HomeMy WebLinkAboutBuilding Permit #445 - 210 ANDOVER BY-PASS 12/26/2007 BUILDING PERMIT o`"�DTH qti
TOWN OF NORTH ANDOVER c? .6 0
APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received - ��Ssgc►+us���h
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION ec).S-S,
- � _ ,-�
PROPERTY OWNER Print C'
Print
MAP NO:
-PARCEL DISTRICT: Historic District yes . no
` Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Resid Non- Residential
New Building One fami
Ad ition Two or more family Industrial
ion No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain - Wetla,nds Watershed District
Water/Sewer
gg DESCRIPTION QF WORK TO BE PREFORMED:
0.
Iden Mica Please Type or Print Clearly) n
OWNER: Name: 1 �'�`� o Phone: ��1� �� ' ����
e
Address: A&Iuo� g,
CONTRACTOR' Name: : Phone:
Address:
Su pervisor's-Construction License. Exp. Date:
Herne.lrmprovement Licenser __ Exp.. Date:
t
ARCHITECT/ENGINEER Phone:
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: $ �� y + FEE: $ SO
Check No.: Receipt No.:vC� d
NOTE: Persons contracting w'th unregistered contractors do not have access to the guaranty fund
Signaturewof Agen:- wn 1% �nnaatureY f con tractor
Location COO 14VIII-MA O S'7
No. 7 J Date
HpRT1TOWN OF NORTH ANDOVER
h 0 s
P
# Certificate of Occupancy $
s��N�s<� Building/Frame Permit Fee $
Foundation Permit Fee $ .
Other Permit Fee $
TOTAL $
Check #.
20Gi' �
Building Inspector
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL f
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 OFFICE USE ONLY `
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
i
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION
COMMENTS �! �_�G . ;g jg�
DATE REJECTED DATE APPROVED
HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature &Date Driveway Permit
Located at 384 Osgood Street
FIRE DEI?ARTMENT Temp Dumpsteron site yes_ . ino
Located at 124-Maki Street
Fire De ar#mensignature/date,
t si e . `
Ip g
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
I
❑ Notified foricku - Date
P P
Doc.Building Permit Revised 2007
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
i
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
❑ 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
i
Revised 2.2007
NORTH TOWN OF NORTH ANDOVER
o ,..a , ti
3: .•�, �o� OFFICE OF
. ' BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
North Andover,Massachusetts 01845
�sswcwus��
Gerald A.Brown Telephone(978)688-9545
Fax (978)688-9542
Impectpr of Buildings
HOMEOWNER LICENSE EXEMPTION
Pleasprint
DATE:_
30B LOCATION: �\ +�o
Number Street Address mapka
HOMEOWNER
Name Home Phone Work Phone
PRESENT MAILING ADDRESS 2 l 0 ��
AMN Uva
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$ecdon 108.3.5.1)
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which helshe 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.
I
The undersigned"homeowner"certifies that hdshe understands the Town of North Andover Building Department
minimum inspection procedures and and that he/she comply with said procedures and
HOIvWWNERS SIGNATURE
A
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Fom Honwowam FA=pdm
BOARD OF WPE.M-S 688-9541 CU.NSERX".1'RON, 688-9530 HEALTH 6NS-95 30 PLANNING 6RR-9535
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NORTH
Town of . . _
Andover
011. dover, Mass., d•d G ��
o
COC MIC KE WICK V
7�S RATED P'PG,��y
4 BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING.INSPECTOR
THIS CERTIFIES THAT ��h N�� '
.................... .................... .... ..............���.... ����'............................ � Foundation
has permission to erect........................................ buildings on ...................................................... ..................................: Rough
a �� Chimney
to be occupied as........��.....S.�.�..........................r......�.�+'!..�....7..`.................................................
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
y._ PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUC^ TA S Rough
.... Service
BUILDING INSPECT
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 SIDE Smoke Det.
rt
• , _ �' 8'x 12' masiding,
VaU Shed brown shingles arill optional ramp i
'
LIFETIME
.2 YEAR "Y
WARRANTY
1 WARRANTY
��rEU W AM1PPa ( xr�'d tl '^c s.
44
s �
Big Storage for Small Spaces Great Storage Solution, Great Value!
