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HomeMy WebLinkAboutBuilding Permit #1138-16 - 213 CARLTON LANE 4/28/2016 (� 2 BUILDING PERMIT No DTH TOWN OF NORTH ANDOVER �'2 hf ' "- '6 APPLICATION FOR PLAN EXAMINATION Permit No#: 131? Date Received �R"�R„7E, c5 gSSACHU`-+�� Date Issued: L. IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER L dC D Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Res' ential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑UVell ❑ Floodplain Wetlands t ❑ Watershed District .p:Vlater/Sewer _ � d` �� F. .: DESCRIPTI N OF WORK O BE PERFORMED: C-e- V I Identifi ati on- Please pe or Print Clearly OWNER: Name: Phone: �7 7�d Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.,BOLDING PERKY:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: FEE: $ �O Check No.: 9z/0 Receipt No.: NOTE: Persons contracting with unreg' eyed contractors do not have access to the guaranty fund __ of contrartor __ __ A14et BUILDING PERMIT o�tt�E° bgtio TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � ZT76 _ . b Permit No#: >! � l,� Date Received4p TIED ��SSACHV`-'�t�5 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER L C D Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Res' ential Non- Residential ❑ New Building Vbne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DESCRIP =OFKO BE PERFORMED: C-e �D W I✓ o o1 Identifi ation- Please pe or Print Clearly OWNER: Name: Phone: kU--7U10 Address:.,,Address:.,,ja Chi OWWWW &A Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: _ Address: Reg. No. FEE SCHEDULE:BULDING PET:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Oo.oa Total Project Cost: $ 9,0114, FEE: $ Check No.: Receipt No.: C?5A6 NOTE: Persons contracting with unreg' eyed contractors do not have access to the guaranty fund , . ,.. E _ AY h' 2 BUILDING PERMIT N.-ED TOWN OF NORTH ANDOVER 3 - - APPLICATION FOR PLAN EXAMINATION Permit No#: la? — Date Received �SSgcHus�c Date Issued: L IMPORTANT: Applicant must complete all items on this page a` LOCATION _ Print PROPERTY OWNER L C D Print 100 Year Structure yes ° -. no. MAP PARCEL: ZONING DISTRICT: Historic District yes+'.* no _ Machine Shop Village . yes,i '_ no TYPE OF IMPROVEMENT PROPOSED USE Resi ential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DESCRIPTI N OF WORK O BE PERFORMED: C�e 20 LACc, Identin ation- Please pe or Print Clearly OWNER: Name: Phone: �7wtlid Address: ,Z C ddg Contractor Name: Phone. Email: u - Address: _. Stapervisor's Construction Licenser Exp.' Date: Home Improvement License Exp: Date; - ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PE RM,(T:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ��pj 'i �lh� �v FEE: $ 00'e, Check No.: a Receipt No.: NOTE: Persons contracting with unreg' erect contractors do not have access to the guaranty fund R Fa ., ''k _ Location _ r J No. �/ �' t" Date !/% • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ` Check# �f r Building Inspector :1 � i� � . .... . . . . - . - .. . . .. - . . . _- -. - . . . .. ,.. .. -- -. I. 1. % . . 4 ., ".1.:�, -1—I�,,--j, _ --tip. _ k- _.= -jµ -3 :. ' .... . Location . No. 11-3�i f Date V �/` _ I� .- -.1 • - TOWN OF NORTH ANDOVER I • - .. 0 • Certificate of Occupancy $ Building/Frame Permit Fee $ ���-- _ --�, Foundation Permit Fee $ �- �� �` Other Permit Fee $ ..� - TOTAL $ '► i Check# .vo�. J i . �BUlltlln Inspector r --. _.. { - f - s - — ...: .. . . .. . 4 �i .,t ra.- '" .. 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 OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes F Planning Board Decision: Comments 0 Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street _ �iFIRE DEP�R�TiMEN�atT, Tt�ern�Dump�sterri�onris.ite �yess_._..- I;no,� _, �iLocatediat�1�249�Main�.Sfreet4 Fr`re De `artment s`i� natureldate 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 Packagiug/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ori Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Panning Board Decision: Comments V l Conservation Decision: Comments Water& Sewer ConnectioniS_ignature& Date Driveway Permit i DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPgRTMENT-CE; p Dwrnpster on sit Vyes n© - L�[D 24 Main S reetAlt *#_ ilz � ceaFrtmen si,g ture/date £ • g 4 r 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.$10o-$1000 fine NOTES and DATA-- (For department use) P ❑ Notified for pickup Call Email Date Time Contact Name I Doc.Building Permit Revised 2014 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.$10041000 fine NOTES and DATA— (For department use) ❑ Notified foricku Call Email p P Date Time Contact Name Doc.Building Permit Revised 2014 a! 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 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 OTE: 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/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit 4 In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals th-.t 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:Building Permit Revised 2014 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 Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract 4. Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: 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/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 thxit 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:Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 50,000.00 m $ - $ 600.00 Plumbing Fee $ 75.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 75.00 Total fees collected $ 850.00 213 Carlton Lane 1138-2016 on 5/3/2016 Kitchen Remodel tAORTIy Town of Q No. 2,6 ' * -t _ <8 x ver, Mass, COCMICKl WICKI- L9S�RArED U BOARD OF HEALTH Food/Kitchen .PERMIT T LD Septic System THIS CERTIFIES THAT ..... .. . ..... ............. BUILDING INSPECTOR ................................ ..... ................. .............. has permission to erect Q� py � � Foundation .......................... buildings on ............. .... .......... .. ... .Aa...................... WO l /cC ` /lr G— Rough to be occupied as �'�',p��4F ��-,;� � ` � ugn ....../ Zhall � .. Y...../.. ...D.......... .`.......................................... Chimney provided that the person accepting this permit in every respect conform to the terms of the application Final on file in 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 CONSTRUCTI STARTS Rough Service .......... .... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildine 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. Smoke Det. �►ORTy TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT a ;+ 1600 Osgood Street, Building 20, Suite 2035 North Andover,Massachusetts 01845 SSACHU Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION: Z 13 C LI •G' N�um/ber Street Address (( Map/Lot HOMEOWNER iN�• -�y�tGClS S� yH1uGG G!� Name Home Phone Work Phone PRESENT MAILING ADDRESS .2113 040L2q( )0AA+A, g1Adr)Lt& �� City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license, rop vided that the owner acts as supervisor. 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 dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section 110.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with 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 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535