HomeMy WebLinkAboutMiscellaneous - 370 Lacy Street`3 L
Location -/
No.
Dates` {'L
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
,SSAC MU56t'A Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check # 5�9� 7
15748
Building Ins or
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
s r
BUILDING PERMIT NUMBER: DATE ISSUED:
U— Z d dZ
SIGNATURE:
Building Commissioner/Ingwor of Buildings Date 7-3a,-'
SECTION 1- SITE INFORMATION
1. 1 Property Address:
• 3 7� �<<, sr-
1.2 Assessors Map and Parcel Number:
Map Number 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
R red Provided
1
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information:
Public ❑ 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
Name (Print)/ Address for Service:
l!1 r ` 1 CG
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Supervisor:
Address
Signature Telephone
Not Applicable ❑
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable ❑
Company Name
Registration Number
Address ✓-
Expiration Date
Signature Telephone
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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 ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify -.004,A
Brief Description of Proposed Work:
f -rte
A
//I'i- ✓l /� - N ` �� r lJ� t u-dh, sk i-G� VYl 1 C c ,l Q42
I SECTION 6 - F,STIMATFiI CONSTRITrTION f nCTC I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (e) X (b)
��dar
4 Mechanical (HVAC)
5 Fire Protection
6 Total 1+2+3+4+5)
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Vr 1 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 Own& Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, 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 belief
Print Name
Signature of Owner/A ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR T HERS IST 2ND 3 RD
SPAN
DIWNSIONS OF SILLS
DIMENSIONS OF POSTS
DIN ENSIGNS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
1S BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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Jul -24-02 11:40A
P.O1
'.GOWN OF NORTH ANDOVER
OFFICE OF
COMMUNITY DEVELOPMENT AND -SERVICES
27 CHARLES STREET
NORTH ANDOVER, MASSACHIUSETTS 01845
D. Robert Nicetta irk
Building CprrtmiSSionGr:' TvICphone (9710 CASS-9545
� s FAX (978) 618-9142
A
]FAX TRANBMIMlory
r -
DATE: TIME:
---- .. ...... _ NO. OF PAC"rF.S
TO: Marjorie Kittredge:
FROM: Robert Mesita, Building Commissioner
SUBJECT: Per it Application
BUILDING DEPT FAX NUMBER 478-682-8599
SEND 7.O FAX NO.;
d
REMARKS,: Please be advised that the Bldg Dept is in receipt of yt)ur check for the Permit of
the trailers. I1lowever, there has been no ofrtcial unnllcation for the Permit or a Permit issued
Please com4P into the office arid. file the proper paper work for permission to place a trailer on
Your premises. Please see the lett v attached dated July 11, 2002. The pclr is can be applied for
between the hours of 8:30 and 10:00 AM and 1:00 and 2:00 PM. Please call the office if you
have any question and speak with Jeannine the Department secretary.
11()AR00F APPEALS 6M-9541 131JUDI NGS 6814-0545 C()NNhRVA1'It)688-953Q 4T. ILAL CEI 6f8-9i4U Y:\`NiNc6JR.Y»-R12MAINST.
27 CIIARLES S7'. 27 CHAR) T� ST. 27 (: HARI.f;S ST.
• Town of North Andover
Office of the Building Department
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845
D. Robert Nicetta
Building Commissioner
July 11, 2002
Ms. Marjorie V. Kittredge
Windrush Farm
31 Brookview Road
Boxford, MA 01921
RE: Temporary Office Trailer
Dear Ms. Kittredge:
Telephone (978) 688-9545
Fax (978) 688-9542
This is to confirm that you will be allowed to use an 8 ft. x 28 ft. temporary trailer as office space
subject to the following conditions:
yVle, 1. The trailer must have the Commonwealth of Massachusetts approved electrical seal
�y and comply with the State Building Code. It is important that the trailer has the third
yJ party Massachusetts electrical seal as the Electrical Inspector will not issue the
t�el required electrical permit for your necessary electric hook up.
2. The trailer must be located within ten feet (10) of a rest room facility or the
trailer must be connected to its own sanitary disposal system.
3. Potable water must be supplied.
4. A building permit is also required at a cost of $75.00,
5. The building permit will expire within three (3) months from the
date appearing on the permit. .
6. As per our conversation this permit cannot be extended or issued again.
n
Thank you for your cooperation in this matter. Enjoy your summer.
