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HomeMy WebLinkAboutBuilding Permit # 8/10/2015 %AORTw BUILDING PERMIT TOWN F 6®!NORTH tl $,�' h�'.dry .�'•, 46 APPLICATION FOR PLAN EXAMINATION o Permit No#: " Date Received �•9 A�Rareo rPa,c(c! SSRCHUSfc Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION O i Print PROPERTY OWNER ALIL aAC' Print 100 Year Structure ryesnoMAP PARCEL: ZONING DISTRICT: Historic District Machine Shop Village TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Aone family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ ,, ✓' Vii, , . / /0 r/.r ,rii ,G ,� /l , ,.. I � rl / ,, /, /�//// i//.,, r 1 Se �c , ,, U�lel/�/ ,D� / % /r/ �,F ood to/,///, /Wetlands % /�� ❑ Watery f edlD stnctl, �/,�, l � r DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: v Address: + ° Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.,$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ . FEE: $ ° Check No.: b b Receipt No.: NOTE: Persons ztracting with unregistered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Taming/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORINT PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS T NSERVATION Reviewed on `� Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer ConnectioniSiignature & Date Drivewav Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE L7EPARTNIENT, Temp Dumpstern osite,. ,yes n i ✓ i iii of G/ Located at 124 Main Street fi°,9i;1 io Fire Depaftrinent signatutere/da 4 COMMENTS %AORTH Town of Andover 0 0%0 - _ LAKE h veri, ass, � o 'e- COC H.C.ewccx �. BOARD OF HEALTH Food/Kitchen PE IT T LD Septic System THIS CERTIFIES THAT . . i` ...' �/�c' r'�%/ G BUILDING INSPECTOR , . , . ...................................................................................................... . Foundation has permission to erect ......................... buildings on ZY.Arc_�,K....... ..................................... . /�.� L a Rough �'\F / LE CSrj,' / � x k. //VQ r/�r CS' to be occupied as ................. ...................................,1... .........( ..... ....................................,r'......... Chimney provided that the person.accepting this permit shall in every respect conform to the terms of the application Final on file in 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 UNLESSI TARTS Rough � .......................... Service BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required t® Occupp Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. _ Burner Street No. Smoke Det. x8/43 ' 12:48 FAX 978 837 3336 NOR'T'HERN ASSOC -s NICOSIA &ASSOC 171001 MORTGAGE INSPECTION PLAN NORTHERN ASSOCIATES, INC® 401 SOUTH 8ROADWAY,LAWRENCE MA.01643®3522 TEL-.(978) 837-3335 FA,X:(978) 837-¢3336 MORTGAGOR: DAVID J * PAMELA M 5WAPBRJCK DE10 REY. .4516/23 LOCATION: 14 PEKKY 5TREff-T FLAN R,Eff: 173/GOO CITY,5TATE: N ANDOVER., MA SCAL1: 1"=20' DATE: 5/27/03 J015 #: 203-OG 140 5 hct 50` SHED LOT 14 4,572 S-P. LOTH � 1� ffi ti , I DeCK u� m m 5TORY r r r WOOD I } #14 PORCH PERRY STREET URTIMED TO: GUARANTY Rr5lDENTIAL LENDINd INC Flood hazard zone has been deteTmiiwd by scale and is not necessarily accurate.Untii definitive piens h" dccninrL hu N9I1) arzt/or a varEiord canimL sup-uav l"ti To"0-v j�mm ANDOVER �y�ryJsOFIRIC`E' aJ1�� . ry'��{�} •. AWNT .�_6i00 Qsgoat St eofBuffdmg2(} -Sift,273f3 r •NOfth.Anbvex'g 1VCassachusett6 01845 �li�{i115�. �rexald.