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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 � e 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 i e I 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 I I SEP-09-99 08 : 17 .AM E K SURVEY 5086880405 P. 03 MORTGAGE P�,�`f PLA! EK SU R VEY ! NG, MORTGAGOR DEET) REF. ADDRESS OF PRINCIPLE BUILDING PLAN REF, i ?to Aww& By( DAlt OF INSPECTION *9 #AM sc.v�r ��Kor i i R i — I i AI►�o�f,� ayp�sS i i i i NOTE: Thtrai a surva VW tinvrtyayy. tnspecrVan was �`�x I FURTHER SATE 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 ondl� aty�( hother ..an �i� F'bttga wHa mmt �the wetback +�Q�+v+mtntof tai• toad 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. . 1, ln4 F104 q �►ta lawd liazcrd Ilr.a. riJtl 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 +ty ProP. 11MIL Inrurmce Rate leap Panat f Code End PU3 apo