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Home My WebLink AboutMiscellaneous - 529 Waverly Road iBUiLDING FILE �w mnmw Location • No. 4� . J Date d b jo.,M�oT:�tio TOWN OF NORTH ANDOVER 3 0AL Certificate of Occupancy $ s�CNUs �Suilding/Frame Permit Fee $ � "'Foundation Permit Fee $ ,d 04v• Other Permit Fee $ TOTAL /^� Check # 18882 � . `` Building Inspector TOWN OF NORTH ANDOVER , y BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATY2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING �' 5, x .�'g�,`,kr�' ZLvx s�,: „a. -- �',..-> '-""e .�„• s ri=FfiE fi�S$' BUILDING PERMIT NUMBER. 414DATE ISSUED: 1 � � a SIGNATURE: Building Commissionerff for of Buildings Date 0 SECTION 1-SITE INFORMATION Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 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 4- Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided d FlZone Information: 5. Flood 1.7 Water SupplyM.G.L.C.40. 54) 1. 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT Hisforic is ric : Yes o 2.1 Owner of Record � /fvi � _ �?D. yak 40 7,/'r11711t V17 o<?Co Name rint Address for Service: q�Ff .0 Sig_ature Telephone 2.2 er of Record: r v�S l/ mp Name Print Address for Service: Z tignature Telephone m SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ 191 Licensed Constructs n Supervisor: y License Number Add mn 4Expira�' ic gnature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number M Address Expiration Date ^ Si nature Tele hone Y/ 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 buildipg permit. Signed affidavit Attached Yes......SK No.......❑ SECTION 5 DesciriptikQn of Proposed Work(check all applicable) New Construction kr Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 11o,3 .2M o�00- OY SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Z 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) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 41 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 OWNER/AUTHORIZED AGENT DECLARATION r 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 ur Date S % ! SIZE NJ ��( s BASEMENT QM SLAB SIZE OF FLOOR TII RS 13V CZk/4/' 2N11 % 3 PD SPAN DIMENSIONS OF SILLS c9 X6 DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS o HEIGHT OF FOUNDATION THICKNESS A6 SIZE OF FOOTING d y X X 1 ' MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED L / IS BUILDING CONNECTED TO NATURAL GAS LINE SORT, T0VM of And No. Z. y� =: io A o dover, Mass., COCMICKEWICK IT ORATED j'p� �� 1 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR vac 44 THIS CERTIFIES THAT. .. ..�f ... ......... .... ......................C..:'.......... .....,......................... ..... ................... Foundation has permission to erect........................................ buildings on -S0.1... �. �. .. ..... .... ................... Rough to be occupied as............. Chimney ....... ...... . ......... ....... ....................... ............................................................................ provided that the person accepting his permit shall in e ry 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 Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC=1 TARTS Rough ......... .........� now&.......... Service BUILDING INSPECTOR Final OCC'Aparwy 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. NORTH ,9 TOMM of", :_ Andover No. 4/166/ -; r�� L A O dover, Mass., /it COCHICHEWICK �1 7�ADRATED �� Is BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR CTHIS CERTIFIES THAT.Wif C�j�.................. .:'.......... ............................... Foundation has permission to erect........................................ buildings on .X0.1... �.�e./'�.......... Rough to be occupied as............. Chimney ....... ...... . ......... ........ .................................................................................................... provided that the person accepting his permit shall in e ry 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 Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TARTS Rough 01 'It ;4��.......... 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. IL SEE REVERSE SIDE Smoke Det. F FORM U - LOT RELEASE FORM a2 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 HI I 464W PHONE LOCATION: Assessors Map Number PARCEL SUBDIVISION Jg018 LOT(S) h� STREET //7 0 ST. NUMBER OFFICIAL USE ON!, OMM W*A TS: 4LVV_1__U1 CO SERVATION ADMINI TRATOR 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 - SEWER/WATER CONNECTIONS C:.