The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #221 - 1253 SALEM STREET 9/29/2008 BUILDING PERMIT °f NORTH t,'t 1.lD l6t �O TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: a Date Received °CM T[D �SSACHUs�t � Date Issued: -O� IMPORTANT:Applicant must complete all items on this page LOCATION47 5 3 5g t&-, 5�— `s rint / PROPERTY OWNERS✓IG(.�n y C—r�rfn �tCt0" Print MAP NO: PARCEL: ZONING DISTRICT: Historic District ye/qno Machine Shop Village ye 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: 'Dedf- 54cLe Identification PI ase Type o Print Clearly) OWNER: Name: c,,..•, -; c Phone: `�7g lZS 3505 Address: I ZS ��e-L, 5� DV /�,, d AZA Grp CONTRACTOR Name: Phone: Address: tj,%q Supervisor's Construe i 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: $ 2oon FEE: $ c�3 b ---- Check No.: A9.3� Receipt No.: a 1 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignature of Agent/owner signature of contractor 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 COMMENTS 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 i 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 DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date 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 DEPARTMENT:BPFORM07 Revised 2.2008 Location 12 5 Sef (C-ns T— No. Date MORT� TOWN OF NORTH ANDOVER O?O•,,,,o •,hO0 F 9 + Certificate of Occupancy $ Building/Frame Permit Fee $ 9z) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # l'=' 21 5 "�- Building Inspector fMORTM TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 1sswcaust< Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please pnntt DATE: JOB LOCATION: E Number Street Address Map/Lot HOMEOWNER a,-I4.1.1e 0C., CLO44 g7S�`�7S- 3sQS Name Home Phone Work Phone PRESENT MAILING ADDRESS S4 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allm 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 and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE 77�� APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowms Exemption ROARD OF \PPEA1S 638-9541 CO.\SERVATION"8-9530 ITEA 1108-95-10 PLAN-NI\G 6?8-9535 1500 Sq.Ft.Pellet Stove bttp://www.lowes.con/lowesMa?actiowTroductDetail&productId=... Buy Online.Pick Up In Store. MY STORE Week Ms (0)items Welcome to Lo%es.com Haverhill,MA W Account Order Status Register Log In Store Info Find Mother Store Keywords or item# search The Red Cross&Lowe's: Donating to hurricane victims) Shop by Department Shop by Room Special Offers Gift Center Services For Your Business Help Home Search"pellet stove" Featured Promotions New Lower Prices Summers Heat Weekly Ads 1500 Sq.Ft, Pelk Item M 45894 Node@ 56-SHPIOL $1,299.00 tr Product Availabdity►:0onrme xt1 Shipping Options include • Lowe's Home Deivery O In Store *Reflects Lower Local Price. Buy ordine and pickup at your local Lowe's store: Click to Enlarge LOWE'S OF HAVERHILL,MA Description '-' i'u7�r'; fifi[� (4.11) Need Help? Pellet burning Help Contact(Js 3"rear eQtaust Find Your Local Store Auto-start-One touch ignition is simple and Rebate Center safe Improved,user friendly control board Inspiration and Help trom Us nickel-on-black color is a Lowe's e=kx0ve 'Product Guides Nickel windowbim standard Be informed before Mobile Horne Adaptableyou buy. • .� ' How-To library Outside air hook-up Idt included Projects and ideas for do-it-yourselfers. Compact design,economic pricing Project Caicutators Built in variable speed bkwaer system Plan your projects with these helpful Thermostat adaptable tools. Lowe's Credit Services Finance your ideas. No annual fees.Low monthly payments. Learn more 90 Appiy now Featured Promotions Lowe's Credit Card Gift Cards Gift Registry Receive our latest offers by e-mail. you@email.com Sign Up Services Customer Care Partner Websites Installation Services Rebates Lowe's Creative Ideas Lowe's Credit Services Recalls Lowe's for Pros GiftCards Returns and Refunds Lowe's Moving Center hStore Services Shippirg Rates and Policies Lowe's Racirg 0—+—N—Drone U— I of 2 9/29/200812:21 PM NORTH Town of No. r r dover, Mass. 2 , S O COCHIC EWICK �• 7�ADRATED S V BOARD OF HEALTH Food/Kitchen PERMIT T D . Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.......IYV .(L.f. �&YA L........" '........ .......... .....I..�.......�v.!��. ... • •••• �:•'• •• •" •' "' Foundation has permission to erect........................................ buildings on .)...2.53.........S -....T ........................... Rough t0be occupied as........... `^'. ........... ��........................................................................................................ Chimney provided that the person accepting this permit shall in every respect 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 v� � PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ,STA_ TS - Rough .................... ..... ... Service f. BUILDIIN CTOR 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. r