HomeMy WebLinkAboutBuilding Permit #Exception - 123 Millpond 5/1/2018 TOWN OF NORTH ANDOVER F 4° y -
APPLICATION FOR PLAN EXAMINATION 4t -
Date Received '� *��•'°y��
Permit N0: �SSAc►+us��
Date Issued:
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building ❑ One family
❑ Addition ❑Two or more family ❑ Industrial
[I Alteration No. of units: [ICommercial
❑ Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
D SCRI TION OF WORK T BE PREFORMED:
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I,d ntificatio Please Type or P int Clearly) 97
OWNER: Name: '`l cmto-P, Phone:
Address '
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PER IT:$12.00,PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 7 FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit.Application
o Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
o Building Permit Application
o Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
u Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING &-DEVELOPMENT ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑
COMMENTS
DATE REJECTED DATE AP D
HEALTH ❑ /t�y/a 7
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
1 Zoning Decision/receipt submitted .yes
Planning Board Decision:
i Comments
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Conservation Decision: Comments
Water & Sewer Connection/Siqnature & Date
Located at 384 Osgood Street Drivewa Permit
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Dimension
Number of Stories:___ Total square feet of floor area, based on Exterior dimensions._—
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter,location, mast or service dr
Electrical.InspectorYes op requires approval of
No
DANGER ZONE LITERATURE: Yes
MGL Chapter 166 Section 21A—F d G anmin.$100-$1000 fine No
NOTES and DATA— (For department use
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❑ Notified for pickup - Date
Doc.Building Permit Revised 2007
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EXPIRATION DATE THEREOF, THE ISSUING 60A1PANY VYILL ENDEAVOR TO MAIL
MILLPOND HOPiMMERS _3 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE
ASSOC IAIION LEFT, BUT FAILURE TO AVAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
123 MILLPOND LIABILITY OF ANY KING UPON THE COMPANY,ITS AGENTS 08 REPRESENTATIVES.
IJ ANDQIJER MA 01845
AUTHORIZED REPRESENTATIVE
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Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improveme4 tractor Registration
Registration; 155890
- Type: Individual
MARK AUDETTE t s Expiration: 5/15/2009 Trll 255443
MARK AUDETTE
18 HIGH RD.
NEWBURY, MA 01951
1 jt '.• Update Address and return card.Mark reason for change.
oPs-cni ¢s soM os os aceaso Address Renewal E] Employment Lost Card
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Board of Building Regulations and standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to.
RegiorAtl li aW890 Board of Building Regulations and Standards
;EItI► YI1 - /15+2009 Tri 255443 One Ashburton Place Rm 1301
Irirliidual Boston,Ma.02108
MARK AUDETTE''
MARK AUDETTE
18 NIGH RD. •'=:��-�; :: � � � "
NEWBURY,MA 01951
Administrator Not valid without sil[nature
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11/09/2007 11:01 9786238407 MEMORIAL HALL LIBRAR PAGE 01/01
GREAT NOR'T'H PR01PERTY MANAGEMENT
182 Newbury Street Phone: 978-2.78-4000
Peabody, MA 01960 Fax: 978-278-4008
PROPOSAL TO BUILD
Location: Millpond Town.Homes,Pool area off of Harkaway Road,N.Andovcr,MA
Pool.Filter Area in closure as requested by the Health Inspector of the Town of North Andover
Structure:
A three sided,roofed enclosure around the filter and pump area of the pool.
Leaving the existing fence which has components mounted upon,it,we will construct a 8 foot by
1.6.foot structure after digging 4 Sauna Tubes to the depth of 48 inches and.fulled with concrete.
Rafters and structures of 2x 12 pressure treated , 2x4 pressure treated, �/2 inch plywood, Tyveck
and 1.x6 shiplap siding.
Roof to be 1/2 inch plywood,with drip paper and 50 year O.C. shingle.
Plans attached
Labor and materials: $4,750.00
Approved and Accepted: Date:
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President
Millpond HOA
POLICE EMERGENCY 683-3168 MASSACHUSETTS ELECTRIC 683-9511
FIRE EMERGENCY 686-3811 WATER DEPARTMENT 687-7964 O
AMBULANCE 686-3811 WATER DEPARTMENT 688-2050
STATE POLICE 475-3800 (after hours)
LAWRENCE GENERAL HOSPITAL 683-4000 CLUB HOUSE 687-9602 (`O
BON SECOURS HOSPITAL 687-0151 MILLPOND MAINTENANCE 686-8611 �,/
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All of us at Millpond want to welcome you to our community. We hope you'll 9. APPEARANCES Our buildings and grounds are very attractive
enjoy it, participate in it and be proud of it. The following list of helpful hints is and we take great pride in them. In order to
designed to make you feel at home, bring a few of our rules and regulations to maintain this appearance, we want to remind
your attention, and give you an idea of how we function. you of a few rules and regulations:
A. All doors, gates and garage doors must be
closed.
1. HOMEOWNER FEES The monthly fee is due on the first of B. Toys, equipment, clothes and furniture
each month. Your check should be made out must not be left outside.
to: Millpond Homeowners Association and C. At least one car should be stored in the
mailed to: garage, and the other moved as required to
assist the snow plow.
Millpond Homeowners Association, Inc. D. Any window treatments visible from outside
Bank of New England, Bay State must have a white or neutral lining.
601 Chickering Road E. Dogs must be walked off the property and
North Andover, MA 01845 not allowed to mess common areas and
lawns.
2. POST OFFICE Your mail is delivered to our post office and not F. Any permanent installation in the courtyard
to your door. Be sure to check our bulletin must be approved by the Board of
board while you're there for important notices. Directors.
10. TRASH REMOVAL Trash should be stored in the outside bins in
3. SERVICE REQUEST Should you have a request for service from plastic trash bags. Trash pick-up is usually on
either the maintenance supervisor or the Board Wednesday. Be sure the trash bin doors are
of Directors, fill out a memo form in the post locked to prevent animals from making a mess.
office, and place it in the appropriate slot.
11. PRECAUTIONS You are responsible for your heat pump, air
4. BOARD OF DIRECTORS The Board of Directors meet on a monthly conditioning, plumbing, appliances, window
basis.The schedule is posted in the post office. glass, fireplaces and flues, and wiring as you
The meetings are held at the clubhouse,and we would be in any home. These should be
invite your attendance. serviced regularly by professionals. If your
home is vacant in the winter,please shut off the
water main under the sink.
5. USES Millpond is a residential community. No
business, commercial or professional activity 12. LEASE AND RESALE Should you decide to lease or resell your unit,
may be conducted,nor shall any advertising be there are certain regulations, releases, and
permitted in windows or in buildings. rights of first refusal that must be obtained from
the Lease and Resale Committee.
6. INSURANCE Millpond insures your building but you are 13. RULES AND This list is intended to highlight some of our
responsible for your contents, public liability REGULATIONS rules and regulations but in no way is it
and improvements. Please talk to your in- intended to be complete. You should have
surance agent. received a complete set of documents and rules
and regulations from the previous owner.If you
7. PARKING Only designated parking areas should be used. need a set of rules and regulations or have any
Please do not park on the lawns or so as to questions, please contact any member of the
block a neighbor's driveway.
Board of Directors.
By living together and pooling our resources, we gain many advantages.
8. POOL, CLUBHOUSE AND TENNIS COURT RULES ARE POSTED IN However,we do lose a little of our privacy and we need to be very considerate of
THE POST OFFICE. our neighbors. Therefore, remember the GOLDEN RULE.