HomeMy WebLinkAboutBuilding Permit #674 - 140 BRADFORD STREET 4/26/2006 0!NORTH
° : A TOWN OF NORTH ANDOVER_
APPLICATION FOR PLAN EXAMINATION
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SSCHU5*
Permit NO: 7 Date Received:
Date Issued: 21� 6
'IMPORTANT: Applicant must complete all items on this page
LOCATION 1`� {-O• O
Print
PROPERTY OWNER C-•
/�/ Print
MAP NO.: ' PARCEL: '/ ZONING DISTRICT: 0-1
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑New Building One family
❑ Addition ❑ Two or more family ❑ Industrial
XAlteration No. of units:
>CRepair, replacement E. Assessory Bldg ❑ Commercial
❑ Demolition
❑ Moving(relocation) L Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORIVIEDZ(15 a \ 1 Ca x"3a ov
Identification Please Type or Print Clearly)
OWNER: Name: ,nM-e1 , ' \ G GV C�,`1 CA rrY \ Phone-T%\- °j
Address: l 0.�` r� S� C�O Oy�� .0
CONTRACTOR Name: X P.w� (a� Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ a, OOeco x10.00=FEE:$ IPO-00
Check No.: 63 Receipt No.:/ 1511/ y�
Page Io1'4
r Location
No. ( Date }
f MORTM TOWN OF NORTH ANDOVER
F e
I a
4�} • Y
f Certificate of Occupancy $
�i1s',..•m��
Building/Frame Permit Fee $ �
s.KHU
Foundation Permit Fee $
Other Permit Fee $
r
TOTAL $
Check # 0
202 '15
GY
_'
9 P
Buildin Ins ector
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides -Required Provided
DIMENSION
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area,sq. ft.:
NOTES and DATA—(For dep, use)
I
Pae 3 of 4
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created 1\9C.Jan.2006
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
Addition Or Decks
o"'Building Permit Application
❑ Surveyed Plot Plan
LEK 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)
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
i
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 DEP,ART\IENf:BPFORM05 i
Page 4 of 4
I _
TYPE OF SEWARGE DISPOSAL
Public Sewer
Tanning/Massage/Body Art ❑ Swimming Pools 01❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales C
Permanent Dumpster on Site ❑
Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracting with unregistered oitractors do not have access to the guaranty fund
Signature of A ent/Owner
b g SignatureofContractor
Plans Submitted ❑ Plans Waiv �,Certified Plot Plan ❑ - Stamped Pians ❑
,.
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY ,
INTERDEPARTMENTAL SIGN OFF- U FORM `
I
/
DATE REJECTED DATE APPROVED
LANNING & DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
I', t CONSERVATIO
COMMENTS
. s DA XE REJECTED DATE APPROVED
HEALTH . _.
_ ❑ - -moi a� - ❑ _
C MMENTS
Zo g Board of Appea . Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connectionsignatu &date
Temp Dumpster on Bite yen Fire Department signature/date
Building Permit Approved and Issued by:
Paye 2
of 4
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MORTGAGE PLOT MAN
E K SURVEY INC
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MORTGAGOR S kACA)L G((gLj.L 44m DEED REF. wnPG. TIO
ADDRESS OF PRINCIPLE BUILDING PLAN REF.
14gWAA4AM x DATE OF INSPECTION fAAl&JJ 30, U04
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CERTIFICATION TO: W-1�40r��J mi l.Q4� RM� � The locatlon of ew
This s Mw%F& Pbt Ptsr vna Prepared apwcll�atly is No.S6w O��PIa etRJCtu�a
mortpeps purDossis awry and I)a not Irrisrtdad or npnmrted q wft tl»bad mninp byisa in affect vow mn Lcted
to he a property km or tend suvey.This pian is not to be and 01M and(or M axarrtpt from vbMtbn ertfaoernwd
to eatabieh any d ft property lnee tcr.rgr ptsppw.No ��! t k► &Aw under Maas B.L TO@ V11,Chap.44A,Sac.7.
rseparwlbMv is sdsndsd to Vis tend owner or ocaupert &bjaot t Jft W nol In a Fbod Ha am Area.
This mtJfkMm is based on to boubm ofmarkar
er+wY 034 txtidlnp is to s Flood Hazard Ana.
