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HomeMy WebLinkAboutBuilding Permit # 9/20/2016 %AORTH, BUILDING PERMIT 0* TOWN OF NORTH ANDOVER 0 h, APPLICATION FOR PLAN EXAMINATION 0 Date Received Permit No#: 301- 3019 AC US Date s u e d: Is tu IMPOR71 ANT: Applicant must complete all items on t1fis page LOCATION 0 o 4 1.-&F,4 Print PROPERTY OWNER 41 6w +VA blwi S/7 I vt;v yes n Print 1 oo Year Structure MAP PARCEL: '3 ZONING DISTRICT:.k' ,_—Historic District yes Machine Shop Village yes TYPE F IMPROVEMENT PROPOSED USE ---TJ N—ewBuild family D Industrial EJ Addition 11 Two or more family [i Commercial XAlteration No. of units: FJ Repair, replacement E] Assessory Bldg Ll Others: [I DemolitionE Other Ll Wetlands -E7W�ters obdplain , -tic, q `epti ell, S& '40 106teTIS D-ESCRIPTION OF WORK TO BE PERFORMED: A!f 4��A-ft Identification- Please Type or Print Clearly -�- Phone: OWNER: Name. L 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:$12.00 PER$1000-00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S-F, Total Project Cost: $ FEE: $ Check No.: Receipt No.: y fd NOTE: Persons eqntrae in ragaunr istered contractors do not have access to the guarant un e U gy. n tkoRTij '4 Town of T ndover No. h ver, Mass, �Q4 tocwiCefew�cK y1' U BOARD OF HEALTH PERMIT Food/Kitchen 4 d Septic System THIS CERTIFIES THAT ......... . *r.•.....,......1 S.,:T,............. . N. r.�IL...................................... BUILDING INSPECTOR has permission to erect buildin s on �0 Da Foundation .......................j.... g .... .:..........,.,......... ....... ......................... to be occupied as ... S /t l� IPA•� j�� w � A Rough Chimney............. !^!. ........... M......... M ...................... ....,....,.............................�.,... l�. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Final Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Fina] PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST TI Rough Service .. .. ........ ........... ......... UIL G INSP CTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildiu 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. 7W8 Common vealth qfMaswi'chuselts Departmeng of ndastrialAceldenty { I copgress Street, Suite 100 i s .Boston,.A 02114 201 ' '1�o�Trexs'Coxnpensa�.io�Xnsrcx'a�zce.A�da�t:$�c�exs/Coytxac�Q�rs/.Cleetxzc ,sl�'xi�.bars. TO BR FffRD WI'g TIE TAR3R1 J'NC-ATJTaO�J':C' ' A_PPIieanth a �'IeasePY'rot ��7.� (Busz�ress/C]rganizaiia�lt�.dividua7.): / �J �.s�r��/U . ,Addms: 50 Utylsta-telZip: /ud 460Ved © lj� Mone�`r: Axeyott a-O.emphyex7 C zec7 'die ap ixop "t,box. Type of project(xqc ed)» ].�T am a employer s 1z employees( ]I andlarpartiune) 7.• Q ems'eorisfa'uction. 2. - ZamasoIe�ap�dnxnrpazfnErshipand�a'�enoe�pIoyees'�arlun'g£nrmeix� S_ elzlode�:ig . any capaaiLy_WO worjmu comp.from ne regaked_l 9. �Demolition (4, �'-. ho€�ewo merddug01-WOrkmyseli. Ta�vorcersoazp_ 10 p$utldingaddition ahOmeowneraradwill babirangaaniractars�n canducfall4uorkanmypznperfy. 'WR' f (�7lec t ca Te at S o7C.adCli CORS ensure-than all —!coratra dors eithetbave yuozCers'cnmpensatian itzanee ar ora sole I p prci aiietars�ifhnoe playees. J2 Q-'fumbiggIopairs or adMorts 5.E]dam agerzezal coantracforand ba gebiredthe sola-eonizacfars l?s:edOntlae attached sheet. 13:QRaozeps taese soh-caniracfprsFiay�ezuplayees andleytOrl�rs'nomp_�su3:ance� 1.4.]l Other • d.