HomeMy WebLinkAboutBuilding Permit # 9/13/2016 VkORTH
BUILDING PERMIT
0
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received_-- ATE
SS CHUS
Permit No#:
Date Issued /3
IMP T: Applicant must complete all items on this page
D
In"'
LOCATION
PROPERTY OWNER 100 Year Structure yes no
2 ' Pring
----Historic District yes no
MAP PARCEL: a\`2 ZONING DISTRICT: Machine Shop Village yes no
PROPOSED USE
PROPU�
TYPE FIMPROVEMENT
Residential. Non- Residential
ne family
PR
OP
n
0
e
S
E
fa
Non-
__N_ I
FFP-- New Building xO o Industrial
Two
or
F1 Two or more family
0 Addition L [i Commercial
No. of units"
Alteration _N 1 __
D Others:
-EgRepair, replacement Ei Assessor Bldg
Demolition [I OtherOther
ric
W' ii
f6f6hed Dist—
Cl F166dplain 11 Wetlah
El"s6ptic `,D�Well
L];Water, ewer, RFOR�IED,
DESCRIPTION OF WORK TO BE PE
Identificatio
OWNER: Name: n- Please Type or P rint Clearly
Q C_k
Phone,
Address:
CN .
2
[Contractor N n Phone:
Email; CAT-L 0�, '72,
Address'. 22
I
Supervisor's Construction License:__C��_' _e ���Exp. Date:
I Lt�'J
Hoimprovement License: E_
uo _
ARCH ITECT/ENGINEER------ Phone:
Address:—
Reg. No.
FEE SCHEDULE. BULDING PERMIT.-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F,
Total Project Cost-. _FEE; $_
Rec N 42
,Qfieqk
t guaranty.fund
NOT rso con a ng iv, un egisvred carotiactors f1d" iptav access
g-natu
4 NORTH
Town of = s_ 6ndover
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No.
Q R�,�, h ver, Mass,
C¢[NIG�aI W.t l[ V
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ..• T,.�4.Vv. ........ ........ '..................... .......... ........ BUILDING INSPECTOR
s �y�cwe �® Foundation
has permission to erect .......................... buildings on ......... ...... r4C K1.7.... .. .ir..4 ..........:;
Rough
to be occupied as �Q •...,
p �l�i�•.., .. ........... . Chimney
provided that the person accep g this permit shall in every respect conform to the terms of the application Final
on rile 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 16 ® TS ELECTRICAL INSPECTOR
UNLESS CNSTR TIO STARTS Rough
Service
. . .. ... . . .........
...... ............ Final
BUI ING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildin 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.
Smoke Det.
TOWN OF NORTH ANDOVER
OF CCE Ole
BUILDING DEPARTMENT
1600 Osgood Street,Building 20, Suite 2035
North Andover,Massachusetts 01845
Gerald A.. Brown Telephone(978)688-9545
Inspector of Buildings, Fax (978) 688-9542
HOME,OWNER LICENSE EXEMPTION
BUIDING PERMIT"APPLICATION
DATE: —
JOB LOC A11ON: ?)(A C) '10,6A S 6 --------- ----------
Ntunber Street Address Map/Lot
I-10ME(7WNER
Name Home Phone Work Phone
PRESENT MAILING ADDRESS 0 0 o S"V)
�Ak i
b-.CAA�41() 0 6
---------------
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner omupied dwdlitigs of one or two family
dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,prmovided
that the owner acts as sui)ervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one-or two-fainily dwelling, attached or detached structures accessory to such use and/or faun structures.A
person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR
Section 110.85.1.2)
The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable
codes,by-laws,rules and regulations.
The undersigned"homeowner"certifies that hels e understand the Town of North Andover Building Department
MMIMUDI inspection procedures and requirement Y-n.' at he/ c will comply said procedures and
requirements.
HOMEOWNERS SIGNATURE,
APPROVAL OF BUILDING OFFICIAL
Revised 8.2015
Form Homeowners Fxemption
BOARD OF APPEALS 688-9541 CONSFRVATION 689-9530 HEALTH 688-9540 PLANNING 688-9535
Sales: 800.448.3636
A CM FPhone: 804.271.2363
NEw GENERATION Fax: 804.743.7779
AMTGET IT DONS1 A ORMWATER MANA(,EMEN'I' SOI," )"".rIONS acfenvironmental.corn
LE 'S E
Site Development and Retrofit 9 Low Impact Development 9 Green Infrastructure
TO CAL PO I NT(h igh flow bioflItrati on) R-TANK(modularsubsurface storage) PAVE,1)RAIN(paving,drahmge,storage) lw"ABCO(de(:eritriulizecltreatn,ieiit:)
it
h..
�r.
Massachusetts Department of Public Safety
,r Board of Building Regulations and Standards
License: CS-088997
Construction Supervisor
MICHAEL V MAMMOLA
22 MERRIMAC SIRE
AMESBURY MA�019,1
11 w
Expiration.
Commissioner
0910912017