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HomeMy WebLinkAboutBuilding Permit #338-14 - 288 GREENE STREET 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMIN ATIO Permit NO: � Date Received (/`C Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATIONc .� Print' �n � PF20PE:RTY 0 INER� Ul(J lY`�►1 fl I C t?C�Cf I�'�.c -� a,�.n�D _ nn x �. - - s _ y - -- Prant 100Year Old Structure yes,� --_ARCEL~ ^YZ-ZQNINGI _I .513 T Historic District yes-=Machine Shop Vil.lage.3 yesr - 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: ❑ Demolition El Other D Septics Well ❑PFlo'9dplain Q 1Netfantls © Watershed Distnct: .r. _. -1fl ter/Sewer, _ - DESCRIPTION OF WORK TO BE PERFORMED: IWO U 0 � V1 0 ( Identification Please rypJ or Print learly) OWNER: Name: Phone: Address: CONTRACTOR'`N,arme t=_ _ Phone •, g - .. .. _rte - R Adclress:_ _ 2 � �st�rw G. _ t'v�eS -'V-—C-AA N Supervisor's _Construction _L_icense 5 r-�_(� j C 7. Expi, -A 4or eme.nt'License -. -_- . _ •_ .. _ 'Exp. r®ate: ARCHITECT/ENGINEER c��,� Phone: Y- 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: $ CJ FEE: Check No.: O Receipt No.: NOTE: Persons contractin ith re tere ntractors do not have access to the guaranty fund Signature=of.=Agent/Owner,; S�gatureof'contracto °R,� _ <, ..mar -�. .r. - - — — — Plans Submitted ❑ Pla aived 11 Certified Plot Plan ❑ Stamped Plans ❑ i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE-OP-SEW-ER-AGE 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 - U FORM - DATE REJECTED: DATE.APPR-OVED PLANNING &DEVELOPMENT' ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature _ g COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes fA i Planning Board Decision: Comments Conservation Decision: Comments { Water & Sewer Connection/Signature& Date Driveway Permit DPW To` o Engineer: Signature: Located 384 Osgood Street SIRE DEPARTME "T - Temp Dumpster on site yes no Located'at-124;Mair, Street Fire DepartineFitsignature/date COM ..y .. t MENTS ... . .. -Dimension k i 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 crop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter-166 section 21A-F and G min.$10041000.fine NOTES and DATA— (For department use i I I E3 Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The foKswing ia-a'Iist of the required forms to be filled out for the appropriate permit to be obtained. I Roofing, Siding, Interior Rehabilitation Permits u ; Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work o 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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) o 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 pp Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application I Doc: Doc.Bui?ding Permit Revised 2012 i l Location No. 'zG_ii t Date le:7 �r / o - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $fin Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 26976 Iding Inspector Location �j No. ls`/ `f �3�-/� Date f 1 o TOWN OF NORTH ANDOVER O °s� D Certificate of Occupancy $A� Building/Frame Permit Fee $ CP Foundation Permit Fee $ q Other Permit Fee $ TOTAL $ Check#212-9 27249 Building Inspector M'S 1CNSES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 338-14 on 10/9/13 & 535-14 (Basement Remodel—Storage Only) on 1/13/14 Date: January 24, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 288 Greene 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: Renovation R.T., D. Minicucci, Trustee 288 Greene Street North Andover, MA 01845 t Building Inspector Fee: $100.00 Receipt: 27249 Check : 3129 NORTH own ® Andover No. -T LAKE h ," ver, Mass, '� COCNIC Nl WICK y�. s A�RATED S u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System BUILDING INSPECTOR ::.f::::.:::�. :.. .: .: sti:.:::m �': .. ::............................................................. THIS CERTIFIES THAT ......: Foundation has permission to erect ...................... buildings on ... ....... ...... .. Rough ��, Jin�.A� J / '7° / M/<o',!.111a�-'y✓? ...I� !f A to be occu led as .....:..... .: •�. ,= provided that the person accepting this permit shall in every respect conform to the terms of the application nn 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough <!.', � Service ........ r ... .f,n.Jn�:1' :..L'/G'`. ti::'r.•..:............................. .. ..' . nal ® J� BUILDING INSPECTOR /Z' — G"'Com_ GAS INSPECTOR Occupancy Permit Reguired 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. SEE REVERSE SIDE .,. _ � NORTF� Town of E A" ndover No. _T - 4 LAK@ h , ver, Mass, COC NIC 04IWIC•1 y1. ADRArED S u BOARD OF HEALTH Food/Kitchen PERMIT T Septic System �t�l �� ,v G / ��v�'V�'F BUILDING INSPECTOR THIS CERTIFIES THAT .. .... ...................................................................................................................... !'��'iV� Foundation has permission to erect .......................... buildings on ��'�. ................................................................ fv i/.................... Rough to be occupied as ..... ..moi frr. rz. :. <: ?:a .. ...�...........5.?��<.�:G}f...a&.`. ... Chimney provided that the person accepting this permit shall in every respect conform tdthe terms of the application Finar / 2��� 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. LUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough FinaljE�' /�, PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S ARTS 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. SEE REVERSE SIDE G�Ho DTM1 4CNUSES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 338-14 on 10/9/13 & 535-14 (Basement Remodel—Stora e Only)on 1/13/14 Date: January 24, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 288 Greene 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: Renovation R.T., D. Minicucci, Trustee 288 Greene Street North Andover, MA 01845 Building Inspector Fee: $100.00 Receipt: 27249 j Check : 3129 I NORTH own of E ndover O '�r ..`•• ,y to No. - o :LPkK. h , ver, Mass, COC".Chl U BOARD OF HEALTH Food/Kitchen PERMIT -T LD Septic System �i/� BUILDING INSPECTOR THISCERTIFIES THAT ...... e.t............................................................. has permission to erect buildings on ... ..Js.'�1.... ���`''� Foundation ............................... Rough to be occupied as ..... e......!�R.Z1.4.A^.S.................... 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. SEE REVERSE SIDE TOW.[ "OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT Osgood Street Building 20,-Suite 2-36 North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-945 Inspector ofBuldings - Fax (978)688-9542 ' HOMEMNER'LICENSE EXEMPTION 33M ING PERMT APPLICATION Please print • , "' I DATE: JOB LOCATION: g Number Street Address Map/Lot Name • .. Home Phone Workphone PRESENT MAILING ADDRESS � `t o p code The current exemption for"homeowners"was extended to hiclude owner-occupied dwellLngs to two units oT less and to allow su;b homeovfners to en �e an i. gao -1-dividual.for hire who does aot possess a1 cense,provided that the o acts as supervisor). Slate Building (Code Section 108.3.5.1) caner DEFINITION OFROMEOWNER Persons)who Awns 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 fau�ily structures. A person who constructs more thatone home in a two-yeher eis,O shall not b considered a homeowner. e The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules andregulatiom. The undersigned"homeowner"certifies that he/she understands the Town of Forth Andover Building Department minimum inspection procedures and requirements and that e/she wi omply with�said procedures and requirements, HOMEOWNERS SIGNATURE A�PROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Romeowners Exemption ''BOARD OF APPEALS 688-9541CO]�SEr , "14R'�ATION 688-9530 HEALTH 688-9540 PLANNING 688.9535 Massachusetts -Department of Public Safety \Board of Building Regulations and Standards Construction Supen•isor License: CS-088997 MICHAEL V MMMMOLA` 22 MERRIMAC STREETe . S Amesbury MA Of913 4 ' �! Expiration Commissioner 09/09/2015 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 8,300.00 m $ - $ 219.60 Plumbing Fee $ 27.45 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 27.45 Total fees collected $ 374.50 288 Greene Street 338-14 on 10/9/13 Kitchen Remodel