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HomeMy WebLinkAboutMiscellaneous - 35 BELMONT STREET 4/30/2018 (3)I :Locations 57 .:No 277 Date - - t40RT" TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ &S C" E< Foundation Permit Fee $ Other Permit Fee $ _ Sewer Connection Fee $ Water Connection Fee $ R TOTAL $ its Building Inspector 7427 -/ Div: Public Works i APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME w� , r NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB - - ARCHITECT'S NAME BUILDER'S NAME �,/.. 1 .rte SIZE OF FLOOR TIMBERS IST 2ND 3RD SPAN - DIMENSIONS OF SILLS DISTANCE TO NEAREST, BUILDINGC� = 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 SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 t ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 1 :PLANS MUST B���EFFILED AND APPROVED BY BUILDING INSPECTOR DATE FILED/ � t SJGNATURE OF OWKO OR AUTHORIZED AGENT FEE &;L/ -n PERMIT GRANTED ��- c-k*12,05- y.85 - 7 Y 2-2 -- _7Yz7-- OWNIER OWNER TEL. # CONTR. TEL. #. 6 CONTR. LIC. # 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST Q EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVEDBY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN e V:� MWIL"Imw INOP6GTOR I BUILDING RECORD 1 OCC U PA Y 12 SINGLE jiFAMILY 5r0R1ES HIS SECTION MUST SHOW EXACT DI M�NwwS,,��O S F T A T NCE FROM MULTI. 1FAMILY OFFICES LOT LINES AND EXACT DIMENSION S`OF�B - 1 HES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACE PLOZgj,^ Z +4 CONSTRUCTION 11 2 FOUNDATION —I $ INTERIOR FINISH CONCRETE 3 1 2 I,_ CONCRETE BL K. PINE HARDW D BRICK OR STONE PIERS I PLASTER DRY WALL UNFIN. 3 I� BASEMENT 11 AREA FULL FIN. B M AREA _ '/ 1/1 1/1 FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS - I J FLOORS . CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD (SHINGLES EARTH _ ASPHALT SIDING HARDIV D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ONF1l�gpl� BRICK ON MASONRY I'tT SIRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR P R NE N DEQUATE I� O i 5 ROOF 10 PLUMBING GABLE ' HIP BATH (3 FIX.) / GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET \ T ASPHALT SHINGLES LAVATORY WOOD .SHINGES KITCHEN SINK SLATE 11 NO PLUMBING - TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES 11 TILE FLOOR II TILE DADO •7`���� 6 jl FRAMING I 11 HEATING WOOD VJOIST PIPELESS FURNACE II FORCED HOT AIR FURN. TIMBERIBMS. & COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOODIjRAFTERS _ AIR CONDITIONING 11 RADIANT H'T'G 11 UNIT HEATERS 7 (I NO. OF ROOMS S B'M'T to I NO hiE G Cil W o A x v -o U9 e a U) z z Q0-4 w° u E U m w G z z =j rL C* w a W z a u W � > cn w O U a U z d w x a A cn U) o cn LUl` O z c o CD c c � .: O O N Rc 40 vV a = :ccR �~L CD O O N Q E¢ _ 3 o. N :oar :cam O O :vim, cm co O �3N •O t CGi N W � N ..E m o co 4 o pp �Os c c :mom V N O ecv '� Z c CL Z i C ;mCD3 � O H o. CO2 r N m .2 U.•H 'd= O C , ; N LU rm u •m p m C_ C* a m�C- i ea HBO f- s L = as u 0 U �i r� co J a i o z E co o F— � Z u LU Q 0 CA CD Om O w C G 'a .O > Q y O m m L z w i O O �U O CLcoO i � 0 0 cc O Q CL cma C C2 cc v .Q o o CA Z z_ � V ca Li R W V2 C 3 z z � � LU Q- U) OFFICES OF: APPEALS BUILDING CONSERVATION HEALTH PL-ANNING i w NORTH ANDOVER DIVISION OFI PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR Ito Main Street North Andover. Massachusetts o 184-5 (6 1 7) 685-4"775 .r In accordance with the provisions of MGL e 40, S 54, a condition of Building Permit Number �L77 2 is that the debris resulting from this work shall be disposed of in a preperiv licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: T. 1, Location of Facility) Signature of Perrnit Appiicant Dat VOTE: Demolition permit from the Town of north Andover must be obtained for this project through the Office of the Building Inspector. MORTGAGE INSPECTION PLOT P NORTHERN ASSOCIATES INC. 630 TURNPIKE STREET NOPrH ANDOVER MA (508)975-7117 M0RT0AS0t't PETERE._a _:JOAN M._DUSA�N 95 LOCA Tl*"./ BEL,tfON7`_,STREET OEE,O REF. .1148 / 237 CITY, STATE'' NOigTH ANDOVER MA N PLAN REF, ASSESSORS DAM: 11 / IS / 92 SCA LE.