HomeMy WebLinkAboutMiscellaneous - 446 WAVERLY ROAD 4/30/2018/-/ v � -2 /';
Location z2� Ysf-Cl� X 4v
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # 311
16585
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
..: .r.:' <,..,i... (, xF�a '. e5�� � Ndh_A,� �. ��f=•w za���#� t.''�S �iv&�?%im�`'k'R' i 1 }. fi`aj .F�
BUILDING PERMIT NUMBER: DATE ISSUED:
SIGNATURE: Au
Building Commissioner for of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
2 2 00 2 2 -
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
Zoning District Proposed Use
Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Re red Provided
1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information:
1.8 Sewerage Disposal System:
Public 0 Private ❑ Zone Outside Flood Zone ❑
Municipal ❑ On Site Disposal System ❑
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
Historic District: Yes ._,_,No
2.1 Owner of Record
111fle 71-410 WAL1110,112-1y goA-d
Name (Print) Address for Service
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable ❑
'IC R/1/0- ee(s&ti (:�-
Licensed Construction Supervisor:
Q 61 ycp 9
6 P 64,p Ale P -e s � I VeLicense
X14 , /�'A��P,Q /yt/1.
Number
Address
—A
Expiration Date
97 r 70 7
tgnature U Telephone
3.2 Registered Home Improvement Contractor
Not Applicable ❑
Company Name
Registration Number
Address
6�a9-2-CO;/
Expiration Date
Signature Telephone
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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 .......0 No ....... 0
SECTION 5 Description of Proposed Work (check all a hcable
New Construction ❑ 1 Existing Building ❑ 1 Repair(s) X I Alterations(s) ❑ 1 Addition ❑
Accessory Bldg. - ❑ 1 Demolition 0 1 Other ❑ Specify
Brief Description of Proposed Work:
ee fKo de- L /'r Zoo ie * Q ,,r G Slav z /'l, ,k,
I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY
1. Building
QD
W/
(a) Building Permit Fee
Multiplier
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
'doQ, '
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, ����' N /C'e/,rL.'A-) C— , as Owner uthonzed Agen 0 subject property
Hereby authorize to act on
My beatt authorized by this building permit application.
o
Signature o OvAmer 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/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS iST 2 ND 3
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
f II-IGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CITNINEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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4Farm DECLARATIONS PAGE 1
CONTRACTORS ADVANTAGE SPECIAL
1Family
Casualty Insurance Company
POLICY NO. 2005XO431
GlervwK New York
OF INSURED AND MAILING ADDRESS: AGENT N0. 2591 OFFICE NO. 2591
'HEN KEISLING JAMES W UGONE
3LENCREST DR FARM FAMILY INSURANCE
1DOVER MA 01845-1315 10 S MAIN ST STE 208
TOPSFIELD MA 01983-1832
978-887-8304
:WAL TRANSACTION EFFECTIVE 03/21/03
:CY PERIOD FROM 03/21/03 TO 03/21/04 12:01 A.M. STANDARD TIME AT THE LOCATION
OF THE DESCRIBED PREMISES
NAMED INSURED IS: INDIVIDUAL
`NESS OF THE NAMED INSURED: CARPENTRY-NOC
eTION OF DESCRIBED 68 GLENCREST DRIVE PROTECTION CLASS IS: 04
IISES NO. 01: N ANDOVER MA 01845 CONSTRUCTION IS:
FRAME
fISES 01 BLDG 01 BUILDING MATERIALS /EQUIPMENT STORAGE
NESS PROPERTY COVERAGE: LIMITS OF TERM ADDL/RTN
INSURANCE PREMIUMS PREMIUMS
LDING 0 0 0
;INESS PERSONAL PROPERTY 5,000 46 46
;INESS INCOME AND EXTRA ACTUAL LOSS SUSTAINED NOT
'ENSE EXCEEDING 12 MONTHS INCLUDED INCLUDED
".NESS LIABILITY COVERAGE:
;INESS LIABILITY — PREMIUM IS SUBJECT TO AUDIT
'ODILY INJURY/PROPERTY DAMAGE 500,000 PER OCCURRENCE
1,000,000 AGGREGATE
500,000 AGGREGATE FOR
PRODUCTS — COMPLETED
OPERATIONS HAZARD
fEDICAL EXPENSE 5,000 PER PERSON
'IRE LEGAL LIABILITY 50,000 PER OCCURRENCE
►E DESCRIPTION PAYROLL TERM PREM ADDL/RTN
;42AA CARPENTRY—NOC 20,000 379 379
LIMIT OF INSURANCE FOR THIS BUILDING SHALL BE AUTOMATICALLY INCREASED
5% ON AN ANNUAL BASIS DURING THE POLICY PERIOD.
'UAL CASH VALUE (ACV) — BUILDING OPTION DOES NOT APPLY.
