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HomeMy WebLinkAboutMiscellaneous - 36 WATER STREET 4/30/2018mow; rm 19 mea NORip '"* ,°qH° #0 6 ° °A Town of North Andover �o * Machine Shop Village Neighborhood Conservation District Commission 1600 Osgood Street North Aandover, MA 01845 SSAGN�Sk Application For EXCLUSION From Certificate to Alter Certain alterations are excluded from review by the Machine Shop Village Neighborhood Conservation District Commission in accordance with the Bylaw. Applicants for exempt projects must fill out the form below and submit to the Commission Chairperson (contact info below). Date: (7nntart Mmp Rr AdflrPcc- L �' .1 OW, Exclusion From Review Requested For: ❑ 1. Interior alterations existing conditions including materials, design and dimensions. ❑ 2. Storm windows and doors, screen windows and doors. ❑ 9. Replacement of existing substitute doors, substitute siding or substitute ❑ 3. Removal, replacement or installation of windows with new materials that are gutters and downspouts. substantially similar to the existing condition. ❑ 4. Removal, replacement or installation of window and door shutters. ❑ 10. Replacement of original fabric windows or doors with substitute ❑ 5. accessory buildings of less than 100 windows or doors that maintain the square feet of floor area. architectural integrity with respect to form, fit and function of the original ❑ 6. oval of substitute siding. windows or doors. 7. alterations not visible from a public ❑ 11. Reconstruction, substantially similar in way. exterior design, of a building, damaged or destroyed by fire, storm or other disaster, ❑ 8. Ordinary maintenance and repair of provided such reconstruction is begun architectural features that match the within one year thereafter. MSV NCDC Page 2 Current Chair: Liz Fennessy, 77 Elm Street, lizettafennessy@yahoo.cmn, 978-688-2915 MV04 rrryl,erh; ¢ e G�4�sGl ji5 r1e. hwe�_., ttORTFI 20%ti �tlo ,6 a� O A Town of North Andover Machine Shop Village Neighborhood Conservation District Commission �9s q,,o •���5 SacHusti 1600 Osgood Street North Andover, MA 01845 )hcation For EXCLUSION From Certificate to Alter For Items 9,10 or 11, provide the following documentation: Photos/drawings of existing doors, windows or siding, as applicable Description/Catalog Cuts of proposed materials to be used for doors, windows or siding Plan and elevation of reconstruction for Item 11 Determination: This project is determined to be ❑ exempt ❑ not exempt from review by the Machine Shop Village Neighborhood Conservation District Commission. Projects that are not exempt must complete the Application for Certificate to Alter, available from the Building Department and be reviewed by the Commission. Determination made by: Signature Neighborhood Conservation District Commission Date MSV NCDC Page 2 Current Chair: Liz Fennessy, 77 Elm Street, lizettafennessv@yahoo.com, 978-688-2915 Date��:.G� C. z......... O' .,,ao ,° •rye 3� TOWN OF NORTH ANDOVER tX PERMIT FOR GAS INSTALLATION � • _ a o This certifies that 4 : X-/./ ........t 5.t ............. . has permission for gas installation 2 ... ���r.t ............ in the buildings of .. A.-, .Q5� ......................... at ............. 'North Andover, Mass. Fee. .7Ua. Lic. No..7/2.3 ... ...... GAS INSPECTOR Check # 7 L S 4233 a 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING�� (Print or Type) _ A-Aiu�4del� ,Mass. Date lo?�c��D Z. c���� ''ermit # ;- Building Location36 awevf Owners Name _6&L Ar? r Tye o� f Occupancy t%tiu,� New M,*' Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name GLIMATE DESIGN Address 3!M9111111124 StritElAt Haverhill, MA 01830 Business Telephone Lic. Plumber: Michael H. House Name of Licensed Plumber or Gas Fitter Check one: Certificate '`'Corporation �� C. _ Partnership = Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of ,11GL Ch. 142. Yes i✓ No 17 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 17 Other type of indemnity G Bond G OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner C Agent C I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be to compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Tide City/Town APPROVED (OFFICE USE ONLY) Type of License: Plumber = Gasfiver '?Aaster 4LicenseNum ensed Plumber or Gas Fitter Inurneyman 9 1 r / [ Ln tA 0 cc cc 0 U an - . • • = • . • CC . Wj •. - -. . . ■ONE ■■■■■■■■■■■■■■■■■■■■■BASEMENTist FLOOR' .... ■■■■■■■■■■■■■■■■■■■■■■■■■ FLOOR ■■■■■■■■■ ONO ■■■■■■■■■■■■■ ..