pine; No.2 2 EA V Top Rail 2x4x6.40 Treated Southern Pine; No. 2 2 EA V Top Rail 2x4x8.40 Treated Southern Pine; No. 2 Standard Deck Materials 3 BOX Baluster Screws 2-1/2 Wood Screw 51b 4 EA Beam Bolts 5/8x8 Galvanized Hex Boit 4 EA Beam Nuts 5/8 Galvanized Hex Nut 8 EA Beam Washer 5/8 Galvanized Washer 6 EA ConcPierinGnd 80#Concrete Mix 2 EA conctubepier 8"Tube Form 24 EA Hurricane Tie Hurricane Tie 1 BOX Hurricane Tie Nails 8d 1-1/2 Joist Hanger Nails 165pcs 9 EA Joist Hanger 2x6 Joist Hanger Single 2x6-2x8 1 BOX Jst Hngr Nails 2x6 10d 1-1/2 Joist Hanger Nails 150pcs 20 EA Ledger Bolt 3/8x6 Galvanized Lag Screw 20 EA Ledger Washer 2-1/2"Galvanized Decking Screws 1 ROLL Poly Weed Blocking 8x100-4 Mil Poly 2 EA Post Base P-IG Universal Deck Post Anchors 24 EA Rail Post Boit 3/8x6 Galvanized Lag Screw 24 EA Rail Post Washer 2-1/2"Galvanized Decking Screws 1 BOX Step Screws 8x2 1/2"Galvanized Deck Screws 51b 7 EA Stringer Hanger Sloped Stringer Hanger 1 BOX Stringer Hngr Nails 10d 1-1/2 Joist Hanger Nails 150pcs 2 EA Wood Sealer 1 Gallon Clear Wood Sealer Decking: .40 Treated Southern Pine No. 2 1 BOX Deck Screws 8x2 1/2"Galvanized Deck Screws 51b NORTH ' Town of 0 fAndover - No. 4 - " - =- lit. ti o� �o�H,� dower, Mass., ADRATED '9S H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... Y.. '... A���.......... ... v... Foundation has permission to erect.. .if... .�a............... buildings on ...... �..... .. ...... ....on........../ ......... Rough to be occupied as P .N 4 C 4 �' .Sic�r ./V lam! �'" O O�ifi+'��I�� Chimney ... ....... ..... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Ins ection, Alteration and Construction of Buildings in the Town of North Andover. 411 43 ` O ® PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR . ` lb Rough g ........................ ...................6006 ......................... 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Location �- No. 96 Date 4 NORTN TONIN OF NORTH ANDOVER F 9 . i ' Certificate of Occupancy $ Eta Building/Frame Permit Fee $ JACMUS Foundation Permit Fee j $ Other Permit Fee r5 it A $ 0*1 .�p TOTAL $ 2-1!f 109 Check # { L 18 4 v 6 Building Inspector m U.- •. - 4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 3 1p/� DATE,ISSUED: ^� SIGNATURE: Buil ' Commissioner ofBWJdiM Date Z SECTION 1-SITE INFORMATION 0^ — -- 1.1 Property Address: 1.2 Assessors Map and Para!Number. / i I 2b Map Number Faroe)Numbtr 7�[ v 1.3 Zoning information: ^ n 1.4 Property Dimmsieos: ec�1 32,23` " 175- Zoning Di$Wd Use tat Area Prance ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Reglyred Provide Rewired Provided Required E Provided 1:7 Water Soppty M Ci3 C 40. S4) 1.3. Flood Zovo Ldmeatiun: 1.8 SewaW Disposal System: 1'eblic tiivate 0I Zane Outside Flood Zero Municipal X On Site Disposal Syuem 0 SECTION 2-.PROPERTY OWNERSIIIAUTRORIZE+D AGENT m 2.1 Owner of Record lD 6o F 31 car-i C-11-de Name("!in07 Address for Servicefl q7-e 2S� 0663- Sigoatu — Telephone 2.2 Owner of Record: Name Print Address for Scrvicc: 0 Signature Te! e SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 r Licensed Construction Supervisor. License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Q Company Name Registration Number r Address r Expiration Date ^g^ ,Signatuir Tel hone Y/ r .Y SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 250(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 Descri tlon of Proposed Work cheek aU liable New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. Demolition Other 0 Specify Brief Description of Proposed Work. r I ✓Zt?t�ire 3 5��w s a� S �e mor S��-�� �ce. . riS�a`) l 01 x r61 A�'eb �ee-st✓tom, s� — DA it"it tJ SECTION 6-ESTIMATED CONSTRUCTION COSTS . Item Estimated Cost(Dollar)to be Completed by permit applicant =At 1. Building 3 SOD (a) Building Permit Fee / Multiplier 2 Electrical 0 (b) Estimated Total Cost of Construction 3 Plumbin O Building Permit fee(a):.(b) l j 4 Mechanical HVAC_ 0 5 Fire Protection O / v 6 Total 1+2+3+4+5 3 7O Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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. Si ture of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject prey Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of 022/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TZMERS INI2 NU 3RD SPAN DIMENSIONS OF-SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOL®OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE /p v 6 S kbO( FORM U - LOT RELEASE FORM r1- (Q -- Lo INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT �S�\ M1) D- PHONE "-S 66 LOCATION: Assessor's Map NumberAxwPARCEL 3 6 SUBDIVISION LOT(S) STREET (L-1_ ST. NUMBER 3 OFFICIAL USE ONLY E E14WI TOWN Aftfft P von CO ERVA ION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS ­ NA TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DUMPSTER PERMIT RECEIVED BY BUILDING INSPECTOR DATE FORM U-Revised 6.08 JMC I, i 175' Along Carty Circle N Garage & / reezeway 237.02' x 22' / Main House 40' x 32' / ool Deck 12' x 8' 184.84' Prop�dsed Sh d \ 1 x 10' Sheet 47 Lot 36 0.74 Acre 128.22' Duboff 31 Carty Circle 82' North Andover, MA 978 258 0668 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision 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 defined by MGL c11, S150A. The debris will be disposed of in: MAC (Location of Facility) Signature of Per Applicant b Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector NORTH Town of _ Andover No. 31a - h dower, Mass., COCKICKEWICK OR-ATE0 H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... ... r. ......... ....l..46. ..... ....................................•............................... Foundation •� � % has permission to erect.... .......... buildings on .........3./...... ..�. Y..... ............................. Rough t0 t18 Occupied 8s feo N I"is � �#4 Chimney ...... .... ...................................................................................... .................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and B -La s relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. y/y, PLUMBING INSPECTOR 3G VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough 604Z� Service ......... 010N BUILDING INSPECTOR Final Occupancy Permit Required to Occt.cpy 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.