ICTIBLE: $250 DEDUCTIBLE APPLIES EXCEPT WHERE NOTED IN THE POLICY OR ENDORSEMENTS.
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___79 i that the debris resulting from this work shall be disposed of in properly
licensed solid waste. disposal facility as defined by MGL Chapter 111, S 150 A.
The debris will be disposed of in:
(Location of Facility)
i
Signature of Permit A plicant
-�-- a3
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for this project
j through the office of the Building Inspector
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Name Please Print
Name:
Location: t v L ue e- ly
City it/C� l9l l� d (/��i� Phone # �7 8' 3 %
I am a homeowner performing all work myself.
0 -
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.
Comtnanv name:
Address
City. Phone #
Insurance. Co. Policy
Company name: ,
Address.. -
Cifir Phone #.
Failure to secure coverage as required: under section 25A or WL 152 can lead. to the imps ftn of criminal penalties of a fine up to $1.500
andlor one years' impdsonrnent_as YtWLas.cM aenalties-olheSarmxiA-STDPJNCMDRDER.and-afwd-($I A.W)silWAgainstm. 1
understand that a copy of this statement maybe forwarded to the Office of Investigaions of the DIA for coverage verification.
/ do hemeby certify under the pains and pena/fies of perjury that the vnWmabw provided above a true and correct.
Print nameS %e���P� /,)l _ ✓ 4e' ,,,i 11ij C Phone -#1 7.P3 Ir, ' f
Official use only do not write in this area to be completed by city or town officiar
City or Town _ P nsinQ-.
. ._
�jCheck if immediate response is required .a BuildingDept
Licensing Board
p Selectman's Off /ce
Contact person: Phone #. Health Department
Other
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Location WAY E-ZL"< Rb
No. 0 Ft� Date -:9) 1 10�99
T
TOWN OF NORTH ANDOVE8
a -am-2-111k
Certificate of Occupancy $
2E
Building/Frame Permit Fee $
SS CHUS
Foundation Permit Fee $
Other Permit FeeP.&tjo( s
ZQ
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
CU
Building Inspector
1 7955
Div. Public Works
PER31IT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
ZONE
SUB DIV. LOT NO.
LOCATION
OWNER*S NAME t111v'v"'e I. -Al 774/0
PURPOSE OF BUILDING
ji I f ao k-' 41
NO. OF STORIES S-IZE'
OWNER'S ADDRESS
'*yo,e,
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
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 A10
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION 1A, g
0� W-1
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 I 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
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
PERMIT GRANTED
19 't S'
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
OWNER TEL. #
CONTR. TEL. # ecP2-e),o 7Z
CONTR. LIC. #. -0-7 ;75/(P
H. I. C. # lole$lo:�
.gh OLi A
?r -7 1 TV' -.* r- - 2/214
BUILDING RECORD
I OCCUPANCY 12
�.INGLE FAMILY
S-ORIES
MULTI. FAMILY
�OF'N'CE'S
APARTMENTS
CONSTRUCTION
2 FOUNDATION
CONCRETE
8 INTERIOR
FINISH
PINE
HARDW D
a
1
2 13
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY WALL
17N F �N
3 BASEMENT
AREA FULL
1/1 1/2 1/.
FIN. B M T AREA
FIN. ATTIC AREA
NO B M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS
8
1
2
3
DROP SIDING
CONCRETE
WOOD SHINGLES
�ARTH
ASPHALT SIDING
�ARDV) D
ASBESTOS SIDIN��
COMMGN
ASPH. TILE
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS.
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR POOR
__�DEQIAII f�l
5 ROOF 71
lo PLUMBING
GABLE 11
GAMBRELI
�LAT
HIP
MANSARD
BATH 13 FIX.)
TOILET RM. (2 FIX.)
SHED
—
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
IL FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER EMS. & COLS.
STEAM
STEEL EMS. & COLS.
HOT W T*R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T G
UNIT HEATERS
7 NO. OF ROOMS
GA
OIL
B'M*T 2nd
lo I -T,_d,
ELECTRIC
NO HEATING
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.
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L,,qcation
No. Date 2 -AP-"
LORTN TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foupoatign Permit Fee $
CHU ��� --V-
Other,Pd"rmit Fee $ e,-)
%ewer Connection Fee $
Water Connection Fee $
TOTAL $
/711
guildinIg Inspector
6576 Div. Public Works
PER20T NO.-
0-- -7
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
6APAGE I I
MAP i4O.
LOT NO.
2 RECORD OF OWN ERSH--IP---7—D—ATE
BOOK PAGE
ZON E
SUB DIV. LOT NO.