It's a picture perfect way to give Looking for some extra space to
smaller yards big storage.This stylish 'choose Your Options organize the clutter?Want an Choose Your Options
shed has a slim 4'profile and 40" ,FLOOR UPGRADES appealing,convenient,solution that FLOOR UPGRADES
double doors for easy access.It ❑ T x&'Pressure Treated Floor Joists fits the budget?The Val-LI shed was ❑ 7'x 5'Pressure Treated Floor Joists
desig
ed with you in
also comes standard with a xt ❑ NEW!Tough Floor Special.45 sq.ft o 54""ndouble door withlkeyed ❑ NEW!Tough Floor Special ft
window,shutters and flowerbobox. i
•2"x 4"PT joists,16"on center All sizes.............. $C* ft. lock entry All sizes.............. $ .ft.
r
"' y .�,1� •2"x 4"PT joists,16"on center
r MO.RE'OPTIONS - MORE OPTIOfVS
'e+ •Smart Siding:Smart Siding's
ED ❑ Gable Vents(pair).................. ........$29.00 ❑ Gable Vents(pair) ......... $29.00
PAF Wpre-primed surface offers exceptional
❑ Shelf(1"x 12"x 7 long)...................$39.00 ❑ Ramp_4'Long................................$59.00
R
❑ am paint adhesion—select a paint to
Satisfies most Homeowners P—4�Lon 9� • ••••••••••• •••••••••••$59.00 _6'Heavy duty....................$119.00
accent your yard or match your house. ;
Association Guidelines _5'Heavy duty......................$119.00 ❑ Upgrade to Lifetime Warranty 179.00
Painted TPS:Don't feel like painting.
CAUTION: ❑ Upgrade to Functional Window ❑ Anchor Kit.................... ..... . ....$120.00
Due to the shallow depth of this product it may tip (vinyl sheds only)...........................................$59.00 Choose one of our four popular colors
over if too much weight or pressure is placed on one with maintenance free trim.
side.We strongly recommend that the homeowner ❑ Window Screen(each).....................$19.00
secure the Garden Hutch by attaching it to anotherElAnchor Kit..........................................$120.00 Painted TPS Colors
structure,i.e.a wall,fence or side of a building.
GARDEN HUTCH SIZE&PRICE WHITE GRAY BEIGE} BLVE •
SIZE&PRICE
FOR SALES ASSOCIATE:S KU#615-208 'Colors may vary slightly. FOR SALESARROCIATE:SKU#471-898
SMART SIDING PINE CEDAR VINYL CLAPBOARD SMART SIDING PAINTED TPS
$RE ryY%n' PRICE ERM PRCE FINANCE' PRICE FINANCE :FINANCE SIZE RVXLI PRICE ��fl MONTH PRICE �M�
PER
MONTH. PEA MONTH PER MONTH _ APER MONTH
4'x 8' $899.99 _$25 $1,249.99 $34': $1,339.99 $31 $1,549.99 $38 8'x 6' $1,099.99 .$31 .$1339.99 $37
4'x 10' $1,259.99 $34 $1,459.99 $30', $1,559.99 $38 $1,779.99 $43 8'x 8' $1299. $37 $1,499.99 $38 h
4'x 12'--$1,479.99 $39- $1,649.99 .$40 $1,749.99 $43 $1,999.99 $50 8'x 10' $1,569.99 :$38 '$1,799.99 $45.
8'x 12' $1,729.99 $43 IM99.99 $50
Vinyl COIerS LIGHT .ARK CREAMY 1 • • 8'x 14' $1889.99 $48 $2209.99 $57
Y WHITE GRAY GRAY YELLOW TAN
lrnyl rotors may Lary slightly
8'x 16' $2,099.99 $50 $2499.99 $63
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SEP-09-99 08 : 17 .AM E K SURVEY 5086880405 P. 03
MORTGAGE P�,�`f PLA!
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MORTGAGOR DEET) REF.
ADDRESS OF PRINCIPLE BUILDING PLAN REF, i
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aprdkilly For rnortpaq. pu Prepared THAT 1N MY PRt pNAl.
and is not to To. OPWION the PrindPls siruCtmv/s and occassary
4 �ltsd pon K EK SlIkV1rY �ptf outbupdtn a
na rb¢wlabltty for Boma AUDEL H g
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9 �, and tt�a! no anofuonctim;.ras
mwt9a9. Manclnq to sold mortgolor, ����,�r615I.t + or ma r knpraysmrnit� +tum way oo n
+: T1r1cr►noH uocoS'i� pr*Wy 11"06 vvowt o. .
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Thls acatfm 6 basad on the tocatlon of vow-myRt4rk4ra 3.. ProPKazard k4a.
of othtNi thd dove not rVrugnt d property P&ny. thsrnfwr3' IAfaetrtatibtt is bsumcitnt tO Atmftlha FICA HQz"
affAb shown, aro not to ba 11"d far the sstabltshmrnt of Flood Ftd�d doWminrd � Thi radnrol flood
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ProP. 11MIL Inrurmce Rate leap Panat f
Code End
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