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Home My WebLink AboutBuilding Permit #346 - 30 FAULKNER ROAD 10/29/2009 TOWN OF NORTH ANDOVER APP ICATION FOR PLAN EXAMINATION Permit NO: �- ®� Date Received Date Issued: A- a9 e � IMPORTXKT`, ,Apphcant must complete all items on this page LOCATION 1 '` Print PROPERTY OWNER / Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yeso Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New iIdingfamiI dditio Two or more family Industrial Altera ion No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sen Floodplain Wetlands Watershed District r/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 6 ' y z. ' �w,,l Aw,,41 Identification Pleas Type or Print Clearly) OWNER: Name: _ 1�/�C�� 2A3 Phone: Address: e) CONTRACTOR Name: Phone 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$125.00 PER S.F. Total Project Cost: $ ` L FEE: $ r Check No.: ' - /�� Receipt No.: ��i' '.s' NOTE: Persons con rang with n d contractors do not have access to the guaranty fund Signature of Agent/Owner Y a. Signature of contractor a� � � ,,X Location No. Date Z �aRTh TOWN OF NORTH ANDOVER 0 s 9 • i Certificate of Occupancy $ ` cMus °'�t�' Buildin /Frame Permit Fee $ s� E Building /Frame Permit Fee $ , Other Permit Fee $ TOTAL $ Check 2z5u '— CBuilding Inspectoru Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL �Public: ewer Tanning/N4assage/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 APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on 8' off- Sig nature L"�L 0U I j t COMMENTS (/L 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 & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: 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 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 - 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 o Building Permit Application L3 Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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 L3 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) Li 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) L3 Building Permit Application ❑ Certified Proposed Plot Plan E3 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 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 2008 T40RTH � 0 Of 4Andover No.3y (a zis . QD 9 ,0 9 o dower, Mass., OLAKE C COC RICHE WICK V ADRATE D P"V `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING.INSPECTOR THIS CERTIFIES THAT �� ..... ........... .... ............................................................................................. Foundation ation 7 has permission to erect............................. ......... ings on ..�.40-........... ..... ....... Rough t0 b8 OCCUpled aS ........................................................ Chimney .... . . . . . .. ................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 ST TS a. Rough ................................................ ....... ............... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. CERMPND PLOT PLAN P��NOF PREPARED FOR. ti W NCENT 8RW 6M3b AT N0. 3577 30 FAULKNER ROAD � � eL LAMA 0 a NORTH ANDOVER, MA. z NORTH ESSEX REGISTRY OF DEEDS. BK. 8937 PG 307 Q ASSESSOR'S MAP: 44, LOT 16 ZONING: R-4 SCALE 1=40' DATE MARCH 31, 2009 NOTE.• EVS71NG SETBACKS TAKEN TO CORNERBOARD. NOTE EVS77NG BUILDING COVERAGE = 16X LOT 9 15 3' 11,000 SF. f 0-"Z /�oK, 20.9 po�ZF 12.6' D F 9.8' DE K �"3 '?,• �° EXIS PING ' DWELUNG�%�• � 28.1, � ee%�_. w NO. 27.4' ��• �ORVEO� �� S 14.8'. .0' 32.0' �� y9,ob.� 'Q,O 905 ,Q� ll� �P \ � 120.68' x\00, � v i Pte` PREPARED BY- JOIN YJOHN ABAGN & ASSOCIATE PROMUMNAL LAND SURVEYORS 9 BARTLETT S7REE7; NO. 252, ANDOVER, MA. (978)-688-4899 JOB NO. 5650 E rioRTH TOWN OF NORTH ANDOVER 6.1 3? °0 OFFICE OF ° BUILDING DEPARTMENT op- North 1600 Osgood Street Building 20, Suite 2-36 q ` .o North Andover,Massachusetts 01845 �Ssac►+uew� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: aJ�' JOB LOCATION: D VjklNu61e4S,�o mbber Street/A�ddresss Map/ ofHOMEOWNER % ? ' )'7�6 Name Home Phone Work Phone PRESENT MAILING ADDRESS 30 Al ®� �-- City Town State Zip Code 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 family 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 a ers nds the Town of North Andover Building Department minimum inspection procedures and requireme s a e/she will comply 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