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Home My WebLink AboutBuilding Permit #336-2012 - 1589 SALEM STREET 10/18/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit 140:2246`a/O/Z Date Received Date Issued: 11//,/'1 IMPORTANT: Applicant must complete all items on this page LOCATION �`Q. \ 6�_ D Afy�_nQle� Pri PROPERTY OWNER i C11( � �q-- bL,�Ckr �Q- IC�Ql7 It# Print MAP N ` RCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no 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 0 Septic 0 Well 0 Floodplain 0 Wetlands 0 Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: (Identification Please Typer:�= ) OWNER: Name: 61(� t &A- V� �(�)if�QPhone Address: I��i ISC,YY l - N O t'(r1Q q ey CONTRACTOR Name: 11O_C�* 1fLG1 Phone: i Address: p�� hJ 2< \ �- Supervisor's Construction 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: $ x, '300 FEE: $ /0�'— Check No.: Receipt No.: 199 NOTE: Persons contracting,with unregistered contractors do not have access to the guaranty fund 816 n atu re;Of Aaent/_Owner iry n afi i rA<nf_r_ci n+r�r+n r J 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 OFFIOE USE ONO( INTERDEPARTMENTAL SIGN OFF - U FORM _0 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 n Conservation Decision: Com . ments Water & Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes Located 384 Osgood Street no Located at 124 Main Street Fire Department signature/date COMMENTS 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 Doc:.Building Permit Revised 2011 June/mi r 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 Building Permit Application ❑ Workers Comp Affidavit Li Photo Copy of H.I.C. And/Or C.S.L. Licenses a Copy of Contract ❑ 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 o Building Permit Application ❑ Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract La 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) Li Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan p And Hydraulic Calculations (If Applicable) o Copy of Contract � . o Mass check Energy Compliance Report o 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: Doc.Building Permit Revised 2008mi Location No. 3�6' �� Date HQRT1y TOWN OF NORTH ANDOVER f � s P Certificate of Occupancy $ cMusS 9 tom Buildin /Frame Permit Fee $ /DD swE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 7 ? 6 247 2 2 Building Inspector AORTH 10" of Andover .. No. l Flo _ 1,0117111 o o dower, Mass., COCHICKEWICK y�. �®0ATED f`?�\ Cl S ti BOARD OF HEALTH P. E R .M .1 T T D . Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......(/S'Gi�srr�...... � a '........................................................................................ Foundation has permission to erect........................................ buildings on . .......................... �...- ....f .....:...................... Rough �F to be occupied as.........................................:.................................................. Chimne............................................................................. y 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS V LESS COi V STRV CTIOl V ARTS 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. SEE REVERSE SLIDE Smoke Det. CA-- INVOICE NO. 3 �er�ce S�; 015861 over A6'Y, INVOICE m V BILL TO p SERVICE PERFORMED AT ADDRESS j ADDRESS s + CITY,STATE,JIP CITY,STATE,ZIP _USTOMER'S ORDER# SALESPERSON TERMS DATE' (,/ 1 `_ UO C 35 v 1000.100 �ODO ov Y` v CA-\ A NCT8745 F µORT" TOWN OF NORTH ANDOVER O ,,Leo ,6�N0 F� b p,, �'° Oin OFFICE OF x BUILDING DEPARTMENT '1600 Osgood Street Building 20,"Suite 2-36 Fy °^ten° North Andover,Massachusetts 01845 LUIS Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER-LICENSE EXEMPTION BUIDING PERNIIT APPLICATION Please print DATE: JOB LOCATION: 5(8 Q 4iUXV-) 6 " Number Street Address Map/Lot FJOMEOWNER �. . Name � (I I� t�_Y�- �Zl `l�� W�_J`�Q Home Phone Work Phone PRESENT MAILING ADDRESS �C4 �+lQ� .Q J a ONe—. City Town S+.a.+-e. Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeovTers to engage an individual for hire who does not possess a license,provided that the owner j acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who Qwns 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 fancily 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 req irements and that he/she will comply with said procedures and requirements.. HOMEOWNERS SIGNATURE _t&ai112)/0- �VqL4 I APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 685-9530 HEALTH 688-9540 PLANNING 688-9535