Yours truly, `
D. Robert Ncetta
Building Commissioner
CC: Heidi Griffin, Director CD&S
to wilt �
BOARD OF APPEALS 688-9541 BUILDING 688-954-5 CONSERVATION 688-9530 HEALTH 688-9540 PLA:'vNING 688-9535
06/04/02 09:04:52 object -Fax-> 9786828599 Shaughnessy, Jossely Page 002
WILLLkNIS SCOTSNLAN, INC.
Petham Industrial Park
Pelham, NH 03076-2154
SCOTSMAN Phone: 603-882-2823
w Fax: 603-882=7245
Mobile Offices • Storage Products Toll free: 800-782-1500
And More Gina. Wojdynski, Sales Repr eventative
1 of 2
CUSTOMER SHIP TO QUOTE DATE
Josselyn Shaughnessy Windrush Farm May 14, 2002
Windrush Farm QUOTE EXPIRATION
30 Brookview Rd North Andover, NIA Junc B. 2002
Boxford, MA 01921
:
• ..
lug
32 x 8 Mobile Office (28 .r. 8 box size) per the enclosed floorplail.
INSURANCE VALUATION
MONTHLY LEASE RATES:
❑ 3 months
❑ 6 months
Initial Ontions
❑ (2) OSHA Aluminum Steps - Setup n.
$30.00 each
❑ (2) beadbolts @ $50.00 each
(8) Security Screens - Installation a7 $5.00
each
❑ Aluminum skirting (?i, $1,008.00
❑ Vinyl skirting @ $756.00
❑ (6) Ticdowns into asphalt. and/or concrete
(4� $90.00 each
❑ (6) Ticdowns into dirt. @ $80.00 each
512,795.00
$185.00
$180.00
DELIVERY FREIGHT:
BLOCKAND LEVEL:
KNOCKDOWN:
RETURN FREIGHT:
$121.00
$145.00
S1;40 00
$124.00
C1.1. E CK DESI-RED
OPTIONS
Ext. Amt.
IVlonthly Ontions
Ext. Arnt.
$60.00
❑ (2) OSHA Aluminum Steps (per month)
$'710 .00
(ri? $35.00 each
$100.00
❑ (2) Door Bars (per mouth) ,;fii $3.00 each
$6.00
$40,00
❑ (8) Security Screens (per month)u? $5.00
$40.00
each
$1,008.00
❑ TattleTale Securit , (Rental) : r). $50.00
$50.00
$756.00
❑ TattleTale Monitoring ca $30.00
$30.00
$540.00
Final Options
Ext.. Amt_
5480.00
❑ (2) OSHA Aluminum Sicps - Knockdown
$60.00
0 $30.00 each
bb/H4/HZ d9:b5:Z9
SCOTSMAN
�r
Mobile Offices • Storage Products
And More
Object -Fax-> 9786828599 Shaughnessy, Jossely Page 883
WILLIAMS SCOTSMAN, INC.
Pelham Industrial Park
Pelham, NH 03076-2154
Phone: 603-882-2823
Fax: 603-882-7245
Toll free: 800-782-1500
Gina Wo• jdynski, Sales Representative
2 of 2
CLARIFICATION(S):
1 • Step setup pricing is based on level ground with clear access to site. Unlcvcl ground will incur additional charges
for leveling of steps.
2. Pricing is based upon clear, dry, accessible site with maximum 2' elevation change over length of unit. W/S cannot
be responsible for site conditions out of our control.
3. Iftiedowns are selected, Dig Safe # is required. Please allow 2-3 days after delivery of unit for installation. No site
restoration is included in this pricing.
4• Skirting pricing is based on average height of 36" and includes tcardown at end of lease. An additional charge will
be incurred if W/S is requested to remove the material from site ($100.00 for 8' and 10' vides, $150.00 for 12'
Nvidcs)..
5. Monitoring will be billed in addition to system rental.
CON24ENT(S):
Y Unit is covered by Willianis Scotsman's full term lease warranty utilizing our full time service staff. No
cleaning charges for normal wear and tear.
➢ Delivery is based on clear access to site for truck and trailer to truck set unit.
Quotation is Based on Availability
Y f will will not require a bathroom. Note: This option is not available on storage units.
5' If Step Rental Option is selected, step setup and knockdown pricing will apply as indicated.
