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Home My WebLink AboutBuilding Permit #777 - 1577 SALEM STREET 5/25/2007 140R BUILDING PERMIT OE I%'Go 16. TOWN OF NORTH ANDOVER �? APPLICATION FOR PLAN EXAMINATION 41 � if ,,pp c7 0 Permit NO: \ �'t PPRODate Received A *�9ss�Caus�`�� C Date Issued: IMPORTANT: Applicant must comple ll items on this page ..a „'�C U ` zx a f m r �r baa > a t, s b a F. cr 3t r"- fr 'r�, �a13 � '�'� t„i Z ao *�'�'A',�v rt�� t� n:C-� � ��"�)� Yr3"4 .,�. yy■i .� �� . 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 IS ,r' Is�� J r k , DESCRIPTION OF WORK TO BE PREFORMED: i Identification Please Type or Print Clearly) OWNER: Name: ibl3 �h ice,,Ar l�t- Phone: Address: ✓4- -7-7 S"LL�" �- , tv• �.tsz�� P. �°� '� �-�,�•-� g:4��h?�"s� t Mar y ' ¢ t �lx� F .� ' Grni 'w. sfl-�� '„ df'.3rr �' '�� s �'`��r n x ;r 'ir'� �' a z'' -� a` 77-777 7777,777777,wr a ar � I t-� ?`z`s' '� � ,�,.�`� z '�` y.^G"tt � �. :;v�,�-s - y fi a* �"'�,' fa•S �¢,'a z�r�y ° �,., g" �� "', �; � ,, 54 ARCH ITEC /T ENGIN EER Phone: I Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � � FEE: $ � c Check No.. Id Receipt No.: NOTE: Persons co trach°g w`h unregistered contractors do not have access to the guarantyfund I � Signature of AgentlYwrrer , Signature"of,conractofj Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales _ 11Food Packaging/Sales ElPrivate(septic tank,etc. El Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM II DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I ATE REJECTED DATE APPROVED CONSERVATION N 2-3Ll n COMMENTS ,�- 1Q 101'l as -0C(%VlC� DATE REJECTED DATE PPROVED HEALTH ❑ _ ��> �Z�'/� COMMENTSa 12 C2 U; CCC�5� !/C✓ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 1 Conservation Decision: Comments Water$ Sewer-Con nectio n/Sig nature & Date Drivew/av Permit I Located at 384 Osgood Street j�& y��q��A�i��E��i{{�.��:1fi� � P 4�►t ��l��r, „��M7 �,+'. Y" ,� ''� d C n +3' :. t _ �"-'+� � '� �:.�y '�-,; 0 Cx ." `,:- , r`�-"`"5s` 'a,.s'? x Y Y v r, a. •l, -z ��1@ D@tC1Cft 3t1SClst Fv z 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 4 pp 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 i ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 ,l'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 2.2007 F + ' Location r � � No. Date `3 `i-d TOWN OF NORTH ANDOVER 4 ' Certificate of Occupancy $ Building/Frame Permit Mus Fee $ wt Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20244 Building Inspector t4ORTH own of Andover No. 777 Co' dover, Mass., g ."'W Lj COCMICKEWICK 0OArED % BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System If BUILDING INSPECTOR THIS CERTIFIES THAT................�JA...........6 .................................................................................. Foundation e has permission to erect........................................ buildipgs on.../157T-7 .......ss .-............ Rough to be occupied as.............. L...........j.M' .x&La...... fcio op.. Chimney provided that the person accepting this permit shall Ih 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 ELECTRICAL INSPECTOR UNLESS CONSTRRU TS Rough C__ Service BUILDING INSPECTORFinal Occupancy Permit Required w Ow4py Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done TIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SID=E Smoke Det. f MORTM 7 TOWN OF NORTH ANDOVER 3:p��',`•'*�'�pt OFFICE OF p BUILDING DEPARTMENT > : + 1600 Osgood Street Building 20, Suite 2-36 ;.; # North Andover,Massachusetts 01845 1sswc►wset Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please pri DATE: S �2 3 / D JOB LOCATION: s Number Street Address Map/Lot HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS 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 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 10.2005 Form Homwwws Exemption BOARD OF.iPPF:\I.S6RR-9541 CONSERVATION 688-9530 IIEALPII698-9540 PLAN'NINGI..RR0535 Lot 10 Lot 77 44, 005 SF 1P. Fnd Po of —I L - - - - P1 w OP 1 Bou 6 Existing 1000 Gallon Septic Tank '�. Inv. Out = 96. 1' L each Trench System D 1 I � � I 1 1 a �� O'otion •� f'ioe _ A Ly,rjstlhOp-- �AssUn'�d� '965') ' P2 -- StOr.Y A'o-&eQF..00 c Vent L vent ' A f a, a _ J o I Gravel 3� Drive f 102.24' / _ 9' f 48.69' i f o Existing Wcter 1y Stub A prox Edge Of p°vement S t e e p r sale ' I N/F MSC Order # Bi9722 � HplAES INC F ARA B� 64.�8 MORTGAGE INSPECTION PLAN This is a mortgage loan inpection for mortgage purposes only LOCATION NORTH ANDOVER MA City or Town State DATE: MACH 13. 1997 SCALE: 1 inch=50 feet Certification is hereby made to SALEM FIVE MORTGAGE CORPORATION A that the existing structures shown on this plan are L 0 T 1 0 situated on the lot designated in compliance with the setback requirements of the applicable zoning bylaws ( REVISED ) of the municipality when constructed, or are exempt from violation enforcement action under M.G.L. Title VII Chapter 40A, Section 7. Woo a p/cf«r.*'��-,E� P12 r/E .2�T�4�N�ive7 W9ze- This inspection was prepay d in accordance with the technical standards for Mortgage Loan Inspections as LO adopted by the Commonwealth of Massachusetts Lo cv '' by LUT i i O7 Co NSF Reg} eyed Land S veyor ( REVISED `) m JACKSON Q8o✓,6 0 j;eau,v,v DEED AND PLAN REFERENCE ESSEX NORTH DISTRICT REGISTRY OF DEEDS Deed Book _2894 Page_170 Plan Book 140 Plan 7367 Certification is hereby made that the structure shown on this plan IS NOT located within a Special Flood Hazard Area as delineated on the map of SuGaD 5,�/FD C,410 ;r1X1,VVA7-10A)Z community No. 250098 0009C �- Effective Date: .JUNE 2, 1993 WOOD fi�Mt '� 137-pay � 'r71;6By the U.S. Department of Housing 6 Urban Development, 15j�WF<<ING ,Q�T'4 �ti�Y�W'¢!G Federal Insurance Administration. =-- 60W ML MD7ES A conf}rmatory survey }s advised when structures are r 47shown to be situated at i foot or less from property lines or required setback lines or when potential JEA^1 j encroachments are noted. Certi?icat}ons are on the 102.24' 48.6 NYSTEN1 basis of my knowledge, information and belief. o,2' •ErE�YC.E 9E�ISTEa� .`'4 MORTGAGE SURVEY CONSULTANTS, INC . 126A PLEASANT VALLEY ST. -SUITE 7 - METHUEN. MA 01844 SALEM STREET TEL. (50B) 975-2700