�,l3xown �`elelil�.one(978 SSS 955 I,gpr-Gtox-omildings Wax (978)6$8-9542 R07YMOVMP.'EICENSE MW if ON , please rin-E ` DA.TE. LL� i QB LOCATfON., �� ° J �4 umbex sfxcet zess lap/ of ., 'Wor�l'kone PRE-SENT MARiNGADDRMS CC'tsi'�'�,t�m Staf~• - Vip Cods TILL euzzent exemption fox" omeownexs"'vas extended to��luc�eownex oectipxed di�1e(lings to t4vo units faa71o� sup ?omPo:�erston!gage anhciv;fial-forhlrf, AGCIoesnotpossessalieGnse,pxovzded!hat ieo-wnez' acts as supezvisox�, ,�iateBuiiding (Code�eotion,1�8,3a5•�� - b-MMITION OYHOMEO'WNER , I'exson(s)who awns apazcel ofland on whic:.lae horeszdes or znfends to x-esirle,Olt WMch fhere is,ox is xnfended to 7ab,a one ox�a Family sfzaetuzes. .l�.person'wlto cozLsfrtzcfs m.ore�iat.one�.ome in:a.t�10�eazpeziod shall,uot'be eonszclereda�.on=teo�nex _ Tho tutderszgned"kzome�wnez°'assumes resgonsib lityxoz Applrcable cGt)mplianees Wzfh the sfatoBuilding Code anti offer odes,lay laws,m1og anti-Xagulafzons, noImclemigned"homeow.uex"carti.Res that he(19fila nd staxt s fie Town of9DT h.AndovFrB-aiJd ng Deka tmoje t e1t1Li1rollxu7nS�7B�fioA��oC�C�ltieSazlC�Xei�ltiYeza fs d at e(�1e.V011complywithsaldpyocoduxesand ^^x--'ecl--u��p�---��ezn�en-fsy, p C C T T�`,5 rip y- HOA "•OYY.LY.E%tlS t31CTr,�,y�5..4lJ.�i 4 ' &PPROVAL OF J31UDWG OFFICIAL, 3ey}sed�.�009 . �oxznFlozneowners�sxempEion QA DOF'APPEA75689-9,541 CONTSEM'A•1'10N698-9534 -W.AT'.T61K�a_oxin urair, ,z The Commonwealth ofMassochusetts Department ofIudustrialAccidents X Congress Street,Suite 100 Boston,MA 0,2. 14-2017 w w w.m ass.go v1diar SJ• Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FILED WITM THE PERMIT`ITNG AUTHORITY. Applicant Information Please Print Legibiy Name (Business/Organization tndividual): t!­ L,) P,6&N(AL .Address: ( "1' IC � City/State/Zip: ficz � Ali Act Phone Are you an employer?Check the appiopriatebox: Type of project )Vequired): 1.F1 I am a employer with employees(full and/or part-time). '], []New construction 2.Q 1 am a sole proprietor or partnership and have no employees working for me in 8. Remo delirig any capacity-[No workers'comp.insurance required.] 9. ❑Demolition 3. I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10[]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance-t 6.❑We area corporation and its officers have exercised their right of exemption per MGL c. 14.('Other e 152,§1(4),and we have nq employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-con6c6s have employees,Vioy must provide their workeis'comp.policy number. I am an employer Mat ispi oviding workers'compensation insurance for my employees.'.Below is the policy and,/ob site information. Insurance Company Name: Policy#or Self-ins,Lac.#: Expiration Date: rob 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 MGL c.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,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 violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby in d r /ie p ins andpenalties ofpeiyujy that the information provided above is true and correct. Si nature: Date: Phone#: U"a 6 Official use only. Do not write in this area,to he 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#: North Andover MIMAP August 10,2015 „I I �y/sir iii wi/Illi P� Ni y u, U i o, rrt a err r ,- ro �i r i CI MVPC Be Interstates __I Horizontal Datum:MA Slateplane Coordinate System,Datum NAD83, —SR Meters Data Sources:The data for this map was produced by Merrimack NORTFq Valley Planning Commission(MVPC)using data provided by the Town of Roads O {u North Andover.Additional data provided by the Executive Office of Co Easements a e.6 0 Environmental Affairs/MassGIS.The information depicted on this map is t Parcels L for planning purposes only.It may not be adequate for legal boundary MO- --• toA definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSEDOR IMPLIED,CONCERNING ♦ >♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY 4.s OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT �F o94 •,.