The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #151-2011 - 1075 SALEM STREET 8/20/2010 i' "oRrk BUILDING PERMIT of 0 TOWN OF NORTH ANDOVER p APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �SSACHUS�� Date Issued: d11,0 IMPORTANT Applicant must complete all items on this page ti,+� '''ta.'e.,9 . -c^�Jstr`L,' � a" gi 'K��IG#TaljS'. � � �� " r�"��#Uzi g��'�� '�'tr�f r,#ja•��r��ke'i�'�� Tc'�`"§n� �r�� '.•g•�t�*��h}ca�� FtiFF.,4�fi�, � �..•: �2'�., � z,.'��rGi ��r�y'^�� 'Cs� r� . i � 1 �Zi-.^'�U•�.<u��J+y.Fmlrcim,�l� R.�` � ''� � rf�� aw' ��^ t"T�'+ h�}��'�' ;"z � rcx�'t��y�t i p, 1 ��flTl�' 1 W. ,fi - .y-�#„ -a6-�'L_m shy y3i�..3:8X"x1 ->�r�, �.f^U` �i' �L '4 '.0-7'• �T t�i•`Z'( y�c, N ,S��', ..� -+Lc'��.,�+R't� d'''-�3OP, 1 .rn.;^+' -rce :: vi. 1A'�I,a� i,.. R TYPE OF IMPROVEMENT PROPOSED USE vKesidential Non- Residential I New Building -One family Addition Two or more family Industrial Alteration No. of units: Commercial repair, replacement Assessory Bldg Others: Si Demolition { Other .WIN BMWliar , ..4r;s�.. � It' '�F, .faLt �_. . .,.. _.-..r- .. .,e-:=J +h ',m"re.e.✓c,.rs,..s! =~ _,ns� p-'r'''s .yw �` S.R,..? '}i-"`3�`,1��61` -k ;_..`•1, 1'. DESCRIPTION OF WORK TO BE PREFORMED: RSFLACE ME-t.t-t 6P ALL S1b17Q<G RT=- {'LACF_M1E-WT OP SOME. Identification Please Type or Print Clearly) OWNER: Name: S I N E W AM IT. &� CEF-TA - Phone:9-7 8-658-12-7 8 Address: 107S SALEM ST. , NOQTK MQIOVER, MA 018+5- 4-3og _ _ A k fit" s�v^e t" yIT ir�r 111 In l .'Ymrzr''rc 'moi'- rte", ,��' w' is� 'n bac..-^� nrrt�-u'C+'s` '`�x v'"§`ra ar,.. {-, .�r/,, p+ NNW y c GIJ411�i a�+'. kSrFy(^�.,'�.?t" 5%��vvTxk^'^ ,x S � "�T�Es :�M�ffl.�+f�Yomuh. g _ M`e '_.'t14 La. �, F4•f a-�S�fi"` `s"d 1,21 IN= 11. 'r '! �w�qp 1.,y{L n e " Ei rk - � �r 4" 'r G'�' •�'' 'rA .�� ..�, -�- .� '�"�ufi�=�,y�'y,�21�'�, 4L�?r'"• -�'`",.d:5t3E�'�.ss!`�"r"��,�'-sWr.9. .si- ky ,�e.� �r- �'� x�� Y- .f-�t�i .. ��r:� k�. y.x `�� k �#'4 '� $u f ��'2a �,- ��»M,.r•-�.�� -u3f � y, �o ,t� �' ��r'+.3...., irik,d�..,.....�_?�.�✓��ems. "hx��.•',� 7A�..h ��tc t .l' R2ah �c�r f�' �•" ARCHITECT/ENGINEER Phone: '` Address: Reg. No. FEE SCHEDULE:BUILDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $2-000 • - FEE: $ Check II ��/� Receipt No.: -�Z,� y NOTE: Persons contracting with unregistered contractors do not have access to the guaranty.fund Si n�ture�f rA ela�/O nuu I Building Department The following is a fist 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 ❑ 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 ❑ 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) ❑ Engineering Affidavits for Engineered products i 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 ❑ Certified Proposed Plot Plan. ❑ Photo of H.I.C. And C.S.L. Licenses ❑ 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 ❑ 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 subndtted with the building application, Doc:Building Permit Revised 2008 Plans Submitted Plans Waived Certified Plot:Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL `i 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 I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS A CONSERVATION Reviewed on Signature COMMENT S i; 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 I .' 7 '�,� Y �R0 � ern Drai! serraatee tP �r�o Lrocatetlt 1AGin �r�.l y b x P i-�pr�i `��M �9LY>� Ll �rm7� ��17MU�5G�I��x,- ._,:'�.r. � ,4...:• } �a �.- ':1 ,�.. `"r p.i.;. ��e 'a;' a �-t'{K$-y ' f pO M c , J, Dimension 1 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 drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine 1 1 NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 Location Al 7 No. Date 0*TM TOWN OF NORTH ANDOVER ?Oi Mt�_•O_< ,h00 � R ` Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ od sACHU E 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # E 2 3113 it ng Inspector NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 10 75 Sate� S t 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: WA- r _ (Location of Facility) Signature of Permk/Applicant 2 0 a ' 2 0 10 . (hate F NORTH TOWN OF NORTH ANDOVER �H 0 ; ° OFFICE OF UILDING B DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01 845 SACHUSE Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: 20 2-010. JOB LOCATION: 16-7 htl-� Number Street Address Map/Lot IJOMEOWNER A M i T S 1 N G{-I 0`78 - 6 8�3 _1`Z7 3 3-78 SS 6 O G 9 3 Name Home Phone Work Phone PRESENT MAILING ADDRESS 10-7 S S c—je MA 4906 City TON,-,p SrMr�. Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) . 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE k APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 F NORTH TO" 0 over 0 . , No. 10L 1. (Jy' �r LAKE o over, Mass., ZZziq COC MIC HE WICK AERATED SS BOARD OF HEALTH PEnm .IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....��. I./ % . S/°.� Cry ........................ ............................................................................................................... Foundation 9 �� .� s r� . has permission to erect.........:....:......................... buildings on ............�...........�.......�.�..........�?.? ...............:................... Rough I. o be occupied as...... � �,1 C .e"..ele- ... 1. �^1�....... ..... 1�.. � l.�Y fa4i �.:.................................... Chimney provided that the person accepting this permit-shall in every espect conform to the terms of the application on file in Final 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 UNLESS CONSTRUCTION STARTS Rough .........nom'. ��..w,.>,v�,il..�.. Service ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.