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Home My WebLink AboutBuilding Permit 157 - Permits #157 - 60 WENTWORTH AVENUE 9/2/2004 TOWN OF NORTH ANDOVER ` BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIJ RENOVATS OR DEMOLISH A ONE OR TWO FAMILY DWELLING low 0116 BUILDING PERMIT NUMBER: J DATE ISSUED- p� R °r SIGNATURE: • �� O't.• " Building Comtnissioner/I for of Buildinp kate SECTION I-SITE INFORMATION ° 1.1 Propedy Address: 1.2 Assessors Map and Parcel Number: 4 moo Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 3. f i Zoning District Proposed Use Lal Area Frartago(ft I 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R tied Provide ReqWred Provided Required Provided 1.7 wata S M.G L.C.4o. 54) 1.5. Flood Zone tnformation: t.>1 Sew l qK"l System: h Zose Outside Flood Znae Mupiaipat On Silo Dispoul System Q Public 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT '717 2.1 Owner of Record f _ Pl�e�.tILI Name(Print) Address for Service: r AtL11*W av V7L LL-LL( Signs - Telephone ' 2.2 Owner 'Record.- Name Priin�n}}t Address for Service; _ �> Signatu . Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Lunge Construction Supervisor: Not Applicable G Licensed Construction Supervisor: f' License Number Address %� 3 Gz//4/ /� �'� � 1 /t� �F•P� , � Expiration hate S nature Telephone //{ Ir X 3.1 Registered 11ume improvement Contractor Not Applicable G �3 } 49 Company Name n Registration Number r Address r E*ration Date 2" Signature Telephone SECTION 4-WORKERS COMPENSATION(KG.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 buildinR Permit. Sianed affidavit Attached Yes Nm..... SECTION 5 Description of Pro used Work checltall,ppil"Ne) New Construction 0 Existing Building 0 Repair(&) 0 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other El Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Coni pleted by pmut applicant 1 Building (a) Building Pen-nit Fee Multiplier 2 Electrical Oa e7 (b) Estimated Total Cost of Construction 3 Plumbin Q -:;a 0- 0-0 Building Permit fee(a) x (b) Cr-0 4 Mechanical(!VAC 5 Fire Protection _; 2Z 7 6 Total (1+2+3+4+5L Check Number SECTION 7s OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby aiithorize to act on My behalf,in all matters rclati%e to work authorized by this building permit application. Signature of Owner Clh,, Date =770 i= SECTION 7b OWNEIVAUTHORIZED AGENT DECLARATION 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 Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB ND RD SV-E OF FLOOR TIMBERS X 16' 2 3 SPAN DIN ENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 15' x HEIGHT OF FOUNDATION _7 Z THICKNESS /0 SIZE OF FOOTING X MATERIAL OF CHIMNEY lye/V�- IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH own of _ _ _ over No. /57 _ " S ml CA E,a 4 over, Mass., COCHICHEWIC`( V °RATED }; BOARD OF HEALTH PER . IT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT----- 1s1� �.......SPA4 V 4 !!13e .F'- `• 4' S ��a 6. . Foundation r.. has permission to erect.S� .."1011i�obuildings on ..1&9.. PA-:r*^-VW&X.t457........ (2ey Izfo#o be occupied aS. �+. �+C...1'E1 ++�!. /f !.L' 4+,�► oZ��`.! Crl!t�raC# 1°lr" it!l '7� provided that the person accepting this permit shall in ev respect conform to the terms of the appllcatlon on file in Final c 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 INSPECaUR VIOLATION of the Zoning or Building Regulations Voids this Permit. P RMIT EXPIRES IN 6 MONTHS V E SP R UNLESS CONSTRUCTIONS TS ELE CAL ...................... .......... .................. BUILDING INSPECTOR a_a3_ate Occupancy Permit Required to Oca tpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner CS Street No. '?11 lc sl SEE REVERSE SIDE smoke Det. t i o' r..sa*a*R3`4 �"" acwa:s CERTIFICATE F USE & OCCUPANCY ITOWN OF NORTH ANDOVER Building Permit Number f _ Date 3 -0 o-?006-- THIS CERTUMS THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS L 1_ A-to1 IN ACCORDANCE WITH THE PROVISIONS OF THE MA SACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 3 CERTIFICATE ISSUED TO 4y t e f y In @ h)f �1,4 � r II Building Insfector I Town of North Andover 1pkORTH Building Department sl tt" 400 Osgood Street .�* ��a, �. 'a G North Andover Ma 01845 10 Z. 978 688-9545 Fax 978 688-9542 OpgTED sSACHUS� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS LOT NUMBER -_ SUBDIVISION DATE REQUEST FILED a~. DATE READY FOR INSPECTION C TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES, SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. WATER METER DAT'E � 4J D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE/DPW AUTHORIZATION ha,s E M i NORTH O Of -: � �_ L - over No. /57 0 . 11 .1' . ` 0 - T - ` � h LA E dover, Mass., 9721. of.,�� COCHICKEWICK A°A?arev �`2 . BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT '4i 1N � L17� R44i� .$ ?=lra C. Foundation has permission to erect.S�..WAW;%buildings on..41p.. ?ice' 4�Q.. ......... Rough to be occupied as.s! C� !e" ..�i�. .l�fM�. .I .�t 1..........ar��f�`- !C. t ev '� ...1.�"��t�/.