I
I— I --
LOCATION
PURPOSE OF BUILDING A
24
OWNER'SNAME
NO. OF STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
-S�f" � 16 +
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME (I
SPAN
DISTANCE TO NEAREST BUILDING of
DIMENSIONS OF SILLS
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
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE X
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 I 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
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILEP-_
ilGNATUR-E--d-F OWNER OR AUTHORIZED AGENT
4
% 6 , C)
F E E
PERMIT GRANTED
19
OWNER TEL,
CONTR. TEL.
CONTR. LIC, #
3 PROPERTY INFORMATION
LAND COST 0
EST. BLDG. COS lftf!�L3 96
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HIFALT�
PLANNING BOAR13
BOARD OF SMXCTMILN
BUILDING Imspacrom I
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
- a 1 2 13
INE
CONCRETE
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
-FRY -WALL
UNFIN
3 BASEMENT
AREA FULL
1/1 1/2 %
FIN. 8 M'T AREA
FIN, ATTIC AREA
t!O 8 M T
HEAD ROOM
FIRE PLACES
MODERN KITCHEN__
4 WALLS
9 FLOOR S
CLAPBOARDS
B
1
3
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
CONCRETE
EARTH
HARD\',/ D
COMf,4CN
VERT. SIDING
�sp, -TLE
STUCCO ON MAS&NRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
CONC. OR CINDER BLK.
STONE ON MASONRY
WIRING
STONE ON FRAME
ERIOR POOR
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
G A M:B:R �EL
EFA:T
I
A
BATH (3 FIX.)
-tip
MANSARD
TOILET RM. 12 FIX.)
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
6 FRAMING
NEATING
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'TIG
UNIT HEATERS
7 NO. OF ROOMS
GA
OIL
B'M'T 2nd
I st I _j;d-1
ELECTRIC
NO HEATING
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.
wr— 1,
*0
OFFICES OF: TO`vn-Qi ,7 It
s
APPEALS NORTH ANDOVER
BUILDING
CONSERVATION DIVISION OF
HEALTH
PLANNINGPLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
120 Main Street
North Andover.
Massachusetts O 1845
(617) 685.41-75
1
In accordance with 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 defined by MGL c 111, S
150A.
The debris will be disposed of in:
0
(Location of .Facility)
2 C -
Signature of Permit Applicant
Z/tee/9'g
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
«
`
DAVID
RNCONE
ROOFING, SIDING & REMODELING
REPLACEMENT FREE ESTIMATES
____ _________ WINDOWS
in Kingston In Haverhill 14
��'8�A - '`g---'` ------
In Portsmouth �~���� '~'~^'''~~�''-'---�-- -
�' In Boxford 7-6147
7 Hillside Road, Boxford,MA. 01921
I/we, the of the premises mentioned below, hereby contract with and authorize you as contractor, to furnish
all necessary materials, labor and workmanship, to install, construct and place the improvements according to the following
specifications, terms and conditions, on premises below described:
State
uPaCu,IC*`z/uNm '
................................
2A'itcdaloand labor tocmt$-^.� �`/.---------'Puyub�--------ou-,`''---�-.-..------______
Contractor will doall of said work inugood workmanlike manner. '
Upon completion f above work, all undersigned agree to executeand deliver to contractor,their joiutuo6c in accord-
ance
may at its option declare the entire contract price or so much as then remains unpaid immediately due and payable. It is
agreed that if permitted by law contractor shall be paid by the owner(s), all reasonable costs, attorney fees and expenses,
in u"muvu to the ^^'`"°'^" ""= and °"p"^". that "^^"^^ be ^^^^u^^=" in e^""^`^^^e the ~`^^^^~ and conditions~ of thi--- ----ct
-
und/vruu'lienbz connection therewith.
/t is further agreed that this contract may be uooi0ocd by contractor; and also. that the obligations hereof ouuD bind
and apply to their beirx, successors or estates of the parties.
The undersigned warrant(s) that be is (they are) the owner(s) of the above mentioned premises and that legal title
t!`rr,\o stands of record in his (their) name(s).
rB0\/lSD: This contract shall be void and of no effort if credit approved of owner(s) is refused.
There are no representations,guaranties or warranties, except such as may be herein incorporated, if any, nor any
agreements collateral beceto, nor iothis contract dependent upon or subject to any conditions not herein stated. Any yub'
`Cnu,MA agreement in reference hereto shall he binding only if in writing and signed by all parties.
B,ocint of a copy of this contract is hereby acknowledged, and itiafurther acknowledged by the undersigned that the
foregoing provisions have been read and the contents thereof understood and that oorepresentation oragreement not here-
in n,o/^`n,d ohuD be binding upon the parties and that all of the agreements and understandings of said parties are con-
tained herein.
Owner orOwners are not responsible for Pcon*,tx Damage or Liability while job ioiuoperation.
Accepted:
Signed_...........................
Ovvoez
Signed-.---...----.--------------,--
Ovvoer
Per___________________—_-_----'---' 8i8oed-------.--.-''-,.---.--.-----
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