HomeMy WebLinkAboutBuilding Permit #449-13 - 24 PRESCOTT STREET 12/5/2012 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: y Date Received
Date Issued: Z 2-
IMPORTANT:
•IMP RTANT:Applicant must e complete all items on this page
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14
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PROPERTYOWNERi-7��i�,r _ __
. _ Print` 10:0NY:q r bldlstructure'c es noj
MAP�NO (� � -_. PARCEL`. . ZONING'D.IS,TRICT Histone Distract; yes,
Machine=Shop,Villag i yes; nn
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition )OTwo or more family ❑ Industrial
❑Alteration No. of units: v7 ❑ Commercial
koRepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
liSeptic, ❑Welly ❑ Floodplain ❑Wetlands- ❑ Waters e' Dist'ricV
? 'E1 Water/S:ewer.
JJD--E$CRIPTION OF WORK TO BE PERFORMED:
��C-lamy f 11D�r�y OJC
Identification Ple a LTpe or Print Clearly)
OWNER: Name: tiv " Phone: /0?
Address:
CONTRACTOR= Name:
Address
Supervis.or's;Construction License: Exp Date-
H, ome
ate-Home Im—Vdve_.rnent License: _ __ Ezp 'Pate,;, -
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
�n
FEE SCHEDULE:BULDING PERT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost. $ _ fD�<7 FEE: $ •Ol7
Check No.: Receipt No.:
NOTE: Persons contracting with unre istered contractors do not have access to the guarantyfund
fSignatuee�of A'gent/Owner�M �' Signatu a of contracto�� �: _ '
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
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
j ❑ 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..
l
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)
Li 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)
o 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 submAted with the building application
Doc: Doc.Building Permit Revised 2012
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL `
Public Sewer Swimming Pools ❑
Tanning/Massage/Body Art ❑
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 ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS -
HEALTH Reviewed on Siqnature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
C-6fiservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Towp-Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT' Temp Dumpster on site yes no
Located at'124.Main Street
Fire Department-signature/date
COMMENTS I
I
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.$100-$1000 fine
NOTES and DATA— (For department use
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Location
No. 11/4/ `l —/.3 Date/`n
e TOWN OF NORTH ANDOVER
j
- - e
Certificate of Occupancy $ r
r Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check# // b,
26013 Adilding Inspector
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
$! 81000.;00 m
$ - $ 96.00
Plumbing Fee $ 12.00
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 12.00
Total fees collected $ 220.00
24 Prescott Street
449-12 on 12/5/12
Kitchen Remodel
NORT#1
Tlown :of : _E I, 6 ndover
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No.
h ver, Mass
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COC NIC Nl WICK V
AORATED
S U
BOARD OF HEALTH
PERMIT T LD Food/Kitchen
Septic System
JJ BUILDING INSPECTOR
THIS CERTIFIES THAT .......,�/ �J.�. ...... � .:?./!.¢....... ..........................................................
Foundation
has permission to erect .......................... buildings on .. ...`�. .. ........•..•••..•••••••••.•
Rough
tobe occupied as ............................... �1......................................................... Chimney
provided that the person accepting this permit shall 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
Rough
VIOLATION of the Zoning-or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
.......,.'.. Service
...................... ................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
SEEt REVERSE SIDE
1344'
DOOR REMOVED CELLAR DOOR
pj c�.. �•a?�,x rte+,,, a , '�j` ' .,'.� { � �
a
SCHROCK ENTRA CABINETS 1
GUTHREY DOOR STYLE
MAPLE WITH CHOICE OF
STANDARD FINISHES
PULLS TO BE SELECTED
CEILING HEIGHT-103 112"+1-
EXISTING CASING 4 1/2"WIDE
�0 HANGING HEIGHT-96"
I - SOFFIT-SWLCRM8-2 5/18"CROWN I
PA WITH SM FLAT SCRIBE
NEVI/ 0#WIDE ALANCE
C�►�" c(�-1(r
CASE OPENIN
WITH f/2"WI r
CASIN € !( _I M UREMENT
j { i WA 229 1/2"
'CHECK THIS
�
A—La y 17ELETED
t i HEAT TO 2ND FLOOR
z ' HAS TO BE MOVED
i =
00
�V 3°
` t - r - z WINDOW
k •
_ ORNER OPEN
SHELVES TO
EXI TING BE BUILT ON JOB
WINDOW '~ --• NOTaNCLUDED IN . . .
ESTIMATE
r All dimensions size desimtiationsv�C V1 11;LV a 1ti1 t i itis is an ori�ai design and must {Desiened:1 li5/2012
i I given are subiect to verification on I JACKSON not be released or copied unless Printed:l l/7/2012 I
job site and adjustment to fit job KITCHEN applicable fee has been paid_or job A ��
conditions. DESIGNS f order placed. /1
I ATS KITCHEN#1 i All i Dravin¢#: 1 II
TOMW OF NORTH ANDOVER
a6 ° OFFICE OF
s BUILDING DEPARTMENT
c� °* ':•1600 Osgood Street Building 2
'gssuus�t�� North Andover,Massachusetts 011845te 36
Gerald A.Brown
Inspector of Buildings Telephone(97g)688_9545
HOMEOWNER•LICENSE ECpXEMTION Fax (978)688-9542
]"DING PER RT APPLICATION
Please print • , '
DATE: /v2 L5
JOB LOCATION: ? _RKCo s 71
Number Street Address
Maplot
HOMEOWNER
Name. Home Phone
Work Phone
PRESENT MAILING ADDRESS _5
C'it�i 7 MT.
ate.
Zip Code
The current exemption for"•homeowners"was extended to?include owner-occupied dwellings to itivo units or less and
to allow such horrmeot,rers to engage an ircividual•for hire wno does not possess a license,provided that the owner
acts as supervisor). State Building (Code Section 10S.3.5.1)
DEFINITION OF HOMEOWNER
Persons)who Qwns a parcel of land on which he/she resides or intends to reside,on which there is,oris intended to
be,a one or two family structures. A person who constructs more that one home in a which
there
Orio'd shall not e
considered a homeowner.
The undersigned"homeowner"assumes responsibility for compliances with the State Building Co
Applicable codes,by-laws,rules and regulations. g e and other
The undersigned"homeowner"cert
minimum inspection procedures anifies that he/she understands the Town of North Andover Buildin
d requirements and that he/she will comply with,said procedures and apartment
requirements,
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 7.2009
Form Homeowners Exemption
.
BOARD OF APPEALS 688-9541
CONSERVATION
688-9530 HEALTH 688-9540
PLANNING 688-9535