HomeMy WebLinkAboutBuilding Permit #650-15 - 315 SOUTH BRADFORD STREET 5/1/2018 (3) BUILDING PERMIT o` "° T"Dqti
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TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATIONso
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Permit No#: ��C�— /Sr Date Received Q�gwreo�Pa' cy
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION I &
_
Print_
PROPERTY ODUNER'
. . . l _-
Rnnt - 100 Year tructure _ yes no
®—
MAP/y` PARCEL =( ZONING :DISTRICT Histgnc'b istnct 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:
❑ Demolition ❑ Other
O Septic ❑1/Vell ❑ FI-oodplain El;Wetl'ands El1Natershed IDistnct
C]_W6ter/Sewer • - y
- -
DESCRIPTION OF WORK TO BE PERFORMED:
Identificationae/lea3Type or (/
OWNER: Name: �1/t ,e-( < G l,. ' Phone �� `E7�� owl-' C'c
Address:v i L�;_ �� y
Contractor Name 'Phone .
Address: . :;
S,upervisor's Construction:License `Exp: iDte:
_-
Horne Improvement License _ Exp, iDate
ARCHITECT/ENGINEER Phone:'
Address: Reg. Nora
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ ��,DO FEE: $ /tea-oc''
Check No.: Receipt No.: ���y
NOTE: Persons contracting with un ter ntrac rs do not have access to the guaranty fund
F
Signature wner_
of
nature contractor .
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TyP 3-OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dump ster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
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
Conservation Decision: Comments
i
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
i-IRE DEPART<<MEN�T Temp ®umpsterGon site yes _ eno _
- z e_
_ --
L,0cate-0 at 124.1Main_3tre_et
t Fires
Depart writsig;nature%date.__
_ - - -
I
iC®MMENT
i
I
I
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)
I
i
II
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❑ Notified forp ickup Call Email
l Date Time Contact Name
Doc.Building Permit Revised 2014
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
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
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Cross Section/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-& H.I.C. And C.S.L. Licenses
❑ V rkers Comp Affidavit
jizi'Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
'I^ ' ❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for
Engineered products
9
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:Building Permit Revised 2014
Location
No. gs?- / Date /? l
. - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ 61-19,01—
Foundation
1-19,0-Foundation Permit Fee $_
Other Permit Fee $ �./
TOTAL $
a
Check# /00/ e
28484
Building Inspector ector
Enter construction cost for fee cal- North Andover Fee Calculation
Construction Cost
$� 40„00/0.00) m
$ - $ 480.00
Plumbing Fee $ 60.00
Gas Fee 100 comm. S 11900,0),
Electrical Fee $ 60.00
Total fees collected $ 700.00
315 South Bradford Street
650-15 on 2/23/2015
Kitchen Renovation
NORTH
Town of t_ ndover
O y. . , to
h ver, Mass,
A_4
COC-41CNl WICK a• -�
U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
1
THIS CERTIFIES THAT ............. .��..6.... o�� ........................................................................ BUILDING INSPECTOR
�Q�Qy�__p S� Foundation
has permission to erect .......................... buildings on .. . . .......................... .....�.. .................................
/ Rough
tobe occupied as ...................!....!.........4 ........................................................... 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES]N 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
.,....,.•,
........... ...... ..�......
BUILDI.NG ..�INSPECTOR Final
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildin:; 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.
TQWN OF NOXt'l H AND OV►p
Q inn
Q�ICE OF _
BU MING IM PAR
.�} T1711'JN.11 r
•76001 Osgood StreetBuildin 20 -Suite g 6
�ssR+40s� North Andover,Massachusetts OI 845 ,
Gerald A.Brown - Teleph.one(978)698-9545
TnspectorofBuildings - Fax (978)689-9542
HQMEOW:NER•LICENSE MENIPTION
pFIT"PLICATIO-N
I'Iease�rint '. - ,
DATE: Y
JOB LOCATION: 3)5756-..
Number SfreetAd
dress
MaplI of
' 1xoMEOER 'E
Name Y�/ Z � .
Home Phone Work Phone
PRESENT MAMING ADDMSSCity Tmim.
efa+p
lip cc de
The current exemption for"-homeowners"was extended to
to alEw subh homed;r nahide owner occripied diveltngs to two units-ox less and
uers to engage an Mviaual-for dire who does
anotpossess a license,provided that the owner
acts as supervisor). StafeB0,cling (Code Section.10$.3.5.7)
DEFMITION OFROMEOWNER
Persons)who awns aparcel of'land on which helshe resides or intends to reside,on which there is,oris intended to '
be,s one or two feown structures. A person.who contracts more that-One home in a fwo-yearperiod shall not be
considered ahomeowner.
The undersigned"homedwner"assumes responsibility for compliances with the State Building Code and other
Applicable codes,by-laws,antes andzegulations, c
The undersigned"'homeowner"cert�ales that helshe enders'
r,,;nimnm inspection procedures and requirements and that helsshee Will c mply wits the Town of th,sald procedures and eparfinent
requirements, ..
3
_UO.'NMOWNP,RS SIGNATURE
AI'Y.ROVAL OF BUILDING OFFICIAL
Revised 7.2009
Form Homeownerssxempfion ,
13OARD OFAPPEAIS 688-954Ir r
• Ca1�SER�A'I�ON 6889530 HEALZ;:3'688-9540
PLANNING 688-9535