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Home My WebLink AboutBuilding Permit #617-13 - 31 DANA STREET 3/25/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: ✓� Date Received Date Issued: 3 • Z S' 2013 IMPORTANT: Applicant must complete all items on this page LOCATION 31 D"q A I N'O&Tq AN OOVC (2— Print PROPERTY OWNER 2R.iAt4 L FAYE Print 100'Year Old MAP NO: PARCEL ZONING DISTRICT: Historic Districtcture ye CnQsMachine Shop Village yes -TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial X Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: WAT�E!t_ DlcM+6IL /Rf-PA►2 V-tTCH r{ wAt.t_S CEtt. f'J0 REprl i a, 2f-Pt/A-C 1C.1 TC i* N CA 6rW4- TS Identification Please Type or Print Clearly) OWNER: Name: 'R9_ictr4 L. FAYE- Phone: 9n8 •99y-S_s3Z AddrPcc- CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No.. FEE SCHEDULE: BOLDING PERM F. $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $$125.00 PER S.F. Total Project Cost: 00O FEE: 0 •dam 1 � $ Check No.: Receipt No.: 2�-z NOTE: Persons contracting wlthpm7regqrere ractors do not have access to the guaranty fund Signatureof Agent%Ovvner)("_/'/ Signature of contractor Plans Submitted F1Plans Waived Certified Plot Plan ❑ Stamped Plans 11 Location \oc, No. 6, -/ 3� Date Check# 1�� I TOWN OF NORTH ANDOVER Certificate of Occupancy $- Buflding/Frame Permit Fee $ Foundation Permit Fee $- Other Permit Fee $- TOTAL $ 14 26222 6uilding Inspector 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 ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED PLANNING & DEVELOPMENT ❑El DATE APPROVED 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 t Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Towp- Engineer: Signature: ' FIRE DEPARTMENT - Temp Dumpster on site yes Located at'124 Main Street Fire Deprartmet-signature/date COMMENTS Located 384 Osgood Street no 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.$10041000 fine NOTES and DATA — (For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 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) ❑ 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 a 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 subm;tted with the building application Doc: Doc.Building permit Revised 2012 Enter construction cost for fee cal -- North Andover Fee Calculation Construction Cost $ 71000.00 m $ - $ 84.00 Plumbing Fee $ 10.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 10.50 Total fees collected $ 205.00 31 Dana Street 617-13 on 3/25/13 Repair Water Damage, Kitchen Walls and Ceiling Repair Replace Kitchen Cabinets 1.1 6*1 V1 5� 1� 0 VJ Z Cl) m z (0-0 Z H W a' z X LL, U W az tN v 0 E � o o z y O = v/'W'ww Q •E •.. m I CL i_ C � � O �+ v O O �O � FL Q C Q O v J � �CL 0 0 =z � O tv U) A 0 �1py. = C O V• Cc C o v 'CL CL ar O . o a CL •� L _ 1:IM 0 O C� z 0 J 3 6J n W J W Q W as N '�+ .� m > CL -p o U � Q = z N a� CL c y- N a>>o o �; � • CL LL z cc U) ? z Q L a Q N CL a m co ea a ._ W C -0— O O LLR .y N C Z uj v '� V a o 'a cn F— t z H W 0 ac a o a LU m m LL t ate+ d W y; UO1 Y i Y T O O U "6 i+ O. z 00 3 OA 7 l0 on 7 OA i GJ N -Ne O C _ ILL N LL w U LL LL w l/) LL w LL m N N 0 VJ Z Cl) m z (0-0 Z H W a' z X LL, U W az tN v 0 E � o o z y O = v/'W'ww Q •E •.. m I CL i_ C � � O �+ v O O �O � FL Q C Q O v J � �CL 0 0 =z � O tv U) A �1py. = C V• Cc C o v 'CL CL ar . o a CL •� L _ 1:IM 0 O C� 0 _ NO:a 0 3 n J as t : CD i o '�+ .� m > -p o � Q z a� CL c y- a>>o o �; � • CL -CL cc U) Q L O.r ._ L ca r3 N CL a m co ea a ._ W C -0— O O LLR .y N C uj v '� V Q o 'a cn F— t 0 Y3. > o` U 0 VJ Z Cl) m z (0-0 Z H W a' z X LL, U W az tN v 0 E � o o z y O = v/'W'ww Q •E •.. m I CL i_ C � � O �+ v O O �O � FL Q C Q O v J � �CL 0 0 =z � O tv U) A To" OF NORTH ANDOVER O tea . OFFICE OF ON BUILDING DEPARTMENT ' 1600 Osgood Street Building 20, -Suite 2-36 "°'• North Andover, Massachusetts 01845 SAPHus Gerald A. Brown Telephone (978) 688-9545 inspector of Buildings Fax (978) 688-9542 ,r f HOMEOWNER-LICENSE EXEMPTION BUIDING PERMIT .APPLICATION please pent • , DATE: 3-2S--20%S_ JOB LOCATION: 3 k 8. A f4 00 ✓i2 Number Street Address MaplLot HOMEOWNER 19R1A r( l • FA Yf 1078- q9 i-1 • S53 Z- Name Home Phone WorkPhone PRESENT MAILING ADDRESS 31 M rAA S i NOR-Ttt Arlgp✓e(L MA Qty Toil% State ` Zip Code The current exemption for "homeowners" was extended to il-�chide owner-occupied dwellings to two units or Tess and to allow su;h homeo�i�ners to engage an i-O'Mduai•for hire who does not possess a license, provided that the owner acts as supervisor). Slate Building (Code Section 108.3.5.7) DEFINITION OF HOMEOWNER 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 farr�ily structures. A person who constructs more Mato considered a homeowner. ne home in a two yearperiod shall not be 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 14orth Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements, HOMEOWNLRS SIGNATURE .APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 686-9541i T r C0NSERV A7'10N 688-9530 HEALTH 688-9540 ' PLANNING 686-9535 .