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HomeMy WebLinkAboutBuilding Permit #159-15 - 100 DALE STREET 8/12/2014 10 R Th/ BUILDING PERMIT O�p4OR 6'9Q.0 TOWN OF NORTH ANDOVER 02 9, .,f '• 6 0� r APPLICATION FOR PLAN EXAMINATION ~ ' Permit No#: Date Received �'ewrED c5 ��SSACHu`-+�� Date Issued: PORTANT: Applicant must complete all items on this page LOCATION Print / PROPERTY OWNER COcAi- be—O& Print 00 Year Structure yes MAP_'= PARCEL: ZONING DISTRICT: Historic District yes o Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building X-One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Ce,�l- ` 78 - '-,'Z 3 Ide ification- Please Type or Print C early �5 . 0f OWNER: Name: C k s Phone: 47$J 6`� 6,�v� Address: (�� Contractor Name: .5-5"+&Phone: ge7c'�3— T Address: 1S6' _&( C/ �& �'� Supervisor's Construction License: CS C7 7//'9? Exp. Date: 5 •--Z'l— Home Improvement License: Exp. Date- ARCH ITECT/ENGI NEER ate-ARCHITECT/ENGINEER 4 A Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: 5S-5-y Receipt No.: 7,Pey NOTE: Persons contracting with unI egis Bred contractors do not have access t the g aranty fund Signature of Agent/Owner Signature of contractor • y J / t' Location 1d0 No.. f � /�- Date h c r TOWN OF NORTH ANDOVER f • Certificate of Occupancy $ Building/Frame Permit Fee rt Foundation Permit Fee $ Other Permit Fee $ TOTAL $ n" c Check# 4t� / 21889 GB/`�iilding Inspector r . _ l Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swuruning 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 II PLANNING & DEVELOPMENT Reviewed On o(5 /y Signature_ COMMENTS I�� �l L f'Z/DIS DK R F-RCV1 J ?Z3/e /,tZ'114L CONSERVATION Reviewed on � t Signature COMMENTS 6ucoA- Com \ 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 Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: it ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No I DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pen-nit Revised 2014 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 I o Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products �I 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 o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/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) ❑ Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 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:Building Permit Revised 2014 North Andover Board of Assessors Public Access Page 1 of 1 NORT„ North Andover Beard of AsAessors of,.�.e,•qmu _ ss e HCHUsITRroperty Record Card Click Seal To Return Parcel ID :21.0/037.B-0009-0000.0 FY:2014 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels W', Search for Sales Summary . Residence . Detached Structure Condo 100 DALE STREET Commercial Location: 1.00 DALE STREET Owner Name: OCONNELL,JOSEPH B CAROL OCONNELL Owner Address: 1.00 DALE STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 2.05 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 966 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 330,100 346,400 Building Value: 113,500 113,500 Land Value: 216,600 232,900 Market Land Value: 298,800 Chapter Land Value: LATEST SALE Sale Price: 65,500 Sale Date: 12/18/1977 Arms Length Sale Code: Y-YES-VALID Grantor: CADOGAN Cert Doc: Book: 01328 Page: 0109 http://csc-ma.us/PROPAPP/display.do?linkId=2433734&town=NandoverPubAcc 8/4/2014 r , NORTH - - . w 2 c ve" **. p No. h ?,oh ver, Mass, COC.I .ew.cM �1 GATED S U BOARD OF HEALTH PERMIT- T L D Food/Kitchen Septic System THIS CERTIFIES THAT .... © '.'�.4 1A14 G LS... '✓���:?.?? ................................. BUILDING INSPECTOR . . has permission to erect .............. ......... buildings on .. ....0...... ...r�...... ..yFoundation .......................... . Rough to be occupied as .... ...... �. ..................... �..................... ... '�. .�::!. .......................... Chimney provided that the person accepting this permit shall in every respect conform to the ter of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the In pection, 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 CONSTRUCTIONS ARTS Rough I Service ............ �., .S.............. Final INPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Copspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be. Done FIRE DEPARTMENT 1 Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-95.45 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 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. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: ri. l (Location of Facility) Signatu e Applicant Date -D) his % i5Saf- c�ce�r►� s ;�r Town of North Andover NORTH q Building Department 11ED6g6 1600 Osgood Street Bldg 20, Suite 2035 L , North Andover MA 01845 R "" Tel: 978-688-9545 Fax: 978-688-9542 �c - -- a . m" DEMOLITION OF BUILDING AFFIDAVIT �o����:w��K`�1 oR^TEo DATE OWNER'S NAME &ADDRESS LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION t�cx..` J� tc, rS d J CONTRACTOR'S NAME &ADDRESS X1256 DEPART T SIGN-OFFS 4 DEPT. OF PUBLIC WORKS -WATER: ,;�X(0d04.— SEWER: TREE WARDEN TOWN ENGINEER DEPT. OF CONSERVATION" HEALTH DEPT. SEPTIC WELL HISTORIC COMMISSIdN ce�e. �c-t PLANNING GAS �� G�Q� cv) 8� ' ELECTRIC ­5ci- lce, TELEPHONE TAXES POLICE FIRE EXTERMINATOR DUMPSTER- ON/r nFF STREET A!lley— 06• DIG SAFE NUMBER BLDG. INSPECTOR Building Demolition Affidavit r Town of North Andover NORTHIE q Building Department ��.111 D .,;b�a�o 5. o 1600 Osgood Street Bldg 20, Suite 2035 North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT • �d °RATED DATESSACHUS� y OWNER'S NAME &ADDRESS LOCATION OF PROPERTY TO DEMOLISHe- l�r�he. DESCRIPTION t CONTRACTOR'S NAME &ADDRESS DEPART T SIGN-OFFS �� DEPT. OF PUBLIC WORKS -WATER: SEWER. TREE WARDEN TOWN ENGINEER 419 DEPT. OF CONSERVATION' HEALTH DEPT. SEPTIC WELL HISTORIC COMMISSION (,Qt c) PLANNING GASC>h ELECTRIC TELEPHONE TAXES POLICE FIRE EXTERMINATOR ""���� / DUMPSTER- ONnur F)STREET /'�// lel`" DIG SAFE NUMBER BLDG. INSPECTOR Building Demolition Affidavit Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-071149 JEFFREY S HORNE ' 156 BAREHILL IM BOXFORD MA 611921 Expiration Commissioner 05/21/2011