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:
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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.
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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