� �° M ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 0pM{D�PPy� THIS INFORMATION �SSACHUSSt V=39ft ��° North Andover MIMAP August 10,2015 105 BEVERLY ST 005.0-0016 005.0-0011 005.0-0010 9 PERRY ST 5 PE41Fi'ha+ ST 005.0-0012 005.0-0013 13 PERRY ST A9, 005.0-0015 45, 7A' 21 PERRY ST AV 'Street 4', v , f I �,. 005.0.0021 2 PERRY ST 97 1 6 PERRY ST s 1 005.0-0022 R4 005.0-0023 � 14 PERRY ST t, 11.5 PERRY S 1't., i 005.0-0024 i� a' `t t � I t t 24 PERRY ST 005.0-0036 005.0-0035 TT 005.0-0032 005.0-(11]34 .317 MIDDLESEX ST v Lo 005.0-.0033 co 313 MIDDLESEX ST C0 rn n 327 MIDDLESEX ST' 331,MIDDLESEX ST 56 005.0-0037 MVPC Be WeOands Zoning Busine s i District CD Municipal Boundary Exempt Lands G;Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, — Rall Line Nwd Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack M Busine s 4 Di0ticl ORT Valley Planning Commission(MVPC)using data provided by the Town of Interstates H H I W0 Genera,Business District O'f oto � 'q North Andover.Additional data provided by the Executive Office of —SR I'!:Go ridCommercial Dev `rtt '6. North Environmental AffaimlMsssGIS.The information depicted on this map is Go rid Development Dist ,�.} OL for planning purposes only.It may not be adequate for legal boundary Roads Corrido Development Dist O —• `" fn definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER qmp Easements FA Corrido Development Dist MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING '.. ❑Parcels Indusid 1 District * -'% * THE ACCURACY COMPLETENESS,RELIABILITY,OR SUITABILITY Indualn 12 District i + .y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Zoning Overlay f3.Indusl6 13 District y,e " ��Y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF [3 Adult Entertainment M Industri I S District 4aop"'"'" `,�5 THIS INFORMATION 0 Downtown Overlay District Reside ce 1 District [x4 Historic District Reside ce 2 District sSACHUsk ©Water Protection Residee 3 District Hydrographic Features dee 4 Disldct 1"=39 ft dee 5 District Streams Edee6 District "".g.1esidentuil District '.. North Andover Board of Assessors Public Access Page I of I ,%ORTN N, orth Andover Board of Assessors *00. wdo 'Property Record Card SU Click Seal To Return Parcel ID :210/005.0-0023-0000.0 FY:2015 Community : North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary IT Residence Detached Structure I.,"it Condo 14 PERRY STREET -0 Commercial Location: 14 PERRY STREET Owner Name: SWARBRICK,DAVID SWARBRICK,PAMELA Owner Address: 14 PERRY STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 0.11 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1497 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 301,000 297,400 Building Value: 155,000 154,600 Land Value: 146,000 142,800 Market Land Value: 146,000 Chapter Land Value: LATEST SALE Sale Price: 160,000 Sale Date: 02/19/2002 Arms Length Sale Code: A-NO-FAMILY Grantor: SWARBRICK,JAMES Cert Doc: Book: 06675 Page: 0238 http://csc-ma.us/PROPAPP/display,do?linldd=2614670&town--NandoverPubAce 8/10/2015 North Andover Board of Assessors Public Access Page I of I NORTH Morth Andover Board of Assessors T.4 S �ZProperty Record Card Click Seal To Retuni Map/Block/Lot:210/005.0-0023-0000.0 Pat-cc]Address :14 PERRY STREET DETACHED STRUCTURE DATA Structure: Value Msru�tl Msrmt2 Value - Grade Condition Metho Search for Parcels FSH_E7D_- j S IEQUPMNTI200 100.0 OFEQET RT AVERAGE Search for Sales POOL- 900 100A �JSQUARE- �ABV-GND FEET Surnmary Residence Detached Structure Condo Commercial http://csc-ma.us/PROPAPP/pailiculardetails.do?subAction--DetachedStructure&town=Nan... 8/10/2015