• J. 20 JOB A• 92/ 991149 BELMONT STREET CERrIFIEO TO., BA YBANKS R059MASE CO. This mortgage inspection was nc;licafly for mortgage purposes and is not to b eo;o -on Of 1 FURTHER STATE THAT IN MY PROFESSIONAL OP.NION the principle caUclun�rs and accessory n: a survey. Northern Associates, Inc, accepts no :,;onsibility outbuildings, for damggos resulting from s dfoliance by ^ "-- CONFORM . 1 ,, ono othor than the said mortgagee its assigns In nnonion with Its proposed mortgage nancing to said with the setback require monta of the local zoning ordinances, and that (hare aro no encroachments 190 N No. 30700 of major improvements either way across property lines except as shown. PANEI.# 200.0 mortgage inspection was prepared in dance th the Technical Standards for M C9ISTERp� N D 3URI ALSO: l'1' t. Propertyis not Ina Flood Haza �rea. gage Loan sPec6ons as adopted by the Massachu its Associatio ;I Land Surveyors and Civil Enginoors. Inc. 2. Property is in a Flood Hazard Area. ❑ 3. Information is insufficient to determine Flood Hazard. Flood Hazard determined Irom latest Federal Flood \ NORTH /x", ,rSACNUSE{ Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 Phone 978-688-9545 Fax 978-688-9542 Street: Item Ma /Lot: Setback Variance Applicant: -_-Y_121 a 'v 4 Request: /� x3a / �v G 2 o c:',A; D Date: (o _ i'7 - v.3 Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning Remedy for the above is checked below Item # Special Permits Planning Board Item Notes Setback Variance Item Notes A Lot Area Common Driveway Special Permit F Frontage Variance for Sign 1 Lot area Insufficient Planned Development District Special Permit Planned Residential Special Permit 1 Frontage Insufficient Special permit for preexisting 2 Lot Area Preexisting `1 5 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage y c 5 4 Insufficient Information 4 Insufficient Information g Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required y e s 3 Preexisting CBA y if 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height y 5 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) e 5 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting y s 1 Not in Watershed Ll e S 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 1 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required q 1 More Parking Required 2 Not in district 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedy for the above is checked below Item # Special Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Inde endent Elderly Housin S ecial Permit Large Estate Condo Special Permit Special Permits Zoning Board Special Permit Non -Conforming Use ZBA Earth Removal Special Permit ZBA Planned Development District Special Permit Planned Residential Special Permit Special Permit Use not Listed but Similar Special Permit for Sign R-6 Density Special Permit Special permit for preexisting Watershed S ecial Permit --nonconforming The above review and attached explanation of such is based on the plans and 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 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 building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting process. -0_3 3 Building Department official Signatufe Application Received Application Denied I Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: Referred To: Fire Police Conservation Plannin Other Health Zoning Board De artment of Public Works Historical Commission BulidlnO l7Pnartmanf .11 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Th>fs. Sect�toe. for 0fi'>I i3se` OaI BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property .Address: 1.2 Assessors Map and Parcel Number: A,<' j3ej m ag S4. OOt3a/ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R i -e. 2> a q o I -/- _ Zoning Distnd Proposed Use Lot Area s Frontage (fl) 1-6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ov ded Required Provided 3%0"- A N S O 1.7 Water Supply M.G.L.C.40. 