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Home My WebLink AboutBuilding Permit #686 - 111 AUTRAN AVENUE 5/10/2010 BUILDING PERMIT 00 NORTH TOWN OF NORTH ANDOVER "0 . ° APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ACHU Date Issued: �` IMPORTANT:Applicant must complete all items on this page LOCATION I)Z 40TI17V Print PROPERTY OWNER Iil/J L )-Ae-a()t-5 Print MAP 290 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 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 PREFORMED: S- &6V 65-1 iAllee Identification Please Type or Print Clearly) OWNER: Name: lEEL 4 CIA 4=S Phone: Address: �/ z=— CONTRACTOR Name: G ✓ l!' Phone: 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.: c4( 3 2 Receipt No.: NOTE: Persons contra ' g with n egrs contractors do not have access to the guaranty fund Signature of Agent/Owner, Signature pf contractor Location// /' No. li Date MORT� TOWN OF NORTH ANDOVER . 00 0 =-ZaNSIAZIL 9 + Certificate of Occupancy $ T1s'•° Eta' Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 25 ` 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 SA 2�7 /a Si nature '--A ,,,L1 64LZ COMMENTS j — i ono\ Or C3,� HEALTH Reviewed on Signature r J COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: Comments i 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 i' 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 i DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) t i ❑ Notified for pickup - Date i Doc.Building Permit Revised 2010 { 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 m- Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit a Photo Copy of H.I.C. And C.S.L. Licenses G 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) Q ❑ Building Permit Application ❑ Certified Proposed Plot Planr�` ❑ 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:Building Permit Revised 2008 NORTH Town of � �o == LA � dower, Mass., A- COCHICHEWICK 7�4OOATED P`P? S BOARD OF HEALTH Food/Kitchen PERM .IT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.......... ....a h �► ................... ............... . ................ ............. .............................................................. Foundation has permission to erect................................... .... buildings on ...I�l. �V. ................ Rough to be occupied as...I.�..x.. !. .......... .. .. ..p!ti....�. . ........ .. .............................................. Chimney provided that the person accepting this permit shall in ev/ry respect conform to the terms of theapplication on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration nConstruction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT' EXPIRES IN 6 MONTHS Final 36 ELECTRICAL INSPECTOR UNLESS CONSTR N TARTS--.JL EMMEMEMSN� Rough ..... ......................................................................................................... Service BUILDING 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 Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. ELSEE REVERSE SIDE Smoke Det. f MORTGAGE INSPECTION PLAN �ttt OF y Location: 111 Autian Avenue, North Andover, MA EDW Date: 07-11-02 Scale: —1"=25' � LL rn Borrower: Jacques, Daniel & Patricia Deed Ref: 4515-184 Plan No: 406 ��N�L LA„o Drawn per City/Town of NJA Tax Assessors Map IAT 96 LOT 95 Ir Io, L `5' DECH �I LOT 46 0 O ' / IAT 49 2 STORY W/F 1 �� DWELLING �t A UTRAN AVENUE To: Flggst@r Bank, FSR 1 hereby certify that the above Mortgage Inspection Plan was prepared for use in connection with a new Mortgage and is not intended or represented to be a property line or land survey. It can not be used for establishing fence, hedge, walls or building lines. No responsibility is intended herein to the land owner or occupant, The location of the original building(s) as shown herein was in compliance with the local applicable zoning bylaws in effect when constructed, with respect to horizontal dimensional requirements, to lot lines or is exempt from violation enforcement under Mass G. L. Title VII, Chap. 40A, Sec. 7, unless otherwise shown herein. Subject building(s) lies in a flood zone designated Zone: A as shown on FIRM map Community No. 250098 Dated 06-1 Job No. 02-014 EASTERN ASSOCIATES, P. O. Box 4459, Peabody, MA 01961 Phone(978).535-8934, Fax(978)535-7260 North Andover MIMAP Aril 9, 2010 111 Autran Ave p G-002 V I e1 fr�(�AIUs'� a _ v -0028 .alt, t 0 .D-0003 f 045.D!0004 I �#O!tff-r' ,t. r�venU� , f F R: D-0014 a 045.? 016 ' .;.��a� �* � �'�• Fes' �#�-... Interstates Interstate Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Roads Meters Date Sources:The date for this map was produced by Merrimack pOFTiy Valley Planning Comm,salon(MVPC)using data provided by the Town of Ci Easements Gt •`e c �� North Andover.Additional data provided by the Executive Office of C3 MVPC Boundary tea• a•e OO Environmental Affalm/MassGIS.The informatlon depicted on this map Is t I Parcels 3 G for planning purposes only.It may not be adequate for legal boundary A A definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ♦ a{ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY f i ,^, ♦ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT #�o�q �• • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF p+^�•D'�."q THIS INFORMATION ,sSACMUS�t 1"=65 ft ^�° ' � 1 North Andover MIMAP 111 Autran Ave April 9, 2010 D49-F-0009 04.5. -003 045.6-0030 135 045.0-0028 045.F-0028 045.F-0008 04.5.D-0003 045.D-0004 045.D-0005 045.D-0018 9 � an A�'enu�� 11_, 110' 10� 045.1)-0014 045.D-0015 CONDO 045.D-0007 045.1)-0016 —Reil Line Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —Interstate Meters Date Sources:The data for this map was produced by Merrimack — Major Roads NORTFf Valley Planning Commission(MVPC)using data provided by the Town of Roads Of u q� North Andover.Additional data provided by the Executive Office of Co Easements ? ea �e Gp Environmental Affaim/MassGIS.The Information depicted on this map Is — Trails Z. for planning purposes only.It may not be adequate for legal boundary O -• lw definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER C3 MVPC Boundary ~ 9 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING 0 Municipal Boundary 4, ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦s OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT O Parcels • o _ •� • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrographic Features ��4 THIS INFORMATION Streams ,'SSACMUS t Wetlands Exempt Lands 1"=43 ft Iii f ,AORTH TOWN OF NORTH ANDOVER 9 3ot�t Eo °• °oma OFFICE OF ° BUILDING DEPARTMENT * 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 SSACHUSE'� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Pleas_print DATE: �- (/ JOB LOCATION: Number Street Address Map/Lot HOMEOWNER S, -- Y3 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 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 re that he/ 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