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HomeMy WebLinkAboutBuilding Permit #1099-16 - 242 PLEASANT STREET 10/20/2016 txORTy �b BUILDING PERMIT Q��TLEU ,6 qq•� TOWN OF NORTH ANDOVER 0 � APPLICATION FOR PLAN EXAMINATION+a Permit No#: Date Received 7 ORATED RSSACHU`'�( Date Issued: (? 2 0 ( L{l IMP RTANT: Ap licant must complete all items on this page LOCATION � 1 Pn PROPERTY OWNER �C C� �I VJ �� 1 ��,, rint 100.Year Structure yes MAP PARCELS� ZONING DISTRICT: Historic District yes no Machine Shop Village yes. no . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial aAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: C&Demolition ❑ Other �,. - - atrii ' t7" ❑1/11e1 ® Floodpan ❑W�etlarrtls ® '{ e s eclist ct . s = ' . . DESCRIPTION OF WORK TO BE PERFORMED: r 1 � �v J If sv 0 CIOd9Le "ne-� ry en fication- lease T pe or Print Clearly S'�iPzi a rz S i S�tG s POWNER: Name. I7� Address: J) Contractor Nam / ` - Ph ne: 7 J�� Email: /7.1) t°/ 3� S y Address: Supervisor's Construction License: Exp. Date: Home improvement License: /�� Exp. Date: p , ARCHITECT/ENGINEER / Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$9000.00 OF HE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. � a O Total Project Cost: $_9 0 FEE: $ "/ C Check No.: / (° Receipt No.: �� ox? — NOTE: Persons contracting with u egijtered contractors do not have access to the guaranty fund C*ay Y 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 1 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 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:Building Permit Revised 2014 Plans Submitted ❑ flans Waived ❑ Certified Plot Plan ❑ Stamped flans ❑ 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 m U FORD 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 Planning Board Decision: Comments Conservation Decision: Comments Water& Server Connection/Signature ®ate Driveway Permit DPW Town Engineer: Signature: ` FIRE Located 384 Osgood Street DEP�IRTMENT� Ternp�psfe eat 'at ire D part en t signere at C l'C'®IVI�MENThS. y �. , u i 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 Call Email Date Time Contact Name 3 Doc.Building Pen-nit 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.$100-$1000 fine NOTES and DATA-- (For department ease) Ll Notified for pickup Call Email Date Time Contact Name _ Doc.Building Permit Revised 2014 4 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Flans ❑ TYPE OF SEWERAGE-DISPOSAL a Public Sewer �^l Tanning/Massage/Body Art ❑ S�"��g 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 m U FORINT 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 Planning Board Decision: Comments Conservation Decision: Comments !Nater& Sewer Connectiofl/Signature& ®ate Driveway Permit ]DPW Town Engineer: Signature: Located 384 Osgood Street FI,�RE DEP/aR MEN1' �1 Ternp mpste onjks `�" ' h f� �"` ite )Ye _ n o Located at�'j1r24rMin Street v'' `�^"�� --~ -- Fire ®ejmffl entrs-ign�_at ur4e%daRw • 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 Ixi 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:Building Permit Revised 2014 �b L BUILDING PERMIT �ao�TH 6 Off-(.{FLED '6=6-yO h1d/ 1 . TOWN ®F NORTH ANDOVER -� APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �ysSgcHus��e5 Date Issued. 1(9 p IMP RTANT: A licant must complete all items on this page i LOCATION �m Pri PROPERTY OWNER rint 100.Year Structure yes MAP PARCEL 2 ZONING DISTRICT: Historic District yes no Machine Shop Village yes. no . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )40ne family ❑Addition ❑Two or more family ❑ Industrial aAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: I&Demolition ❑ Other _ u I-- &®`Flood laWetla F clsAl � ate`r)5M i?rtct Vie"t1 ❑Well DESCRIPTION OF WORK TO BE PERFORMED: L L r v C/ 26 1. < T tff 2"'v 0 ' J ✓v X17 C�(J�''� rLN Eli fication- lease T e or Print Clearly O ✓v P OWNER: Name: r---� - Ph ne: 7 Address: 7�I J) Contractor Nam / ` - Ph ne: �� Email: i'��/I °l/ 3 CIV _ S Address: Supervisor's s Construction License: AlAq Exp. Date: Home Improvement Licenser Exp. Date: ' ARCHITECT/ENGINEER /A) IPhone:� Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OFHE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 90 � 1 FEE: $ Check No.: 16 Receipt No.: `� a NOTE: Persons contracting withuh7egi9tered contractors do not have access to the guaranty fund Location .Y No. ' ' / - .' Date • - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# /+ L, Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost A 90"O"OO'AG m $ - $ 1,080.00 Plumbing Fee $ 135.00 Gas Fee 100 comm. $: 10:0;0:0. Electrical Fee $ 135.00 Total fees collected $ 1,450.00 242 Pleasant Street 1099-2016 on 4/29/16 Turn garage into bedrooms NORTIi Town of ? _ x ndo ver No. �o�h , ver, Mass, ItO z /d COC.I1C„I WK. 1. x,95 qA rE G 111Pa`,��5 U BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THAT BUILDING INSPECTOR has permission to erect y /"�C4 r Foundation .......................... buildings on .�....:�................................................................. to be occupied as ........................................... ` — Rog i /.................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final 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 CONSTRUCT TARTS 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. reo�rr. TOWN OF NORTH ANDOVER OFFICE OF } BUILDING DEPARTMENT _ + 1600 Osgood Street,Building 20, Suite 2035 +L North Andover,Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIY APPUCATION Please print DATE: � iAt/ f JOB LOCATION: Nu ber Street Address Map/Lot HOMEOWNER �d nl �n G �_'Chi 7�) Name Home Phone Work Phone PRESENT MAILING ADDRESS Gfv7 e?���,✓° � 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,provided 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 I IO 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 requiremeiats and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OF71AL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLAMING 688-9535