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HomeMy WebLinkAboutBuilding Permit #440-14 - 120 MILK STREET 11/18/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N01 V Date Received Date Issued: ITMORTANT: Applicant must complete all items on thisage LOCATION' J U i Sf ge 1- Prip_t �j PROPERTY OWNER_• y. _ .�,, 1 Print m`00 Yea _ 0 Structure yes MAP NO: PARCEL: DISTRICT '' Historic District yes ,Machine Village yes a�o Shop TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building )done family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial gRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 1 . _ . n Septic . ❑Well ❑ Floodplain q.Wetlands ❑ Watershed District` i Water/Sewer- � DESCRIPTION OF WORK TO BE PERFORMED: r n IS D i6t+-HC f©r S-PiDrOaO . S,OCt CSL IV) a r Identification le se Type or Print Clearly) OWNER: Name: VY\0'`1Y\_Q � Phone:(00�1 Address: Dc) W\\(_ Si . OfAl CONTRACTOR Name: . P.+( Phone:� `.�P ---# _ - - Address: Supervisor's Construction License Exp-.. Date: Home.Improvement License: _- _ Exp a 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: $ I � i d FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ��„W.»,,,.��„.,,#.: SignatureKof�Agent/Owner; Sg�iature of=contractor Plans Submitted FJ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Building Department -The W6,3wing ig-a-list of the retluired.forms to be filled out for the appropriate:permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits o' Building Permit Application Li Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract u Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire-Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application Li Certified Surveyed Plot Plan Li Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u 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) i u Building Permit Application u Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit a 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 cascs if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 i Plans Submitted ❑ .Plans Waived-❑ Certified Plot Plan ❑ Stamped Plans ❑ =.:TYPE-OF-SEWPRAGEDiSPDSAL Public Sewer Tanning/Massage/BodyArt ❑. . Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc.._ ❑- _ Permanent Dempster on Site ❑ THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE.APPR-OVED PLANNING & DEVELOPMENT-7 ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature i COMMENTS I r � Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection lSignature& Date Driveway Permit r DPW TowL, Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dempster on site yes no Located at-':124-mair, Strdet _, f , ; Fire Departmer �t signature/elate ' r - C0MM.ENTS ,.; -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.$100-$l000..fine NOTES and DATA— (For department use i I 1 1 i I El Notified for pickup - Date S Doc.Building Permit Revised 2010 Location—0.0 04 it No. Date 3 ` J n `1 . - TOWN OF NORTH ANDOVER Certificate of Occupancy $� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 6kr 27111 Building Inspector rte , � N°�; � At ve. . No. 4io— t - h ver, Mass, COCMICKIWKM V Z1,9 A°R�rEo `s U BOARD OF HEALTH Food/Kitchen t.. Septic System E R i . THIS CERTIFIES THAT o BUILDING INSPECTOR s ... '. ...... . .. ................. ....... .......................................... r - Foundation - has permission to erect . ........ buildin son .. ..A.•�•......MS�•............•• .. . • X •• Rough to be.occupied as ... �!►�.rI. ......4% ..... ... Chimney t' provided that the person accepting this permit shall in every respect conform to the terms of the application Fin 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 INS ECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 ONTHS ELECTRICAL INSPECTOR UNLESS COf�STRU S TS R o . 