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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 g 14 A.- T R y ` K 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 O ,,. w 0 No. h ver, Mass o 1. 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