Customer hc,�hy agrees to die ahmc quoted tniccs and spccificatimis. Cwtomcr farther authori7cs Williams Scotsman to make appropriate an-angcmcnts for the delivery of the
above described Equipment. Upon delivery, and Uot;l a subsoqucnt Lease Agreement is executed by Williams Scotsman (as T.cssrn) and Customer (as T,esscc), ttic Standard
Williams Scotsman Lcasing Terms and Conditions, wldik arc incorporated by mfercncc herein, will govern ibis tr-ansaction.
The items described above comprise the Equipment, which the Customer desires to lease from Williams Scotsman. All equipment is subject to availability. Physical
Darw a and Commercial Liability Insurance coverage are required beginning on the date of the Equipment's Delivery. In addition to the above quoted prices,
customer shall also pay to Williams scotsman any local, state, federal, or personal property taxes and/or any fees related to the Equipment and/or its use. (If taxes
and/or rocs aro quoted above, they arc subject to change based on deliver), address.) Payment terms are not 20 days, Pormitq, footings, stops, site preparation, cicctrical,
and plumbing connections arc not included in the quoted prieo unlagt spcciticaliy stated.
Construction Floor Plans
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UUi iV! U-.�. 1 3:UJ Fe13. UUJ 68;: 11:40 WILLIA2AS SC U1.S& _
M)
780 CNM,. STATEBOARD OFBLMMINGREGULATIONS AND STANDARDS
THE MASSACHUSE-1—f5 STAT SUILDING CODE
Local Enforcement Agency-, A deparcrrtent or
agency in a municipality charged with the
enforcement of 780 CMR and appropriate
specialized cedes which include, but are not
limited to, 248 CMR (the State Fuel Cas and
Plumbing Code) and 527 CNM 12.00 (the Stare
Electrical Cod�), as listed in Appendix A.
Manufactured Building: Any manufactured
building whidh has concealed elements, such as
electrical, mechanical, plumbing, fire protection,
insulation, and other systems affecting health and
safety, and which is manufactured or assembled in
accordance with 780 CMR and pertinent
regulations, in manufacturing facilities, on or off
the building site. Also, any manufactured
building as de6mcd above which does not have
concealed elements, but which has been approved
by the MRS at the request of the manufacturer.
"Manufbctured building" does not mean
"manufactured home".
Manufaemred Homey (Housing): As defined in 24
CFR, Pan 3280.2; a structure, transportable in
one or more sections, which in the traveling
mode, is eight bodv feet or more in width or font
body feet or more in length, or, when erected on
site, is 320 or more square feet, and which is built
out a permanent chassis and designed to be used as
a dwelling .with or without. a perrmaneiit
foundation when connected to the required
utilities, and includes the plumbing, hrating, air-
conditioning, and electrical systems . contained
therein. Calculations used to determine the
number of square feet in a structure will be based
'on the sTrt emm's exterior dimensions measured at
the largest horizhrttal projections when erected on
site. These dimensions will include aU
expandable rooms, cabinets, and other projections
containing interior space, but do tiot include bay
windows. (Sce 24 CFR, Part 3280,2 for a more
detailed description of manufactured homes as
dtfined by the Department of Housing and Urban
Development.)
Specialized Code: All building codes, rules or
regularions pertaining to building construction,
reconstruction, alteration, repair, or demolition
promulgated by and under the authority of the
various agencies which have been authorized
from time to time by the General Court of the
Comunonwcalth of Massachusetts_ The
specialized code;, shall include, but are not limited
to, 248 CMR (the State Fuel Gas and Plumbing
Code) and 527 CMR 12.00 (the Electrical Code),
as listed in Appendix A.
462
780 04R 3503.0 CONMRUMON
DOMIENIS
3503.1 Building System Plans: The buUdir3
system plans shad show in sufficient detail the
approved sysadn to which the manufactured building
or building component was produced; including
foundation connection details, component
connection cletsils, emergency escape window
locations anc. sizes, structural design loads, the
mamdh=1vr s data plate, the legation of all labels
required of 780 CW 35 and 780 CUR R3, and
other details as may be required by the Division of
Inspection. rhe building system plan shall bear
evidence of the approval of the Division of
Inspection ani evidence of third party engintcring
review.
