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Home My WebLink AboutBuilding Permit #033-13 - 11 DEWEY STREET 7/17/2012 BUILDING PERMIT tJORT11 0 qi-ZD '6 TOWN OF NORTH ANDOVER 0 JL_ I .I 'A APPLICATION FOR PLAN EXAMINATION Permit NO: �?! Date Received ACHUS Date Issued: IMPORTANT:Applicant must complete all items on this page �-7 "'r"mg �•- < Ti, M ?Ai dMI-1 N 4 lifb'64T 'W:4 g ttpiQnt; 7'ft,. T i RROP.ER 7, nn�t TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Industrial Addition Two or more family Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other P" �lb trio" x'joA Sept�F- 1,W_ P Z�_ U,JWat-0F(S'ew6r&_ DESCRIPTION OF WORK TO BE PREFORMED: 1r)( 33 L IQ Identification Please Type or Print Clearly) OWNER: Name: _S�PvClu r Phone: r7P-Ci-f, 3/4J Address: 7_T Al Z?�It NAP H L. a N'TTFON"OfflO11 Phone A ddrbsgf'- EA U131 111- atet, - 'd I es isoKs rish ti "_M5 _2 u ,ry TV �_n�"771 tHomelrnprovernent 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: $ O00 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting wit Un red contractors do not have access to the guaranty fund U, 84*iur. of A7 061W Signature of contractors Signature ne gq Location L No. Date s - TOWN OF NORTH ANDOVER 'J wµ ' Certificate of Occupancy $ Building/Frame Permit Fee $ �'.� Foundation Permit Fee $ A. Other Permit Fee $ TOTAL $ Check# lJ� 25510 Building Inspector , 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 CONSERVATION Reviewed on / Signature 1 COMMENTS J )v Y 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 itiy 'Ai r4 .,�ar. nWs Krwt ;cYt'V'}'y' 1tL; FIRE'DEPi4RDENTp.'r; '°Temp Dumpsteron site` yes: x� a }:lA �anoz Locatetlat 124Mam Streets '` ', ';"` ¢Fre Department sighat ure/date '� ,� �.: E � -5i: t" r 3 *- er�4«.� • > � � CONIIVIEIVTS ...;: "x1 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 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 NOTES and DATA— (For department use) "7l U�-Aj bt, V a I VU- "7 1 4o A,Ijti on-1 -- ® Notified for pickup - Date � I Doc.Building Permit Revised 2008 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 ❑ 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 ❑ 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 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 submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 NORTH Town of s E : .. Andover o - 0% No. 3t = - 3 T (% h ver, Mass, 7// COC LLAK■Kl WIGK,y01. A0RATEID I►P��,�S S V BOARD OF HEALTH T T L D PERM Food/Kitchen Septic System THIS CERTIFIES THAT .....:.......�� ... ....�:..�...l..v�',,t�41 f................................................................ IfBUILDING INSPECTOR . ... has permission to erect .......................... buildings on ..........Z/-.....,�..�: ....S7. ............................ Foundation ' Rough /7 0 to be occupied as ` .. d Z?..��...�T��-J p• ........................... ....... .... ......'.:..?`.t: .............. Z............................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST Rough •.,..•••.••... Service ...................... ........ y� �f�••�::..y• BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE 09/17/2007 09:21 9784697046 EK SURVEY PAGE 01/03 MORTGAGE nOT rLAN E K SURVEIL INC ♦HAVERHILL,MA• Phare 978AW IGW♦FIX 07648*-7046 MORTGAGODEED REF. PO. ADDRESS OF PRINCIPLE BUILDING PLAN REF. 9 449 11 R6Wb4/ yr, OATS OF INSPECTION S60T. /2, W7 11 lmn&'r &'MA _ SCALE:1'=20' a.. ie 33 s 9'tnR� . 9�w�� SrREfr CERTIFICATION T0: ma to -:Pr. C. RUDEI / �C&—, This Mortgage Plot Plan was prepared speoiboetyr for No 3681 mortgage Purposes only and it is not irdended or represented •� B ClS1 fy, to be a property line or lord survey.This plan Is not to be kMW r {qo to estaWlsh airy of the property fines for any purpose.No Mql u� reWnshilty M W$NWW to the krrd owrwr or 000trpsnL This owMention a based an the location of survey madw of others. Flood Hazard deten JOB s 279Gi 7 �e- 09/17/2807 09:21 9784697046 EK SURVEY PAGE 01/03 MORTGAGE rL OT rLAN E K SURVEY INC ♦HAVERHILL,MA Phare 978499.1986♦Fox VY&JAI}71M6 MORTGAGOR DEED REF. PG. ADDRESS OF PRINCIPLE BUILDING PUN REF• q1qq?- o794 - y Zyy A y yr, DATE OF INSPECTION goor. /2. wo? ,4d)T]1 yuc MA SCALE:1'=20 lab.4T Le 3 t 3CP g f _ �ra6� h�REfr' T, / N • CERTIFICATION TO: s1aNtPiA1oi g. .j�t• RUDEL No.36M �location�� This Martgape Plot Plan was prepared epeoifir*for _.�R0A&o% mongape purposes only and ti is not ir*ended or mprasanted �` �y B CISI with the boat zoning bylaws in effect wfi n oomtnwte4 to be a property line or lend swvey.This plan IE not to be used oil 9 mW under Mass B viTak I Chap.wit sec.7. to a tblish any of the property lin as for any purpose.No reWnslhi*is amended to ft land omwr or am nt. subject bum%is not in a Flood Hazard Area. Ttra arli cation is based on the location of survey nWW 0 Subod bu l ft Is in a Flood Hazard Arae. of gym, Flood Hazard detsnmrud ham tha FIRM to O Detect JOBS A160b F NaRTH TOWN OF NORTH ANDOVER O ,tte° r6 1' OFFICE OF ° _ BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 ry gORATe°�PP`y'c5 North Andover,Massachusetts 01845 �SSac►+uSE� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION: �� /��✓�� (�� l u -- u Number Street Address Map/Lot IiOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town Ct-atw. 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 gwns 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 APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535