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Home My WebLink AboutBuilding Permit #51 - 142 BOSTON STREET 7/12/2010 L BUILDING PERMIT NORTH ttteD ib TOWN OF NORTH ANDOVER 02 b " APPLICATION FOR PLAN EXAMINATION '' ~ Permit NO: '6 Date Received � /'L1/ V gSSACHU Date Issued: `` IMPORTANT:Applicant must complete all items on this page ' 'LR(Y) A ONS' in d RO-PEfZ�TI(C®WNER u E►a n �� inn � MAP:2�10 �./ �- PARCEL Z®NINCtDISTRICT,- F {� d Histone.Districts kyes� nok i achineS h_p°�Village��_�y-� - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair 'placement Assessory Bldg Others: Demo Other ' r e'tic Welly x'�� Flood lain x Wetlands -g g " a�6 �..�P �-h� �- � �P.� .� � � Watershed Distr�ict9 :.� �•a, _ n Water/SewerscL��-..�:�. DESCRIPTION OFWORK TO BE PREFORMED: Igentific tin Please Type or Print Clearly) OWNER: Name: Phone: Address: 0, C®NT,FCfT®R° 'N'arne��- -�. . � '_�. Phone _ , '.Cw �a:.r -.�+w. �s a _. •.« - 7.„S_ - , -. .a .n-o..r.+...-; �.h - �„". .�._. ...[" ,..; .-t,:,r'&.�..r�'•'. '�s �� a �..e ,--� �rt r ;. „^s`. r Vie. upervisor Construction� ic ne se ._ `_ Exp I ate ` ^i " m.. pro"v y nLicense ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULD/NG PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0c °r) FEE: $ ��a Check No.: 302 Receipt No.: P&Drl �-- NOTE: Persons co tYacting wi h unrtered contractors do not have access to the guarantyfund Location No. ..— Date NORTk TOWN OF NORTH ANDOVER F 9 # Certificate of Occupancy $ cMusa CM•'1�'a Building/Frame Permit Fee $ he s� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 t} 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 3vate(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 0- COMMENTS CONSERVATION Reviewed on ) 2 Signa urej-' �0 COMMENTS_ Ajo -j QA �a'ck :tel i� toe HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes r' Planning Board Decision: Comments A Conservation Decision: Comments Water& Sewer Connection/signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street '_"°+�"""- '..�-J FIREDEPARTMENT~' Temp Dumpsfer ones{ ite i Locatedat !'-14 Fire�D`epa ents�gnat e/date } V r 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) ❑ Notified for pickup - Date 4 E 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 ❑ - m 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 pp 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:Building Permit Revised 2008 ORTH ToVM of And Y QIt- LAKE O dover, Mass., �COCMICMEWICK ADRATE D SS BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System LBUILDING INSPECTOR THIS CERTIFIES THAT.......... .. 4 3 Foundation ' has permission to erect............................1.......... buildings on ...l.:` 1...........6ACA-4mw.... Rough to be occupied aS Chimney .0....9 .Z............ .... ................................................................................. 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 Final 6D PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTN ' O TARTS ELECTRICAL INSPECTOR 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 FIRE DEPARTMENT Until Inspected and Approved, by the Building Inspector. Burner, Street No. 1 SEE REVERSE SIDE smoke Det' FORM U - LOT RELEASE FORM /APPLICANT STRUCTIONS: This form is used to verify that all necessary approvals/permits from oards and Departments having jurisdiction have been obtained. This does not relieve e applicant and/or Iandowner from compliance with any applicable or requirements. **** T ECTIAPPLICANT FILLS OU THIS S Kn.� S�-e�>1 S PHONE ��/ ��y LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET �T`O.�v `� ST. NUMBER ya *****************************OFFICIAL USE ONLY" �****************�`****** !RECO ENDATIONS OF T,. WN AGENTS: /'CO SERVATION ADMINIST OR DATE APPROVED V/ DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS OD INSPE EALTH DATE APPROVED -�' DATE REJECTED " S IC NSE OR-H LT DATE APPROVED DATE REJECTED COMMENTSPUBLIC WORKS WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 j NORTH a 0Tof 0 Andove No. 713. °4A CaC ,�EW,C � dover, Mass., 0RATE D U BOARD OF HEALTH 4 DFood/Kitchen PERMIT Septic System THIS CERTIFIES THAT �t Y i BUILDING INSPECTOR ........... .0 �/ is.......................... ............ ...... .......... .............................. has permission to erect...o....... Foundation ...... . ..................... buildings on C ��•�� .. ....... .. .... � .. .—O..... ....... Roughto be occupied as Chimneyprovided that the person accepting this permit shall in P�eryyes ect com to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relati73 & to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough I PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR ............................................................` Rough • ..:...... Service BUILDING INSPECTOR Final Occupancy Permit Required to OCCuPy Building GAS IN SPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. IAT RELEASE FORM INSTRUCTIONS: This is used to verify that all necessary approvals/permits f ards and Departments having jurisdiction have been obtained. s does not relieve the applicant and/or landowner from compli ce with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: _111P_ ,; Vio R! Gc/o Phone 6 is 2 -a05"3 LOCATION: Assess6r"s Map Number Parcel Subdivision Lot(s) Street BOSTvA/ 51 CET St. Number ************************Official Use Only************************ RECOMMENDATIONS - OF TOWN AGENTS: `-� Date Approved Conservation Administrator Date Rejected Comments F� Date Approved ( To Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved S - eptic Inspector Health Date Rejected � ed Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date North Andover MIMAP 142 Boston Street June 30,2010 07.50008 107.13-0151 Pasture Circle 3 72' 107.50043 107.50153 40 107.B-0037 107.B-0044 2. 101 0010 107.B-0045 107.B-0038 i 10".50036 10-7.B-0046 107.B-0070 Z 107.B-0047 1. 107.50035 elk o an 10*1 5xa 10-.B-0024 107.B-0048 .R-00 Rail Line Intorstates Interstate Horizontal Datum:MA Statepiane Coordinate System,Datum NAD83, Major Roads Meters Data Sources:,The data for this map was produced by Merrimack gORTq Valley Planning Commission(MVPC)using data provided by the Town of Roads O North Andover'Additional data provided by the Executive Office of Ci Easements Environmental Affairs/MassGIS.The Information depicted on this map is Trails 3 for planning purposes only.It may not be adequate for legal boundary definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER C3 MVPC Boundary MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING 0 Municipal Boundary 4L ♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY F OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrographlc Features THIS INFORMATION Streams Wetlands Exempt Lands 1" 89 ft 0 7 77-7 NV7d 4 If t \3a \ k\ ' _ c�: Li X1, -wad AMgA V� nt h )i J/H 31VOS Ol ION NORTH TOWN OF NORTH ANDOVER f H 9 ti ° OFFICE OF - BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 yes�,•.� North Andover,Massachusetts 01845. SACHUSE Gerald A.Brown Telephone(978)688-9545 y Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: a J-ulye JOB LOCATION:_ 005 fo/u s Number Street Address Map/Lot HOMEOWNER /y Sof ,� y/ a3P Name Home Phone Work Phone PRESENT MAILING ADDRESS SA-Me- City Town SL-re. 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 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 689-9547 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 698-9535 i I 46,<a80 S.F. H -- -FQ wap 43(O5 TO n/ S T2 C- i I HaRSBr CSRrIFr ro THB rnLr INSuROB "D PLOT PLAN To TIIF BM MAr rB3 DFBLM IS LOCArSD ON IN rHa Lor AS SHo1N AND THAT it 1DoFs CONFOBY MH rlls It:;--OF Mo.19M43 VIS4 SOMNG RRGULATIONs No,►2TN ,�niGb�/EI2�r119SS. R8G/RDI1V[i SXTDAMMRDY smars t LOT LINRs.' I FURrM r rw DIELuNG Is mor DRAWN FOR LOCATED IJV S FLOOD HUM AR$A AS SHOW oN F Irr P"RL # zsc�o98 1Ke17H d- sTt^CC Y STCE vas DATE /"=SO /��2CN Zls� THIS PLAN FOR M0)RTGAQk,f6tmsSS - NOr FOR BouNDARr DBrBRMINATIOX: DOuNDARr INFORMATION Y�RRIJf lCX RNGINI�ERING SPRVICES UJUM FROM aAMING RECORDS. 88 PARK STREET on, /Coc85 IIIANDURR, AIASSACHUSEITS 01810