� DRIVEWAY PERMIT V FIRE DEPARTMENT ,,-, g Z d of� DECEIVED BY BUILDING INSPECTOR DATE Revised MY JM / I . G l Permit Number REScheck Compliance Certificate . Checked By/Date 2000 IECC REScheck Software Version 3.6 Release 2 Data filename: Untitled.rck PROJECT TITLE: Waverly Oaks MY: Haverhill STATE: Massachusetts HDD:-6413 CONSTRUCTION TYPE: Single Family `WINDOW•/•WALL RATIO: 0.09 DATE' 09/29/05 , DATE OF PLANS: 9/29/059/28/05 .PROJECT,DESCRIPTION: Unit#'x521,523,525,527,529,531,533„53 5,537,539,541 DESIGNER/CONTRACTOR: Highview LLC Russell F Ahem <PO BOX 160 Merrimac Ma. 01860 PROJECT NOTES: 30 X 22 footprint COMPLIANCE: Passes Maximum UA= 320 Your Home UA= 298 6.9%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter Ra-Value R-Value U-Fact 11A Ceiling 1: Flat Ceiling or Scissor Truss 628 30.0 0.0 22 Wall 1: Wood Frame, 16” o.c. 2402 13.0 0.0 176 Window 1: Vinyl Frame:Double Pane with Low-E 179 .0.340 61 Door 1: Solid 41 0.270 11 Door 2: Glass 30 0.350 11 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 364 19.0 0.0 17 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to The Commonwealth of Massachusetts. 4 Department of Industrial Accidents It Office of Investigations ' all 600 Washington Street Boston,MA 02111 1'i- www.mass v ' .go /dta Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): 4,.2 '^ 4 Address: City/State/Zip: �� Phone #: Are you an employer?Check the appropriate box: Type of project(required): I.❑ I am a employer with 4. �1 am a,general contractor and I �rekv construction employees(full and/or part-time).* have hired the sub-contractors ;"R 2.❑ 6.I am a sole proprietor orpartner-...... listed on the attached sheet. + 7 ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL l i.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4);and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers" 13.0 Other comp. in surance..required.] 'Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. %Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. /am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition.of criminal penalties of a tine up to$1,500.00 and/or one-year impr' ent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the v or. .B advised that a copy of this,statement may be forwarded to the Office of Investig he DiA for' ce c rage verification. Ido hereby �Ify a er s d 14 of rjury that the information provided above is true and correct. �Si natur • C- " F19 Date: Phone#: / V la� ` AU Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing inspector 6.Other Contact Person: Phone#: September 28, 2005 As the General Contractor we have on file in our office copies of Sub-Contractors' Worker's Compensation Insurance Certificates. Below is a list of said.Sub- Contractors. Senter Brothers J & S Connor Electric Thompson Landscaping J n R Gutters Diamond Paving Jones Boys Insulation Advantage Fire Hastings Floor Coverings R.S.S Construction New England Concrete Eastern Garage Andover Consultants Crack of Dawn Merrimack Engineering South East Construction Napolitano Marble &Granite J &J Heating and Air Conditioning New Place Carpentry Viewpoint Construction T & D Vinyl Maclellan Concrete • 1 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 at: '�-a t CoV 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. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: (Location of Facil' Signature of Perm/it Applicant Fire Department Sign off Dumpster Permit Date 04 S a60`s?� , ...., ,;. 'rfi _ j .r�'' ♦ (LL'1Rjj..,. .d:l:�a�.. � ( ' ..� Se ti 'Y 2 U►a1 I S!f J ITOPY. vi / -►SMA 1 h. _ 10 t "\ OP, ; pit1 yj C L9 OUT d PRAIA �,J L441 t %TORY PROP. 3000 GAL °''+' a act* To+RRra,u P taw, ,A„.r .1' S' UMP TANK p "'`"per•--..-/`�- ' � .b !`,,'• ` '`�. i �J` �y ��, ,' � j. � `� ._ k AMA 1 , ;''� ... ►.�'� do:t• ; A `i.....-.-- �1 ! "CLUD MAREMW nap�r t s . ' .w �rw c,ARLA•81,104 i4 . k~,,* ., 25 .f. A�!