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HomeMy WebLinkAboutMiscellaneous - 57 LINCOLN STREET 4/30/2018 57 LINCOLN STREET 2101056.0-001 5"0000.0 1 r NORTH Town of ? Andover - , ....... ... J.- i W.1 0f , dover, Mass., Q - LAKE GOCHICHEWICK RAT E D U ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System / / BUILDING INSPECTOR 066�^� �G �/f Foundation THIS CERTIFIES THAT.............. ................................................................................................................................................ has permission to erect........................................ buildings on .............................................. Rough Chimney to be occupied as.......................`.S /'.��.../. E'.. .��C .l ......................................................................... e provided that the person accepting this permit shall in every 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 b MONTHS UNLESS CONSTRUCTION STARTS Rough INSPECTOR Rough Service '�'`-��� �BL LDING 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. SEE REVERSE SIDE Smoke Det. t I + t1 GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4.Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor"bolts or straps Damproofing Foundation drain-pipe/stoneffabric filter/cover and outlet connection.. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. t Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal Girls-solid brick or steel plate bearing at foundations "air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode SIR wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. r Pirecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging,clean joints, 8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to,occupying structure. i A Location C 9 Z I ti(° No. O V Date � NORTH , TOWN OF NORTH ANDOVER k, O �«ao Baa •yG f?�os 9 Certificate of Occupancy $ �� °°•tt�a' Building/Frame Permit Fee $ 3 i SJAONUS Foundation Permit Fee $ Other Permit Fee $ 1 TOTAL $ 3 y Check # ` r 6545 Building Inspector E J TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING -„� •..»•, .` �. �... #,`.� '��� �5` ,.,j�'s� y,"�� •I�lr `_,-. �',�� ,r,� yr�'�.y ;' ,�� k2�au,.. .. �,;.�a sem' _ BUILDING PERMIT NUMBER: © y g DATE ISSUED: 7-3/ _a/ _ O M SIGNATURE: /4 Building Commissioner/IqEeEtor of Buildings Date SECTION 1-SITE INFORMATION 1.1 opedy Address: 1.2 Assessors Map and Parcel Number: O S� QMap 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 R red Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40.1 54) 1.5. Flood Zone Infornution: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood pone ❑ Municipal ❑ On Site Disposal System ❑ l� ys SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes NO M 2.1 Owner of Record Name(Print) Address for Service: tv Signature Telephone /I O-- W 2.2 Owner of Record: Name Print Address for Service: d z Signature Telephone SE TION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ b t Licensed Construction pervisor: 6q-2 License Number Address Signature , hone ce 7 7-y^ 710 r Expiration Date r 3.2 Registered Home Improvement Contractor Not Applicable ❑ ComAny Name J Registration Number A kiss - r t � 12 Expiration Date ^ Si nature Telephone G) 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.......❑ No.......❑ SECTION 5 Description of Proposed Work check all a licabie New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 7dition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL IISE ONLY - Completed by permit applicant ' I. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 1 SC51 d 3 PlumbinE Building Permit fee(a)X (b) 4 Mechanical HVAC p U 5 Fire Protection c� 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 I, as Owner/Authorized Agent of subject property J P P Y 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 1, as Owner/Authorized Agent of subject q property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief ,y Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHNINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i , I 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 properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: S (Lo ation of Facility) t Signature of Permit App ' t Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i I I Page No. of Page,S GALLOWAY CONTRACTING P.O. Box 844 \ METHUEN, MA 01844 (978) 685-7761 1-800-833-4918 PROPO EMITTED TO PH E DATE STREET JOB NAME 1"41 co/01 s t CITY,STATE and ZIP CODE JOB LOCATION - 44 ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: 36 A ar 'j�i Cd-se Piec-ip- ,Z1 g4344- ��K s-��►-.,.► .�h etc 1. ;� -P ® ��w� e.e�, ���� 1, etj course, 6- -vofl-j,;y o &A e-- C.-P— belt' Jii4rT CIA+P— )ke-A (s) P-k- Nie Propose hereby to furnish material and labor— complete in accordance with above specifications, for the sum of: �1�'4 - � ►1 gid- .Y�-' �' 1bc r i1 �j(Xj r7 L tr h dollars($ �. Payment to be made as folly A,;4 in �j-'J- ��_ (,S t. ��--�-►'v 1'} © Li�c3 i• 1� All material is guaranteed to be as specified. All work to be completed in a workmanlike 1W manner according to standard practices. Any alteration or deviation from above specifications Authorized ' involving extra costs will be executed only upon written orders, and will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our Not This propose ay be workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. Acceptance of Proposal — above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the Signature work as specified.Payment will be made as outlined above. -Date of Acceptance,:_`� Signature__ __ 13 63 i Board of Building Regulations and Staittlards HONE IMPROVEMENT CONTRACTOR Registration: 116499 Expiration: 6/21/04 Type: CSA ^ GALLOWAY i QNTI ,, TING TIMOTHY GALLOWAY 9 INAN St 1MMER LANE 1 � `y'`� J/ce-�a3rv�nQnu�,rcl� a�'✓�� u�elta I x BOARD OF BUILDING REGULATIONS i I-License: CONSTRUCTION SUPERVISOR ,Number: CS 047954 hdate: 11/23/1958 Expires: 11123/2003 Tr.no: 9231 � - -Restricted: 00 + TIMOTHY E GALLOWAY ° 2 INDIAN SUMMER LN -� METHUEN, MA 01844 Administrator ' a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 `''�+M S,•'' Workers'Compensation Insurance Affidavit Name Please Print I Name: Location: S� t✓I co ��- city 1V a ,An,Aver Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity Iaam an employer providing workers'compensation for rry employees working on this job. Compa v me: n a n Address city: Phone#- Insurance:Co. Lb" /tuk, PolicV# C_ Z— S Company name: , Address City Phone A Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of airnina! penalties of;a fine up:to$1,500.00 andfor one years'impprisonment.as_vadLas-dW maitiesiniheinun-faSTDPMNMDRDER.and a1be_c(($1D.0.M)_ajdayage�� i understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herebyunder the pains and penalties of perjury that the k*mra6W provided above is true and correct. Signature pate � � Print name__:Z�_ :A� PbonE# rj'7i 6 7?4 / Official use only do not write in this area to be completed by city or town official' City or.Town PermWLmensi . El, Buitdin 9.Dept []Check if immediate response is requred [j licensing)Board O Selectman's ffice Contact person: Phone# Health Department ❑ Other NORTH Town ofAndover No. Oq X dover, Mass. -a �- yoo ORATED P'Pa��S S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... .................................................................... Foundation p / e0 l� g .... l�V t O�il� s g has permission to erect.... ................................... buildings on ..... Rough h to be occupied as tz A.- q .( I �' a 'a fi/N I'w u 1N Chimney .... . ...... .................... ............................................... ........ ................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By ws relating to th Inspection, Alteration and Construction of Buildings in the Town of North Andover. �� �� 4340PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR jot* Rough l .............................................................................. 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. SEE REVERSE SIDE Smoke Det.