�oT�.. chiznn provided that the person accepting this permit shall in ev 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 EMPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS TS Rough ............... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Fins No Lathing or Dry Wall To Be Done FIRE DEPARTMENT we Until Inspected and Approved. by the. Building Inspector. Burner co-#np. Street No. SEE REVERSE SIDE Smoke Det. NORTH TO" of .; L - Over /57 C% geyyT of �4 L O `� LA E over, Mass., • T COCHICHEWICK y Ao^A r E O H BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... is ! .i.1NC"�...V lk y ' ....................... FoundationS has permission to erect.k ?�..l Ai �l�{buildings on ..?�r..RA—U'T't o '1 ,..A1/t—Gam`........ Rough to be occupied /kgN001 r CAlre MO. Chimney provided that the person accepting this permit shall in ev 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 CONSTRUCTION S ACTS Rough ........ .....M ...........................�'�!'!�........................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy .Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove „u Ag No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSESIDE Smoke Det. FORM U - LOT RELEASE FORM 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*********************** J APPLICANT _qVt PHONE_JZL-6- -&t � LOCATION: Assessor's Map Number PARCEL SUBDIVISION \ LOT (S) STREET v,�`: u t ST. NUMBER_ USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENT. TOW LA NE R DATE APPROVED 2 DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTION Y" o,"n " ^ DRIVEWAY PERMIT � IRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jm z w The Commonwealth of Massachusetts d Department of Industrial Accidents m 1 Office of Investigations `w Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print 1 Name: Location: City Phone # 0 I am a homeowner performing all work myself. 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. Company name: Addressv. , atJ Citv: 4,IL c,QA 0f 6` Phone#: 7 Insurance Co. - Policy# C Company name: Address City: Phone#: Insurance Co. _ Policv#_ Failure to secure coverage as required under Section 25A or MGL 152 can lead to the Imposition of criminal penalties of,a fine up to$1,500,00 and/or one years'imprisonment-as well.as.clvil.penaftiesIn.the lam.of a_ST.OP WORK.ORD.ER.,and.a.fine.af(.5100.00.)-a llay against me. I understand that a copy of this statement may be forwarded to the office of Investigations of the DIA for coverage verification, ti I do hereby certify under the pains and penalties of perjury that the Information provided above is true and correct, Signature Dated o a Print name r.. . "I,e Phone# Z ,v L- Wit' °W<Kc) Official use only do not write in this area to be completed by city or town official" City or Town_ Fermitll,icensino �I ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board Selectman's Office Contact person: Phone#: ❑ Health Department Other i Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code RES checkSoftware Version 3.6 Release I Data filename: C:1A4y Documcntsllppolito Design Associates\Documents\Melriikas—Burke\Energy Audit.rek PROJECT TITLE:Andy Melnikas&Terry Burke Residence CITY:North Andover STATE:Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) WINDOW/WALL RATIO: 0.15 DATE: 08/30/04 DATE OF PLANS:August 28,2004 COMPLIANCE:Passes Maximum UA=703 Your Home UA=696 1.0%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perim R-Value R-Val U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 2142 30,0 0.0 75 Ceiling 2:Cathedral Ceiling(no attic) 716 30.0 0.0 24 Wall 1: Wood Frame, 16"o.c. 3274 13.0 0.0 224 Window 1:Vinyl Frame:Double Pane 312 0.490 153 Window 2: Vinyl Frame:Double Pane 89 0.480 43 Door 1:Glass 103 0.330 34 Door 2: Solid 38 0.540 21 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 2603 19.0 0.0 122 Furnace 1:Forced Hot Air,90 AFUE 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 meet the Massachusetts Energy Code requirements in RES checkVersion 3.6 Release I (formerly MECchec� and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 78 OCMR 1310 and J4.4. Builder/Designer___Lbk Date CERTIFIED PLOT PLAN Sett L. Giles R.P.L.S. `" � LOCATED IN NORTH ANDOVER, MASS. Frank. S. Giles R.P.L.S. 50 Deer Meadow Road SCALE:1"=20' DATE: North Andwer, Mass. ASSESSORS MAP#66 PARCELS#6&#7 13,731 S.F. 10' \ PROP.DECK PROP. 29,+ 1 KIT. o € -EY= EXIST.GAR. � PROF' PROP BEDROOM PROP,GAR, MUDROOM EXIST. HSE. 10, FND. i i t11 0 938'+I- ! E; LAID WENTWORTH AVE. ' I'vp CERTIFIED PLOT PLAN Scott L. Giles R.P.L.S. LOCATED IN NORTH ANDOVER,MASS, Frank. S. Giles R_P.L_S_ SCALE.1"=20' DATE 812 7/2 004 50 Deer Meadow Road L:--= �l 7 13$+/ North Andover, Mass. c `o' ASSESSORS MAP#66 PARCELS#6&##7 13,731 S.F. 10, PROP.BECK PROP. 29'+1- KJT EXJST.GAR. Q PROP. PROP BEDROOM co PROP. GAR. MUDROOM EXIST. HSE. 1(1' FND. #60 c, o � krl3 0 o� 9 Ili 1. V 138'+I- H LA WENT WORTH A VE. North Andover Building Department Tel: 978-688-9545 i 1 i 1 DEBRIS DISPOSAL FORM j In accordance w J 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: (Location of Facility) A, n Signatur of Permit Applicant Date NOTE; Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 1