�. � 3' 6.04A4S34 5A0 .A5 Ob WAD AV _ .WVD® 80 �l µ PLAN 1 " _ 40' BOARD OF BUILDING REGULATIONS r License: CONSTRUCTION SUPERVISOR i Number: .CS 029340 Birthdate:.02/27/1960 Expires: 02/27/2006 Tr.no: 18394 Restricted: 00 to R USSELL F A HERN i 73 W SHORE RD MERRIMAC, MA 01860 Acting Cdhmlssdoner MASSACHUSETTS ^ NUMBER 031545360 DRIVER'S LICENSE —� + DATE OF BIRTH CLASS REST HEIGHT SEX 02-27-1960 D B 5-10 M W:a EXPIRES 02-27-2007„ AHERN � w RUSSELL F 73 WEST SHORE RD MERRIMAC,MA dei es 01860-1221 � Location No. Date j �oRTh TOWN OF NORTH ANDOVER I` s (7j Certificate of Occupancy $ •"o "a Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check #119460 �/ Building Inspector Paul Davies Assoc.,Architects June 23, 2006 Mr. Gerald Brown, Inspector of Building North Andover Building Dept 400 Osgood Street North Andover, MA 01979 Re: Final Report — Insulation Triplex- Units 527 & 529 Only Waverly Oaks Condominium Waverly Street North Andover, MA In accordance with Section 116.4 of the Massachusetts State Building Code, I hereby submit my final report for the insulation of units 527 & 529. Inspection of this took place on June 23, 2006 and the following was observed; z All insulation work has been completed, and generally in accordance with the approved plans submitted by this office. i ��BtliE08//g� Very my yours �`�'�J� :Q n Eia 3280 _ o : Yd MD PASS* ��S =,o' ASS. ' Paul L Davies, AIA 5 Mass Reg. #3280 of e� y RECEIVED JUN 2 g 2006 BUILDING DEPT. 635 Rogers St. Unit 4 Lowell, W 01852 978-459-2154 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATY2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: As 0-y �I d SIGNATURE: � Building Commissioner/I for of Buildin Date SECTION 1-SITE INFORMATION 1.1 Property Address 1.2 Assessors Map and Parcel Number: Map Number Parcel Number - I 1.3 Zoning Information: 1.4 Property Dimensions: y Zoning District Proposed Use Lot Area s Fr orrta 1.6 B ft UILDING SETBACKS ft i Front Yard Side Yard Rear Yard R red Provide R red Provided Rapired Provided LS. Flood Zone Information: 1.7 Water Supply M.G.L.C.40. 34) 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 11 nc is nc ; es 2.1 Owner of Record Name Tint Address for Service Sig_afore Telephone 2.2 Prer of Record: Name Print Address for Service: Signature Tele hone - - - - - SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ j� �/ , kV I Licensed Construcetn Supervisor: 7 l License Number Add Telephone Expire' n Dat --- _ S'gnature 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address — r fmow a� Si nature TExpiration Date z ele hone SECTION 4-WORKERS COMPENSATION(M G.L C 1.52 § 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 buildipg permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Descriptbk1n of Proposed Work check all a Ilcable New Construction jK Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: a C' -.T SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (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) C/.ODD /0� a i Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN Z OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I f 1 _ __ as Owncr/Authorized Agent of subject property Hereby authorise _ _to act on My behalf,in all matters relative to work authorized by this building permit application. SiLnial:ure of Owner Date SECTION 7b OWNER/AUTHORIZEDDDAGENT DECLARATION A, 0—(��SU 1 • //AaIJZ ,as Owner/Authorized Agent of subject Property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and tx:liet; 'rint F . ur Date N S j SIZE v -BASEIvIFNT SLAB RD SIZE OF FLOOR TINtI3RS 1` w 2' ` "l v 3 SP,,'N_— S DIMENSIONS OF SLI,LS _ D13MENSIONS 01•' 1�LENSIONS Of GIRDERS �(/7`A z 2 . 9 ' 1 i._'... ' VMIGHT OF FOU711DATION THICKNESS SIZE OF FOO"PING X MATERIAL OF CHIMNEY iS BUILDING ON SOLID OR FILLED LAM)— 7 ZY/T IS BUILDING CONNECTED TO NATURAL GAS LINT r✓ P _ �AORTH TONNM Of Andover yG . . ...... No. = Ela F (� `• �O S _ A'^' o dover, Mass ass., COCMIC M=WICK �A�RArSD I _`� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPEC'T'OR THIS CERTIFIES THAT.Wif .. ....Pti...�i!/..............4C..:'.......... ............................... . .. Foundation has permission to erect........................................ buildings on.. ... it. .. .......... :............. Rough to be occupied as.... Chimnev .. ................................................................................................... provided that the person accepting his permit shall in e ry 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 Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough g�� U EYPMES IN L MONTHS { T►q-*H c Final �.. �LESS CON5UTARTS ELECTRICAL INSPEC'T'OR �.• Rough ......... Service BUILDING INSPE; .CTOR 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.