HomeMy WebLinkAboutBuilding Permit #548-14 - 247 FARNUM STREET 1/15/2014TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: / �l �/ Date Received
Date Issued: ---I, (,�-
IMPORTANT: Applicant must complete- all items on this page
LOCATION t6l— N) V 3 S
Print
PROPERTY OWNER
2 Print '100 Year Old Structure yes
MAP NO: 074ARCEL6�f ZONING DISTRICT: _ _ Historic District yes
Machine Shop Village yes
TYPE OF IMPROVEMENT,
PROPOSED USE
Residential
Non= Residential
❑ New Building
,XOne family
❑ Addition
❑ Two or more family
❑ Industrial
Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
n Septic ❑ Well
❑ Floodplain D Wetlands
❑ Watersheds District
El Water/Sewer
'l� DESCRIPTION OF WORK TO BE PERFORMED: /
-JWw S-Sr 2/ e- CooC ' /Utylbl A T�
5A F
CoPVAnTr(1-gng 0)L TO 1020PqNe, qd�l dte<S .. 0tA?xL0,V-Q/)
Identification flease Type or Print Clearly) f
OWNER: Name: A/U /L- x/�r 7 Phone: 6 D9'445�2"®a,).2,
Address: 1,51 6 R F?,4- -�1%c� �-� %)0- ,Q hl cl a11!& Mx
CONTRACTOR Name: SA_ Phone: .. _
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License:,
ARCHITECT/ENGINEER
Exp. nate:
Phone: -'
Address: Reg. No.
FEE SCHEDULE. BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ A FEE: $
eo,
Check No.: Receipt No.: a 7�
NOTE: Persons contracting with unregistered fontractors do not have access to the guaranty fund
Signature of Agent%Owrierc~ w Signature`of contractor
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
Location -,2'17 T/—
No.-2m-/e/
Check #-',�
2 7, 235
Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $�I -"'
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
y �
/ Building Inspector
Location a X76 r,-,wz1tj
No. 13% Date Z /' - /f
10
D
i
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #�� i
3u152
Building Inspector
Plans Submitted ❑ Plans Waived El.Certified -Plot Plan ElStamped Plans ❑
.TYPEOF':SEW RAGEDiSP:OSAL
Public Sewer ❑
Tanning/Massage/Body Art ❑ _
Swimming Pools ❑
well ❑
Tobacco.Sales
ToodPackaging/Sales ❑
Private (septic teak, :etc...:Permanent
DeElmpster 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
COMMENTS �� t•:r �a� �, '; y,
PI
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes -
RIanning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW 'Togs Engineer: Signature:
Located 384 Osgood Street
SIRE DEPARTII E,W Temp Dumpster on site .yes. no
Located at-124,Mair, Street
.Fire Departmerif•signatureldate `' '_� � ,< '� . - •' ` ` f �• .. :. • •
COMMENTS "�'
-Dimension
Number of Stories
Total land area; sq. ft.:
Total square feet of floor area, based on Exterior dimensions._
ELECTRICAL: Movement of Meter location, trust or service drop requires approval of
Electrical Inspector Yes No
DANGER.Z®NE LITERATURE: Yes No
MGL -Chapter -166 Section 21A -F and G min.$100=$1000 fine
NOTES and DATA — (For department use
LI Notified for pickup - Date
Doe.Building Permit Revised 2010
Building Department -
The fo0owing is*4- list of the required -forms to be filled out-Wthe appropriate. permit to .be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/0'r C.S.L °Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
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
o Floor/Crossection/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
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)
❑ 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 apn.,al 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
Doe: Doc.Buil,Jing Permit Revised 2012
TOWN of NORM ANDOVER
OFFICE OF
BUILDING ]DEPARTMENT
7 600 Osgood Street Building 20, -Suite 2-36
'North Andover, Massachusetts 01845
Gerald A. Brown Telephone (978) 68$_9$4$
Inspector of Buildings -Fax (978) 688-9542
IIOMEOWNER'LICENSE EXEMPTION
BbID]NG PEItMT APPLICATION
Pleaseyrint ,
DATE: '
roB LOCATION: 2 A)& M
Number StreetAddress Map%Lot
�oVrEoR A2T ..
Name, Home Phone
Work Phone
PP,-ESENT MAILING ADDRESS 60-7-&L
do V::��Pq
['it - To,=n, I/
v SfaPti .