• SOON ■■MEN ■■■■■■■■■■■■■■■■ FLOOR■■■■■■MEN ■■■■■■■■■■■■■■■■ FLOOR ■■■■■■■■■■■■■■■■■■■■■■■■ ..• ■■■■■■■■ ■■■■■■■■■■■■■■■ ■ t ... ■■■■■■■■■n■■■■■■■■■■■■■ Installing Company Name GLIMATE DESIGN Address 3!M9111111124 StritElAt Haverhill, MA 01830 Business Telephone Lic. Plumber: Michael H. House Name of Licensed Plumber or Gas Fitter Check one: Certificate '`'Corporation �� C. _ Partnership = Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of ,11GL Ch. 142. Yes i✓ No 17 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 17 Other type of indemnity G Bond G OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner C Agent C I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be to compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Tide City/Town APPROVED (OFFICE USE ONLY) Type of License: Plumber = Gasfiver '?Aaster 4LicenseNum ensed Plumber or Gas Fitter Inurneyman 9 1 r / [ Zo "M rm rm m I C LA rm 0 z Z 3 Ii> rm Ii rm "M rm rm m I C LA rm 0 z Location, No. ?,/"/-���,� No. v6 Date 3 . -S Check # � %(6 17115 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ ,/ 0 o^� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ow CJI - Building Inspecto 1.1 Property Addrn ' ' /VUI 4vc 1.2 Assessors Map and Parcel z//L (Z.33 Map Number Number: 1 // I--, Parcel Number 1.3 Zoning Information: Zoning District Pr osed Use 1.4 Property Dimensions: Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water SupplyM.GL.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: 0 On Site Disposal System ❑ am%-iivi.A-rAUrM-KlY vwlvrK5r r/AUitiUK1zhl)AGENT 2.1 Owner of Record 1arvxet"s " r. w c 3of d Name (Print) Address for Service: r tore e raOwner of Rec Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction(( Supervisor: Not Applicable ❑ A(,Uvr- Q Licensed Construction Supervisor: C-5 06,3 1(0 U ..-^/ .-- C �(33� License Number C,Y 6.S re / 2 2-1z—o6 V6,ck��� 6 V -L� ` 3 -7 — 6 13 q- Expiration Date Signature Telephone 3.2 Registered Home Imp ovement Contractor Not Applicable ❑ A S O AJ GCAJ Company Name/ U Registration Number Addre �VJ / lel Expiration Date Si nature Telephone OT/ grYe%J A wnDYCDC rnMDFNCATInN lM.(,_I.. C 152 S 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 uil *ng permit. Signed affidavit Attached Yes ....... V No ....... ❑ SECTION 5 Description of Proposed Work check altapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ AccessoryBldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ° I f Ict /( f�A-) c l^� I/U 9 %UGIT ��N :f�/j'� 000 »2... Aid SECTION 6 - ESTIMATED CONSTRUCTION COSTS Estimated Cost Dollar to be Item (Dollar) Qi?FICIA'TE E#NY r�s`� ti feted b applicant x �RCom fipermit 1. Building (a) Building Pennit Fee Qd©r Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 p 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. Signature of Owner Date SECTION 7b AGENT DECLARATION yO�WNER/AUITTHORIZED 1, A (' I �t U V1 tQ Q1/� As Owner/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 bel' f`, (A Print Nam n 2 0 G J Signature of OWner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS 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 ✓%a. i�ai�i�nan�uecrllz of 1�c�tiLt Board of Building Regulations and Stankr-r, 4GME' :�40ROVF,'AENT CONTRACTOR ' R.e intra tt:t''Ttr<<t3 Wyp4i2872 & A.F. 414ATSON GEN CONTRAUTiNG A 5'NUR WAISON'-:ACT!NG +. s3, 'j GEMONTST itu NFI03033 tdministratoi Jlze -� �rumruea�/ o�'✓�%avva,�luaef�a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 063168 Birthdate: 02/12/1956 MM Expires: 02/12/2006 Tr. no: 15623 Restricted: IG ARTHUR F