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HomeMy WebLinkAboutBuilding Permit #266 - 1444 SALEM STREET 11/14/2008 i "ORTH BUILDING PERMIT °F "A+ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 61� Date Received "°RATED gSSACHUs�� Date Issued: IMPORTANT Applicant must complete all items on this page .r a„ .uz ,Twa-F^tx c. U„4' S„.=: '� `;Ge- ' - `, "r `` �" ,` ”~ 's : r ems.gz Y k�;y„ • 'r��'" '''�''''�'�"'�".�- v�'.��i,'y�-,t, m��. * � •�� ���'"��' k ;� ,�'rr '�Via.''�,.g'�.:. C^,�'�` .� �"`,°"�.y�C�� �ER�.�'. ,�'ar j 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 � y. .. " �, _. .`r`� _ z "`�A i`...� .e � �P" c? �44a t .yrs � ""• '%+' �— `.t���* �;" �c $ moi Ri� pa�rfa� a � � e 1sri DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: '7Z-1 PN tJ �i''\r-\ tZSM Phone: rn Address: IJJq�LnA 1 NJ IM -' 'A '3� ratil U "M ��4`��Y mg ft 1 ow to ,`�$' ��- %�§ ♦^,;' w °✓°. �-�'.#"�S .� g �} *4: � *� � � M�h •s,..Y eqy r:i+ k'.4-. 2 Y3 4 .�,s'�' 'T`�-Y'31p .'.�" Y.'.',.c•1..... `�-.9y kf .. .,?. �r 57c� Y"1.`���t'� ,,:tdJ t' `��rtY'R3 �a �� 3 � 2rf � � «.�.: rfi �- ns"x5F °� ���` '- � �-.����, ,.�•`"�'*' �� -_..,. r 4;r�,�- ""' 9� L� s�. ��"� � ''�,d` 'i�' mak`' s q ,a�� - . .. ARCHITECT/EN ER 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: $ Q--). FEE: $ Check No.: / 3 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the uaranty fund { : Hans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DIS7Tanning/Massage/Body Public Sewer Art Swimming Pools Well acco 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 Si nature COMMENTS HEALTH Reviewed on Si nature COMMENTS { Zoning Board of Appeals: Variance, Petition No: f Zoning Decision/receipt submitted yes i f Planning Board Decision: Comments Conservation Decision: Comments Water $ Sewer Con nection/si nature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os ood Street `�„'"�"�,.�''�`a•,. �:�nm-%�S "��'r 'J' _ ,an��` �''� ,�aT��ri '�3" 71'e� �irs7' � amu' «5� " .�' '.� '` ,�,t"�.*, sa'�'� RN 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-$1000 fine NOTES and 1DATA— For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 _ I Building, Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o.-_$-uild'ing-Permit-Application-it-Application- Li Workers Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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 ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ 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) o 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) o 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) o Copy of Contract o 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 yrt--�--.-a-..�•r s-' la+.w'z.sm a+,.��.r...r `y-+*-_'+r---'�w.r 4+v`.�c..- ,•1._ - -��..lY��sn.7yyt.�4 Ms�*'.i'� y Location No. 2 t Date I MORTh TOWN OF NORTH ANDOVER AL i Certificate of Occupancy $ Building/Frame Permit Fee $ k' Foundation Permit Fee $ r" - Other Permit Fee $ TOTAL $ 4 ' Check # r T2s 2 5 9 BiMing ing inspector. NORTH ONM of Andover No. - �� � ?, © dover, Mass., COCMICMEWICK A. 7,95 RATED BOARD OF HEALTH Food/Kitchen Septic System . PERMIT T D 4 BUILDING INSPECTOR THIS CERTIFIES THAT......... -- � / ........ .:..... ... .�C1' .'. ,.J.� ........................r.1...................................................................... Foundation has permission to erect...............................�........ buildings on ., �1.`�.�,�......,.l !> !f.. ..S;.................................... Rough I ' Chimneyto be occupied as .... provided that the person accepting this permit s all 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 PERMIT EXPIRES IN 6 MONTHS UNLESSCONSTRUCTION STARTS E�ECT=RICAL INSPECTOR 'Rough em .... Service DING 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 Re Doric FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. t NOR, TH TOWN OF NORTH ANDOVER �� •�� _ *.'�°� OFFICE OF AiWidbA BUILDING DEPARTMENT " ; + 1600 Osgood Street Building 20, Suite 2-36 � 4 � its North Andover,Massachusetts 01845 SSACNUst� i Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Flew 116&t DATE: O I o d'� JOB LOCATION: 11 SAS �n S r R � Number Street Address Map/Lot HOMEOWNER �Y� �%tn -N�2Snk� C��� z0� -- Name Home Phone Work Phone PRESENT MAILING ADDRESS "1 SA�-c ccs I City Town State Zip Cade The cutrem 'on for-homeowners"was extended to' 1 ti rrtc ude owner ted -occup to two units or less and to allow such homeowners to engage an individual for hire who does not dwellings possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HO1vMWNER 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. min Theimuundemrsigned"homeowner"certifies that he/she understands the Town of North Andover Building Department on �P� procedures and requirements and that he/she will comply with said procedures and requirements. zz HOMEOWNERS SIGNATURE. APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homwwams Exemption ROARDOF \PPEAIS(M0541 CONSERVATION 6.,88-9530 IiE.11;I'fi G88-9510 PL.\\\I\G 6Xk-9535 -