54) Zone '3y % i 9 Outside flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System Public ❑ Private ❑ - SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of' Record -1-/0 ��+� g '! 3.f Name (Print) Address for Service 3i reF Telephone 2.2 Owner of Record: Name Print Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: alil/iam pb los Licensed Construction Supervisor: I Address 307 signature Telephone t.2 Registered Home Improvement Contractor ;ompany Name —76 ature 9 ! f -V ks �z Telephone Not Applicable 0 (0330 License Number ©%rl9- 63 Expiration Date Not Applicable 0 14 20 Ll Registration Number az -i+3-ems Expiration Date 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 ...... X No ....... ❑ CFCT1(1N 5 ilacrrinfinn of Prnnnced Wark (rhp It all annhenhlp ) New Construction K Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑. Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: / G 3Z 0 r✓t . t�.f a N1 M i SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be'kQl Completed b permit a licant ¢ ' f�IS ONIY 1. Building // (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbingBuilding Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5) 43 to Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERSrAGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT M as Owner/Authorized Agent of subject property Hereby authorize-4ZVI,4 / A "�J 'f' � y behalf„'1 all matters relative t work a thorized by this building permit application. YJcra.v�— Signature of Own& Date I SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I act on o7a ti v3 I, �K ti -, as Owner/Authorized Agent of subject property Hereby declare that the statements d information on the foregoing application are true and accurate, to the best of my knowledge and belief �i N1 ✓1 V • � � � Pr gme Sif4ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3 RD SPAN DM ENSIONS OF SILLS DD ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE. OF FOOTING X 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 verify that 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. APPLICANT 0&0't Pfd' PHONE % (, ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER L STREET 1 &Y2 �>dm STREET NUMBER ............................................................................ OFFICIAL USE ONLY ............................................................................ RECOMA4ENDATIONS OF TOWN AGENTS ............................................................................ DATE APPROVED CONSERVATION ADMNISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE Name PA The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02919 Workers' Compensation Insurance Aff1davit Please Print City IV "A A n J dv-&Y Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. S Company name: -r/,(,m t ISI I�-06-I„s -f PM7 0 C 6 (? f " kTo FIR Company name: , Address City: Phone #: 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 welLas_civil.penalttes- o-theinun-cfa�STOP WORK ORDER and -a fine_of_($1,QO.OD)-at w.-Kjainsfine. l understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Z --,)r, — - Print name Official use only do not in this area to be completed by city or town official' d3 City or Town Permit/Licensing Check if immediate response is required El Building Dept .0 Licensing Board Contact person: E] Selectman's Office Phone A 0 Health Department El Other 8840 /-SF -yZ M~ _ PARCE S 1 AN 2 iG k3Z I W PRv Pos erg Z � W—{-_____ 11.8--_ -- — — L S Q 3 a' \ I i I DRIVEWAY 90.05 co MI e -I BELMONT STREET I CERTIFY THAT THIS PLAN WAS MADE FROM AN INSTRUMENT SURVEY ON'THE GROUND AND THE STRUCTURES ARE LOCATED As SHOWN HEREON, AND DOES'NOT LIE IN A FLODD ZONE (ZONE X) PANEL # 250098- 0003C, JUNE 2, 1993 REFERENCES: DEED: BOOK 5060 PAGE 275. PLANS: PL# 033, #9098;#373 i i i I 0� co 0 0 0 0 . �TC-,�IS.1��PWAYS 77SY�ll\C.UNPLACE . CHARLESTOWN,MA 02129 €- (617)242.1313 JOB # 03-00236 ';7777