784 CMR 35KO APPROVAL
3504,1 Gt;ktYW: The Commonwealth of
Massachusetts; Department of Public Safety,
Division of Itt.,peetion (bereinafter referred to as the
"Division of Inspection" in 780 CMR 35) shall
evaluate matadiwt ured buildings and baling
components aid recommend approval to the KERS
of those which it determines to be in compliance
with applicab a sections of 788 (2vM 35, other
applicable sections of 780 CMR, and 780 CMR R3,
as listed in Ap�mndix A.
All approv.da of plumbing. el.-cmcal or ;k=
systems shall be made by the appropriate stats
agencies having jurittdiction, as specified in
780 CMR R3, as listed in Append= A.
X%dU Approved tdstl: The Division of Inspection
may utilizz the ;-=4ts of approved testas to determine
whether a manufacrumd building or manufac-nared
building comp melt meets the requirements of this
chapter and the 780 CAM R3 as listed in
Ann•n.IX A, if that determination cannot be made
from eyaivaaon of plana, specifications and
documentation alone.
35043 Approval of compliance wourauee
progrm", The Division of Inspection shall evaluate
manufacturers` compliance assurance program and
make mcommaindations for approval to the BBRS
of those which it determines to be in compliance
with this chapter and 780 CMR R3, listed in
Appan&T A.
3504.4 Authorization to var;�: A manufactured
building, mamfLerwed building component or a
compliance awnanee program heretofore approved
in accordance with 780 CMR 3503.3, shall net be
varied in any way without prior authorization by the
BlaRS in a=rdancc with 780 CMR R3, as in
Appendix A.
180 CIMR - Sixth Edition 217197 (Effec.ive 2128/97)
–Os: 107 02 14:02 FAb 603 882 7245 WILLIAMS SCOTSMIN 16002/005
CHAPTER 35
MANUFACTURED RU LDINGS, MANUFACTURED BUILDING COMPONENTS
AND MANUFACTURED HOUSING
(This Chapter is enttlely Unique to Massachuse=)
Iso cm 3501.0 GENXP–kL
350!.1 Scope: The provisions of 780 CMR 35 shall
govern the materials, design, manufacture, handling,
storage, transportation, assembly, construction
and/or installation of manufactured braidings and
ntanufacrured building components intended for
Installation in the Commonwealth of Masmchuscas.
lldamfaciured buildings or manufactured building
components shall not be installed in any jurisdiction
of the Commonwealth Of Massachusetts unless such
manufactured buildings or manufactured building
components have been approved and certified in
accordance with 780 CMR 35, applicable provisions
of 780 CMR, and the Rules and Regulations for
Mamifartured Buildings, Manufactured Building
Components and Manufactured Housing, 780 CMR
R3, as listed in Appendix A.
3501..2 Manufactured bowing: When eonstrrtated
in accordance with the Code of Federal Regulations
(CFR) Title 24, Chapter XX - Office of Assisnnt
Secretary for Housing - Federal Housing
Commissioner, Departzncnt of Housing and Urban
Development, PflTts 3280, Manufactrtred home
cons=ction and safety standards, and 3282,
Manufactured home procedural and enforcement
regulations; marrufactured housing shall be exempt
from the provisions of 780 CMR 35.
Exceptions:
1. Foundations for manufactured housing shall
conform to 780 CMR 1806 through 1813, or
780 CMR 3604 as applicable;
2. Ardditicar, (when not a manWacared home as
defined herein) and site built modifications shall
conform to 780 CMR in its msiretl+, as applicable.
780 CMR 3503,0 IDEFRgMONS
3502.1 Gener9l: The following words and tttrnos
shall, for the purposes of 780 CMR 35 and as used
elsewhere in 780 CMR, shall hate the meaning
shown hercirt.
Approved: Approval by the State Board of Building
Regulations and Standards (BBRS).
Kanufactured Building Component: Any
rn;=ufactured subsystem, m1nufactured sub-
assembly, or other manufactured syscear dasigrled
for use in or part of a strucf= having concealed
elements such as electrial, mechanical. plumbing
and fire protection systertts and other systems
affecting health and safety, including variations
which are submitted as part of the building
systcnt&
Cervi::kation.. Any manufactured building,
manufactured building component or
manufactured housingwhich meets the Provisions
of applicable codes and 780 CMR 1U pus—t
thereto, as listed in Appendix A; which has been
labeled accordingly.