�We are a oorpora�iniz ands�s pj�censlaaye e�ereisediherk�g1 t of e;iemprsn�.pex:M rC�a. Y I52,§1{4)andyzefiavevo anplczyees.VTPWoAcrs'camp.inseaanoeregrrirett] =anyapplica ttha cheo sbox41aausst also' tl outthesacfioarbelovtsl?oyringtheirytarl�ers'compensauonpolicymwmation. i$ameaylners-saSxa suli�:if�is�d�tzndicai'mgthey are doing all warl�aud;hen,7r{re oxrisicle aoniraeiarsaslustsq�Gmt a.ne�va�davi<ind7cat?ng sack_ ?Car�frac#nr:spas.Er�aec�r'�a3abv�anns�'atEacfxedaua�ditionaTsbeetsbr��iugth�gameofrhesnb-oanuaotorsaudsiate��eroznotihoseeniities3aave employees.Iftlte sub-coa roc ors e employees,.t eymust prcyide their•workers'comp.pOlicyaaumber.• -Ta,;,2 cry erriproyer&4t Yspral�zdAi 1g�vork�s'COMTeMatzon'n=rancefor y era ptayees '13eloiu he ,oZicy card o r sz�e infa�vatiov. Insurance CoUIpany wane: Polzcy#ar SeIf-ins.tic.#: Exp�ai�axa.�]ate: lob Site Address:So A/096 CztylStaEeL7ip:I tt4 17��d t�Cn G f Affacb.a copy oftheivox'kexs'compex4ationpOROy declaration.page(sILawh:gthe pa7scynnn2bar aud WixatrolL Clew). Failure to RUGU e cOV Gaga as xegai-rad.uxtderMOL a.152, §25A is a criminax'viOlation punishable by a iine up to$7,S 00.00 and/or one year inlprID-Utmnt,as WGJI as oxvA panaltier,in-the Bozm of a STOP WORK ORDS.and a fine Ofup to$250.00 a day against the-Violator_A•copy of tbis statement may be forwardert to the OMcs&Tnvestigati&m offh e AIA for hmirauce coverage vet-�catior2._ . xdo h e11 c fir r2:2r1 rie pat s axzdpenait es aj perj xy tlsai qhs in_fOMavo.MxOYictec r7ao;�e is�xue c cow=ect; Si aturo: Zate: 1 Official rrse ozaZy. _pa not-tprNexn this area,io die completed by ORY Or toren of,ficzaz_ CRY or Town- 1'exmitll,ieex�se# hsU!UgAu iox.�(czxcle one): i 1.130ard.ai$ealt 2.BuildbagI3epartm.e3lt 3.Czty/Z'o m Clerk 4.FrlectxicalIi sPeetox 5 Plurabingl spector S.Other Cowtactperson: I'b.onea : TOWN OF NOWrH ANDOVER 0 'FICE OF 0 B UILDING DEPARTMENT Its 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 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please g1int DATE: 1 JOB LOCATION:_50- Rely Nurnber Street Address Map/Lot JJ '7 HOMEOWNER. I*Sdlv,5hl '?1'7e_(f1V Name Home Phone Work Phone PRESENT MAILING ADDRESS— City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provide that the owner acts as supervisor. 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-family dwelling,attached or detached structures accessory to such use and/or farm 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"hoincowner" assumes responsibility for compliance with State Building Code and other applicable codes,by-laws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minfinun inspection procedures and r ernei7ts and that lie/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL —------------- Revised 8,2015 Form Homeowners Exemption BOARD OF APPEALS 6S8-9541 CONSERVARON 688-9530 HEALTH 68V9540 PLANNING 688-9535 6-8" Sewer Ra s a n e n Notes: Doors- 36" New 32" Entry door Proposed Utility access doors for sewer and pump '~ New stair railings to be decided Bath \ Ejection Flooring to be decided pump NEW 130 ► Y Sprinkler HeadFl� Electric 22'6" MI �' Storage Area Panel io `o Louvered Door 1 A�. a 2,g": __.-. — --- - Sprinkler Heads m , in cp � M O H2D In Ceiling Height 93" ` (84"where forced air duct is) NEW HW n �Y column Z Sprinkler Head ------ N IOn (�l� Furnace O Sprinkler Sys /4'4"► Finished Ceiling Height 88" o „4„► Sprinkler Head Play Area Q Sprinkler Head M1(Celling fordo r O0 swing) — Air '° Y~ co (Box out around o Duct -vW - --- air duct 83”finish) y ---�-�S�UC�y M1L 1 -, I 13 41 (Add 18x 4 i — slide win ) _.:. .. Window