The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #406-2011 - 281 MAIN STREET 11/10/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: y� 2v�1 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION OZ S Pri t PROPERTY OWNER Print MAP NO: PARCEL:// 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 ❑Alteration No. of units: ❑ Commercial )(Repair, replacement ❑Assessory Bldg ❑ Others: j _❑ Demolition ❑ Other foSeptics ®;yU�elh t®EMEer-l'am I�;Wetlands �0 'WatershedtDistrict 1 ®Wafer/Sewerr _ 5. { —z-.S.._ .. DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) 1 OWNER: Name: STeloffeN E. Sla eAl Phone: 17Y 6 ; Address: 9,9/ Itialp? Sb �U r2? /C�yl® Phone: 7 75--3fs 5 /- -cam CONTRACTOR Name: ,� Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ �/�� FEE: $ Check No.: �� Receipt No.: 3� NOTE: Persons contracting with u registere contractors do not have access to the guaranty fund SignatureofAAgent/Qwiier .� Signature ofcontractor =a L.._ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM l DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ i COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: I Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 Yes No ElectricalInspector DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i NOTES and DATA— For department use i 3 r ® Notified for pickup - Date Doc:.Building Permit Revised 2008 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 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) ❑ 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) i ❑ 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 MOTE: 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 Chat 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: Doc.Building Permit Revised 2008mi Location v. No. � Date l��°2 /d 40RTN TOWN OF NORTH ANDOVER Ci� . o ,°,1•G �? •' O N to 9 � y Certificate of Occupancy $ sE Building/Frame Buildin /Frame Permit Fee $ �� d s,►cMu Foundation Permit Fee $ Other Permit Fee $ TOTAL $ U Check 2369 Building nspector of µ°0T TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT ey 1600 Osgood Street Building 20, Suite 2-36 �qs q,TMo.P�1y North.Andover,Massachusetts 01845 Sgc►+us Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION: Number Street Address Map/Lot r HOMEOWNER �l� �� J%l /�j 767 Name Home Phone Work Phone PRESENT MAILING ADDRESS /9 CC . a City To�'T Ctatw. Zip Cede The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) 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 fancily structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the 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 re uiremen d that /she w' omply with said procedures and 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 ORTM o An Tomm over 0. �0�..-; _ o dower, Mass.. O LAKE /�, �.p coc MICKE W ICK\y P' A�RAT E D PP 0 SS BOARD OF HEALTH Food/Kitchen Septic System .PERM 1 . BUILDING INSPECTOR ............ 'HIS CERTIFIES THAT � G��- """"""""" Foundation /..... `'�� r..%�a...... .......................................... Rough gas permission to erect..............:......................... buildings on ..... , y C imne� ..�.-�o.a..,lL...................................................................�................... o be occupied.as.... p .....��!:��..../�..�.� ry p p Final )rovided that the person accepting this permit shall in eve respect conform to the terms and of ;his office, and to the provisions of the Codes and By-Laws relating to the Inspection, PLUMBING INSPECTOR Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations;Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ........................................... Service BUILDING INSPECTOR Final occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough I 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. SEE REVERSE SIDE Date. NORTH . •�tio TOWN OF NORTHA14eDOVER PERMIT FOR PLUMBING SSACMUS� �• yN �T This certifies that . �� ! . !. .. ... .... . . . . . . . . . . . . . . . . . has permission to perform .. A . .. . . . . . . . . . . . . . . . .. . . . . . J ti plumbing in the buildings of . . . . /. . . . . . . . . . . . . . . . . . . . . F at . . . .� �� .�. . . . . .. . . . . . . . .�. .... . . . . . . . . North 'Andover, Mass. Fee. Lic. No.. . . . . .FP 3 In . . . . . . k PLUMBING INSPECTOR Check ,7 l( 3 k 5 7693 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date V CI Building Location ? Owners Name S _ Permit# Amount Type of Occupancy ,o New Renovation ri Replacement Plans Submitted Yes ❑ No ❑ FIXTURES rn rA w o x x HS) G�, a W A Colo U BAER W M FLOOR i ZD FLM j 3M FL" 4IHFIOCR 5IH FLOOR QH FIDCI<t - 7IHHa R SIH maR (Print or type) Check one: Certificate Installing Company Name��---- /„ 44 le IO�S �f fi ❑ Corp. ',Address �Q) U d k 1'!/I ❑ Partner. Business Telephone TTelephone �' Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 3 Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner ❑ Agent I hereby certify that all 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 work and4stallations performed underPermit Issued for this application will be in compliance with all pertinent provisions of the M sac se State Plu bing Cod and Ch ter 142 of the General Laws. By: Signature ol 17cFFseup7u—jjjurj Title Type of Plumbing License City/Town icense Mmuer Master Journeyman ❑ APPROVED(OFFICE USE ONLY 111��111