HomeMy WebLinkAboutBuilding Permit #841 - 327 MIDDLESEX STREET 5/24/2012BUILDING PERMIT NSR,"
TOWN OF NORTH ANDOVER
0
APPLICATION FOR PLAN EXAMINATION
Permit NO: ?4 Date Received co—c-
9SSACH
Date Issued:
IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One famill
Addition
GI—terafi-o-n)
1 wo or more famil
No. of uni s:- o'
Industrial
Commercial
epair, replaceme!b
Assessory Bldg
Others:
De-m-571V5n-----
Other
t i
4FI66dPlefln; en 9
Ul=-5GRIPTION OF WORK TO BE PREFORMED:
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Identification Please Type or Print Clearly)
OWNER: Name: -T%-w-0k. Phone: Cfq9--1q33R;W
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Address: -�qn vywwRe-eK 9V4 N olvx p4w,"er
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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: $ N FEE: $
Check No.: Receipt No.: 0*;?r,331
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
igna
Signature OT,AgEint/Own0t turebf-c6ritradtot
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
o 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
o 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)
o Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
40TE: 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)
o 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
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: INSPECTIONAL SERVICES DEPARTMENTMFORM07
Revised 2.2008
T
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 DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH
COMMENTS
Reviewed on Signature
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:
FIRE 7 DEPA
.Located at 124
"F,ire Depart
RTMENT --Temp Dump
Main Street
lie nt'signa#ureld.ate r'
Located 384 Osgood Street
ter onsite yes no
a
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 2008
-12117�
Location --
No.—e�"l
C h e c k �-
25331
Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $-
Building/Frame Permit Fee $
Foundation Permit Fee
Other Permit Fee
TOTAL $
Builaing" Inspector
TOWN OF NORTH ANDOVER ����tL.Z bac
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ti ,
Building Department
1600 Osgood Street
Building 2- Suite 2-36 Building Dept ��SSACHuSE���
North Andover MA 01845
Tel: (978) 688-9545 Fax (978) 688-9542
COMPLAINT FOR INVESTIGATION
DATE: I.Z51e-,7�
l TEL #:
Al,ME OF COMPLAIN'PANT: ! I�A yvy� '�-jd'
.aDDREss:. �j 27 — �7Z°�
COMPLAINT TYPE: 2 ��
Electrical:
Plumbing:
Gas:
Building:
Property Owner:
Address:
Other:
Signed:
Complaint Form - Revised 6.2007
PVJ 4A,-\ r� 6LA a w, P QO
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North Andover Board of Assessors Public Access
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Summary
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Commercial
Page 1 of 1
*AIS �11�.r �. r['. ri'i'�0t '.
MMI
' roperty Record Card
Location: 327- 329 MIDDLESEX STREET
Owner Name: MCDONOUGH, TIMOTHY
PELUSI, DESIREE & DEBORAH
Owner Address: 327 MIDDLESEX STREET
City: NORTH ANDOVER State: MA
Zip: 01845
Neighborhood: 5 - 5 Land Area:
0.11 acres
Use Code: 104 -TWO -FAM -RES Total Finished Area:
2872 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 313,700 313,700
Building Value: 167,600 167,600
Land Value: 146,100 146,100
Market Land Value: 146,100
Chapter Land Value:
http://csc-ma.us/PROPAPP/display.do?linkld=1887359&town=NandoverPubAcc 5/23/2012
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Gerald A. Brown
Inspector of Buildings
Please print
DATE: � � ZG12 •
TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
"1600 Osgood Street Building 20, -Suite 2-36
North Andover, Massachusetts 01845
Telephone (979) 688-9545
Fax (97 688-9542
HOMEOWNER -LICENSE EXEMPTION 8)
BUIDING PERMIT APPLICATION
JOB LOCATION:
Number Street Address
HOMEOWNER
PRESENT MAILING ADDRESS
City Tob*Vn
Map/Lot
C/ Work Phone
State. Zip Code
The current exemption for"homeowners,, was extended to include owner -occupied dwellings to two units or less and
to aI1ow such horneottmers to engage an iadividual.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 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 family structures. A person who constructs more that one homi
considered a homeowner. e n a two-year period 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 North Andover Building Department
minimum inspection procedures and requirements and that h
requirements, e/she will comply with said procedures and
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 7.2009
Form Homeowners Exemption
'BOARD OF APPEALS 688-9541 C01\TSERVA7ION 688-9530
HEALTH 688-9540 PLANNING 688-9535