3, Service .,..... ....... Fin BUILDING INSPECTOR 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 TOWN OF NORTH ANDOVER NORTH BUILDING DEPARTMENT °�tt`ED �6 6 J-� 1600 Osgood Street, Suite 2-36, North Andover Ma 0184 0 �, QCT W J NOTICE OF VIOLATION Ip alp *��Q6RgTED'IPP��9* SSACHUSE Date: b 1! Address: 12. Building Zoning Bylaw 0 Stop Work Order ❑ Certificate of Inspections 13 Electrical 0 Plumbing 0 Gas Violation observed: -,cs246 ., [ c� 1 o v✓t IN,n ayJ - Failure on your part to comply with this notice within 10 days may subject you to penalties prescribed by Massachusetts Law 780CMR or North Andover's Zoning Bylaw. Please contact the Building Department for further information at 978-688-9545 Inspect _ Home O ner Contractor s J-e TOWN OF NORTH ANDOVER pORTH BUILDING DEPARTMENT °` �t`Et' '6'6 1600 Osgood Street, Suite 2-36, North Andover Ma 01845 O �, ~ - NOTICE OF VIOLATION /''�f q°QAreo SSAGHU`�E Date: d 1 Address: 2. 0 X111 Y— S►'i� Buildin ❑ Zoning Bylaw rE3 Stop Work Order ❑ Certificate of Inspections 9 9 Y p Electrical Plumbing Gas Violation observed: 04L 6Cl tj �vuer-ci a y S0-r--T 1 L C V d✓A t a^ 1..1 0 J1 Failure on your part to comply with this notice within 10 days may subject you to penalties prescribed by Massachusetts Law 780CMR or North Andover's Zoning By law. Please contact the Building Department for further information at 978-688-9545 Inspect � Home O ner Contractor - n �n a'm-• t'e�l'11t Y.;T, -q, . �'4FiS2."`��3 Meye .; �' �, �'s ,�xft° °3F �'•9 s. „p. ;�qz e 4,' MCI aw r &+ r ' ''. •� '� x cc +r"` �. to x •rt,yv x M ... vim., �;:.," '}v`Evbt �a "'�`d �'ir•�ye�9� �?;�'��s a �.;a� � ���4 � r� k a 'Yx j rtb��` .} ,x,�a ��� rg4�€,.y. Y,fl! t�:dd wf�, 'F r�" 'C' d w'r}� w� •C�P `a .,t^ �FC 'k. � k^S �. 7 3.l M i �,d 4�••",'3 1 I4�TS^d .YZ}S y'R $b,ky .'F-,\ Gl *F"ve*+S.lk1' i i1°t' '�y$,•�, `k. Ik....h..i.,� y r } #'. rc' t...t. '#+�;. .,v�. � _ '�. s ts�7•w "`� � ,G.tia „yx+ r a A k, ax�Y•^O�St�f.,=�h M1.C��'`, u°"��`r'"tit,#n t � yi � € � 'S.� .'�k�'�� '�>:. �n'��� ° t4� ,�.s ,a�� av, " "'•�Jn 'kry�rg?Ss �� ^a.d�"}e��'Ys"S%�Si",�,... .. Yr�+ h '�.. 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Al 6• Xn r r ig •A m i { t � d9 mr � q°r& ° d � + y � Ap ';4 „ t ]��°' 1p b�'. xi tyt '"?'18'",�j t ,.r.,f,.v.�'` 'J if•K'su'{"k x.' S y •�.. `x .g �l..". �-, ..y, _ ae M '� x xe^�-:� . .�'a'€��� .� ;, F Y� ,.ZS. ^J tf� a•s, ,v�•,br4?'�;i ti:. t e h`>°y 2: jS�'}a:may' a 4yl m 4A ° 1gF`4 R .9 T Ye (��F' x'3r=t�'� W6 �r'�-' tet''>h•' 1YPo "3;�a'�t@ i}k jb r?;3�.� i� ' :�t��i ��t90 � 0 F'S1q b 4a�• - Ra, � ��` F � ° � �� QA 'il •: • 'l l hid M•stxA-9 �'{ d M Y "i y= r'r' ?+±*lt 3 �V 3f 4 ^.'t{ Y' bR76�yd TOYY1� OFi�ORTE �7� 7� Q Leo u xi1�LOW{R OFFICE OF o rt BUILDING DEPARTMENT F 9 a 71600 Osgood Street Building 20,-Suite 2-36 y'�s A14u5c�5 North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings HOMEOWNER'LICENSE EXENtpTION Fax (978)688-9542 BUIDING PERMIT APPLICATION Pleasey:nt DATE: 13 JOB LOCA TION: Number Street Address •UOMEOWNER Map/Lot — � ��a n ne C� Name Ome,t dr bL Phone Work Phone PRESENT MAILING.ADDRESS l�C� � -770 •`'� A I or-4 doV-e O! ('gi Tnt=m p Co_� The current exemption for"homeowners"was extended to il11clude owner-occupied to allow such i,omPoti,hers to engage an individual.for hire wao does not possess a 7 cw llings to Uvo units-or less and acts as supervisor). se provided P ). State Bolding (Code Section 108.3.5.7) �p v�ded That the owner DEFINITION OFROMEOWNBR Persons)who gwns a parcel of land on which he/she resides or intends to reside,on which(here is,oris intended to be,a one or two family structures. A person who constructs more that home in a which o shall not e considered a homeowner. The undersigned"homedwner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules andregulations• The undersigned`homeowner"certfies 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, and - HOMEOWNERS SIGNATURE APPIZOVAL OF BUILDING OFFICIAL Revised 7.2009 Fonn Homeowners Exemption ''$OARL)OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 . PLANNING 688-9535 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 8,000.00 m $ - $ 216.00 Plumbing Fee $ 27.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 27.00 Total fees collected $ 370.00 120 Milk Street 440-14 on 11/18/2013 Attic for storage and Basement for playroom