'lip Coda
The current exemption for "homeowners" was extended to
fo allow sa:h homeo;— g a nchrdeowneroccupied dwellings to tsvo units or less and
uers u di 1�e an ildivid�zal for bice who does notpossess a license, provided that the ow.uer
acts as supervisor). i;tateBzzilding (Code Section 108.3.5.1)
DEFIN TION OFROMEOWNER.
Persons) who gwus a parcel of land on which be/she resides or intends to reside, on which (here is, oris intended to
be, a one or two Family structures. A person who constructs more that one home in a two-yearperi, d shall not be
considered a homeowner.
The undersigned. "h.omedwner" assumes responsibility for compliances with the State Building Code and other
Applicable codes, by-laws, rules and i-egulations.
The undersigned "homeowner" certifies that he/she undergtands the Town of North Andover Building Dep artm eat
minimum inspection procedures and requ
requirements, irements and that he/she will comply with,said procedures and ,
HOMEOWNERS SIGNATURE
APPROVAL OF BU.LC,DING OFFICIAL
Revised 7.2009
Form Homeowners Exemption
•BOARD OF APPEALS 688-9541r r•'
COI\tSEP AVON 688-9530 HEALTH 688-9540 PL&NNJ.NG 689-9535
lei
Or HORTM try
'Jiffs n„��y
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 548-14 on 1/15/2014 Date: March 17, 2016
THIS CERTIFIES THAT
THE BUILDING LOCATED at 247B Farnum Street
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Randy Hart
151 Carter Field Road
North Andover, MA 01845
Fee: $100.00
Receipt: 30132
Check: 3957
- , � 1/"' �' t � //' � -
Buildi g Inspector
CERTIFICA'T'E OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 548-14 on 1/15/2014 Date: March 17, 2016
THIS CERTIFIES THAT
THE BUILDING LOCATED at 247B Farnum Street
MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH' THE
PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: Randy Hart
151 Carter Field Road
North Andover, MA 01845
Buildi g Inspector
Fee: $100.00
Receipt: 30132
Check: 3957
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Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ...1~/. �''�� �. Z .
has permission to perform .... 8 /7—:P ..........................
_plumbing in the buildings of ... 1 `�/. �I �. /.....................
North Andover, Mass.
Fee .?� ...... Lic. No.. . 31. t .. ............ .............. .
PLUMBING INSPE TOR
Check #
N
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
= / Yoro f''7(f� i�tass. Date Q� Permit #
I� Building Location ��f % (r^n () m Owner's Nam
Type of Occupancy Residential
Ww c
New ❑ Renovation ❑ Replacement. N Plans Submitted: Yes ❑ No ❑
FIXTURES
installing Company Name Heritage Htg . &P1g . Co. Inc. Check one: Certificate
Address 35 Pleasant Street CX Corporation 714
Stoneham, Ma 02130 L] Partnership
Business Telephone 781 —4 3 8— 7 7 7 6 (`I Firm! Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes El No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy ON Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAITER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner O Agent ❑ i
Signature of Owner or Owner's Agent
I hereby certify that aii of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing v:ork and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Title Si ature of L,censed um e
City/Town Type of Licsnse: Master [X Journeyman ❑
APPROVED (OFFICE USE ONLY) l License Number 8322
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installing Company Name Heritage Htg . &P1g . Co. Inc. Check one: Certificate
Address 35 Pleasant Street CX Corporation 714
Stoneham, Ma 02130 L] Partnership
Business Telephone 781 —4 3 8— 7 7 7 6 (`I Firm! Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes El No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy ON Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAITER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner O Agent ❑ i
Signature of Owner or Owner's Agent
I hereby certify that aii of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing v:ork and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
Title Si ature of L,censed um e
City/Town Type of Licsnse: Master [X Journeyman ❑
APPROVED (OFFICE USE ONLY) l License Number 8322
%2" Watts 9D bfp oa waterhitie to water boiler-- � �j
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ 80,000.00
m
$ -
$
960.00
Plumbing Fee
$
120.00
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
120.00
Total fees collected
$
1,300.00
247 B Farnum Street
548-14 on 1/15/14
Renovate Existing House
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DRAUM BY:
MARTHA MAGNWS
58 REGENT AVE.
BRADFORD, MA. 01835
(978)3748719