Of cera. Flood Haurd dao m*ied from dw FIRM mq*
Dated
JOB/ ui(i�L "
The Commonwealth of Massachusetts
Department of Fire Services
Office of the State Fire Marshal
P.O.Bos 1025 State Road,Stow,MA 01775
PERMIT
North Andover Permit No Date:
Ci LSafe N•urnbe
(City of Town) (Lf Applicable) ig
In accordance with the provisions of M.G.L.14 8 Chapter__J_(L as provided in section—U-1—CM 34 Start Date
This Permit is granted to: l % ��� 4
Full name of person,Firm or Corporation
Permissionto locate dumpster for construction/renovation/demolition of building
Continents: dumpster must be 25 ' from structure if unable to place with required
Restrictions: clearance dumpster must/ be covered with plywood or tarp end of work day
at
(Give location by street and no.,or describe in such manner as to rovied adequate identification of location)
Fee Paid$ 50 .00 Fire Chief
This Permit will expire Signature of offical granting permit) Offical granting permit (Title)
nnraAIC rn
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AM own of � � 6 a*,., 'Andover
No.
� t -An, er, Mass., 19
Q COCHICHti w,cn -
yA$, A �
"s® 0R pss
TS
u BOARD OF HEALTH
PE R, L 0
THIS CERTIFIES THAT....... .... .. .... . ••••-
BUILDING INSPECTOR
has permission to erect buildings on ...� , Rough
• - `. � Chimney
to be occupied as... w:. .�,,. �. •• , o••• Final6) �' R
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough
Buildings in the Town of North Andover.
Final
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERM'I'T EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS
ISE 6� ggI w� � II (� Rough
UNLESS CONST�lJ PF`N Service
Final ON
N- —---r--""'
BUILDING INSPECTOW GAS INSPECTOR
Rough
Occupancy Permit Required to Occupy Building
Final
Display in a Conspicuous Place on the Premises
FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
rioRTH TOWN OF NORTH ANDOVER
*°0 OFFICE OF
BUILDING DEPARTMENT
* 400 Osgood Street
q�AATHD P�`y4y North Andover,Massachusetts 01 845
Ss US
Gerald A.Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
ff '
, .
Please print
DATE:-q
JOB LOCATION: �kArJ
Number Street Address
\\ Map/Lot
HOMEOWNERGV
Name Home Mone Work Phone
PRESENT MAILING ADDRESS ,yO
1y • Y'� n �O V tly- D V%IA S
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
Per n
so (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 w' comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE t
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Foran Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-
9535
H-Series aft
INDUCED DRAFT HEATER FOR ABOVE-GROUND POOLS AND SPAS �ndu�ed Dr
Hayward has developed an induced draft
<: heater for above-ground pools and spas that
combines state-of-the-art technology with
No pilot Light ease of operation and superior performance.
No Hessle
Featuring an electronic,direct spark ignition
system and an energy-efficient FireTile®lined
combustion chamber,the Hayward heater
provides 100,000 BTU input,while delivering
81%thermal efficiency and quick heating.
An integral induced draft system makes this
heater completely impervious to any high wind
situations.A one-piece copper header/heat
exchanger provides for leak-free performance.
And a simple plug-in 120 volt electric cord is
o�s�c�v provided for simple installation.
Applications—Outdoor Use Only
5 PP
® y
-Above-ground pools
- Spas(above 70 G.P.M.an external bypass is
recommended)
H100ID1 H-Series Induced Draft Heater. Features
- 100,000 BTU input for above-ground pools and spas of
ell type'end sires
Model BTU - Electronic,direct-spark ignition for total control and
Ctn. Ctn. automatic operation
Number Input Gas Type Qty. Weight
H100101 100,000 Natural - Revolutionary induced draft technology ensures optimum
1 7
5 1
bs.
heatingand all-weather performance,
H1001DP1 100,000 Propane 1 75 lbs. P once,even In high wend
situations
Overall Dimensions -Reduced emissions design provides environment-friendly
heating
- FireTile combustion chamber ensures quick heating
-Jet-ported Eugenox burners provide long life and easy
o maintenance
-One-piece copper header/heat exchanger for leak-free
p0ormaeee
-Cool-to-the-touch cabinet surface temperature ensures
worry-free use
o -Plug-in 120 volt electric cord for easy installation
--Clip—Art-------------------------------------------
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H1001D1 Series H10001 Series
m I HAYWAM For replacement parts see pages 174-175
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Poops
F,.
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NORTF♦ -
- F
Town Of And
No. 7Y
Lz
C A E over, Mass.,
/2=11[a W
COCMICMEWICK
oRATED
v 4 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT..........j ............ .. ........... ......w� ............................. N........ ..... Foundation
c«
has permission to erect........................................ buildings on................. ..... ....... ... .'.M�l Rough
to be occupied asChimney
provided that the person acce tWi 28^��ermshall in eve res ect conformtothe terms of thea lication on fileinP P P g every P PP 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
UNLESS CONSTRUCTI STARTS ELECTRICAL INSPECTOR
Rough
Service
BUILDIN CTOR
Final
Occupancy Permit Required to Ocuipy 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.
11 SEE REVERSE SIDE Smoke Det.