WATSON 3 EDGEMONT ST DERRY, NH 03038 s�w� Acting C min over C.B. S46'46'00"W FND ~' OWNER INFORMATION: JAMES & NANCY BARRY 36 WALNUT AVENUE NORTH ANDOVER, MA 01845 WALNUT A VENUE ASSESSOR INFORMATION: MAP 33 PARCEL 35 DEED REFERENCE: BOOK: 1270 PAGE: 556 I CERTIFY THAT THE STRUCTURES SHOWN WERE LOCATED BY AN INSTRUMENT SURVEY AND EXIST ON THE GROUND AS SHOWN. .P. FND ZONING INFORMATION: ZONING DISTRICT : R4 MIN. BLDG. SETBACKS: FRONT : 30 FEET SIDE : 15 FEET REAR : 30 FEET PLOT PLAN OF LAND #36 WALNUT A VENUE NORTH ANDOVER, MA 01845 PREPARED BY: ROBERT W. SMITH, PLS HEADQUARTERS: ROOM 111 18 PEABODY SQUARE PEABODY, MA 01960 SCALE: 1"=20' DATE: 7/21/03 A. F. Watson General Contracting 3 Edgemont Street Derry, NH 03038 Tel. 603-437-6134 Estimate DATE ESTIMATE # 9/1/2003 1291 NAME/ADDRESS Mr. James Barry 36 Walnut Ave North Andover, Ma 01845 TERMS PROJECT Due on receipt Siding & Misc. ITEM DESCRIPTION QTY COST TOTAL Vinyl Siding Certainteed Monogram Siding in a color 22 62.95 1,384.90 1PieceCorner One Piece Vinyl Corner 4" Face 12 11.50 138.00 Aluminum Aluminum Coil stock in white 5 50.00 250.00 Light Block Vinyl light block 5 7.50 37.50 Inside Corner Inside Corner Post 6 8.15 48.90 J -Channel 3/4" Vinyl J -Channel in White 40 4.15 166.00 Starter Aluminum Starter Strip 14 3.25 45.50 Undersill Vinyl Undersill Trim 16 4.35 69.60 Siding nails 1 1/2" Aluminum Nails 8 5.95 47.60 Trim nail Stainless steel trim nails 2 4.95 9.90 Tyvek Tyvek Air Infiltration Barrier 2 93.95 187.90 Soffit Vinyl Soffit in white 14 8.25 115.50 Louver Solid vinyl louver 12"x 18" 4 21.99 87.96 shutters Vinyl Shutters ??? 0.00 Patio Door Perma-Shield Frenchwood slidingPatio Door 1 1,431.80 1,431.80 (FWH9080SASL) 2-8 Steel 9 Lite Insulated steel door unit w/lock set 2 220.00 440.00 Combomation Combination Storm and Screen Door 2 180.00 360.00 labor Carpenter's labor 264 33.00 8,712.00 Materials Materials side entrance deck and steps 800.00 800.00 labor Carpenter's labor 20 33.00 660.00 Materials Materials front entry landing and steps 800.00 800.00 labor Carpenter's labor 18 33.00 594.00 Subtotal labor & Materials 16,387.06 Cont. fee Contractors 10% Fee profit + overhead 10.00% 1,638.71 THANK - YOU A. F. WATSON p TOTAL $18,025.77 OWNERS SIGNATURE SIGNATURE Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation insurance Affidavit* Please Print Name: Location: City Phone # I am a homeowner performing, all work myself. I am a sole proprietor and have no one working in any capacity . 1 am an employer prolvJiding workers' compensation for my employees working or,,this:jcgx Company name F UU;&_xJ PeAj 611, f 1 l CompM norma: Address: Ph" FaM a to sect" coverage as regdred urWer Section 2M of Mit 152 car jwdtvthe iri�pc s�toet �crir�<Ob an&or one yeei5' impri�sorlrrteot yreltas,c i �enalties�o3he�oem�ta SJDP :044666046C, understand that a copy d this staternent may beforwarded to the otrice of Irre* n*t aftm 4 the DIA tior � / do herebyt J �lW hW M � provided above is &W and coff&t 7tv Signature 3 O Print name OfitcW use only do not wale in this area to be completed by city cr town dficiar City or Town 3 T 4134- 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: doYh0'4C'(L 64 0, (Location of Facility) ' Signature of Permit Applicant 3 23-oq- Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 0 I s: C � � C C V O O C H O_ C 60i V Q C A O CD C CcCc CF N E� r.+ =2 s:. CD C.7 � c :.o m c� y °s CD m C a.s N O O d O �' 3 N :'D ' C � _ m ea 'a �7 N E"0 ICDL 30 N m 0 .CL CD .�'L Z OV CL O f"' O N @ C 39 D D.O �.s 0 N a :� C Ate.. '� S •N �dZ W C O •N •® p O g e CD COD ®� ��_ W m y �O q-� � E C. N N O a N 0 ca CD OI c m O cm C .S N CD O z O CD 5 �440, O L O z a O y Q C CD cm I C C CO2 Q -0 y O S Q Q CD 0= CD �O CD O ® O ca L o. M co 4.4 � v�Q ca C o � c V �O 'p O Z G3 CLC cs C .s c CLCOD W YI N W W U) o 0 u .a O a U w ® w zco A w 0 a W w z chi Cdto w � a�' w w A W cA cn o cn C � � C C V O O C H O_ C 60i V Q C A O CD C CcCc CF N E� r.+ =2 s:. 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