Code: 780 CMR (Tine Commonwealth of
Massachusetts State Building Code) or
spmiau=d codes as defined herein, and as listed
in.4ppendixA.
Department (DPS): The Department of Public
Safety, Division of Inspections.
Inspection Agency: An independent ag=cy,
so medmes referred to as the "third -party agency'',
retained by the manufacturer and approved by the
B];RS to perform inspections and evaluations of
m,muflAtured building systems, compliance
aswrance programs, manufactured buildings and
manufactured building components.
lnsta liation; The process of aMxing, or assembling
and affixing a manufactured building,
manufactu and building component or
taanufactnred housing unit(s) on the building site,
ar d connecting it to utilities, and/or to an existing
building. Installation may also metol the
cc,nnecting of two or more manufacnsred housing
runts designed and approved to be so cortnecxd
fcr use as a dwelling.
Installer of Manufactured Building: An individual,
who on the basis of training and experience, has
bl:cn certified by a specifse maaufacttuer of
rr,anufac =d homes as competent to supervise
the placement and connection required to install
the manufarruued homes of that manufacturer.
Said certification by the rnanufacttrrer shat) be in
writing; additionally, the certified installer shall
possess picture identification in the form of a
dtivrr's license or other picture identification
a•:ceptabla to the building official.
Label: An approved device or seal evidencing
cartification in accordance with the applicable
Lodes and rules and regulations promulgated
pursuant thereto. and as listed in Appendix A.
220/98 (Effective 3/1/98) 780 CMR - Sixth Edition 461
06:10/02 14:04 FAX 603 882 7245 WILLIAMS SCOTSMN
780 ClvM: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS
TFM MASSACHUSETTS STATE BUILDING CODE
with 780 CMR 35 and 780 CNR R3 listed in
Appendix A. The licensed construction
supervisor shall provide at least 48 hours notice to
the building official before the placement and
connection of such units shall begin.
3$48.2 Inspection: The local enforcement agency
shall make the following inspections:
1. The site preparation work including
foundations, , installation of any certified
mmruf=ured buildings or marnrfactured building
ccmponenrr or approved homes, and for all utility
service connections, including plumbing,
electrical, gas, water and sewer, for compliance
with the applicable codes,
2. taspect all certified motmfaciured buildings or
mwnrfacrured building compownis or approved
manufactured homes upon, or promptly after,
installation at the building sites to determine
whether all applicable instructions or conditions
have been followed. This may include tests for
tightness of plumbing and mechanical systems,
for rnaif=ctioes in the electrical system, and a
viwal inspection for obvious violations of
790 CMR R3. Destructive disassembly of
certified mrzrrrtfacnved buildings or manufactrtred
building components or approved manufacnrred
hones shall not be performed in order to conduct
such inspections. Nondestructive disassembly
may be performed only in accordance with
Tao Cam R3.
More: Notifi=�4on to the BB1t$. When any
local cnforwatent agency finds a violation or
suspects a violation vdsts. said violation or
suspected violation shall be reported to the
BBRS in ;rccordance with 780 CMR 83.5.6.
3508,3 L"ntnre of certificates ofoccupwpcy: The
building official shall issue a certificate of
occupancy for all certified memrfearured buildings
or approved mmrufactured homes that have been
installed and inspected and that meet the
requirements o080 CMR.
780 CMI 350.0 SUSPENSION OR
REVOCA 770M OF CER IJF7CATION
3509.1 Generrl: The Board shall suspend or revoke
the approval of any manafacwred budafiV or
mamjactured building component which docs not
comply vrith the provisions of 780 CMR or .with
780 CMR R3.
3509,2 Labels or cord icarion: The Division of
Inspection shall remove or cerise to be removed the
label of certification Isom any such manufactured
building or building component not in compliance
until such time :Ls it is brought into compliance with
780 CINM 35 ar,d 780 CMR R3.
95093 Notice arsuspension or revoearion, Notice
shall be subcnitt::d in writing to the affected parties
stating the reason for the suspension or revocation.
3549.4 Appcals Pmeedure- rill appeals from
suspension or revocation shall be heard by the State
Building Code Appeals Board as specified in the
pertinent provisions of 780 C14LR 12-2.0.
464 780 CMR - Sixth Edition 2!7/97 (Effective 2/23!97)
[a 005/005
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