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Home My WebLink AboutBuilding Permit #1072-16 - 34 MARBLEHEAD STREET 4/14/2016 L 0ORTB BUILDING PERMIT 0*4t``D 06��"� TOWN OF NORTH ANDOVER 0 - - - APPLICATION FOR PLAN EXAMINATION 1 n Date Received l A�agreo Pep R5 Permit No#: �SSACH�1`S Date Issued: YMPORTANT:Applicant must complete all items on this page LOCATION Pri t PROPERTY OWNER1 Q Print 100.Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes. no . FE] PE OF IMPROVEMENT PROPOSED USE Non- Residential Residential New Building [I One family Addition )4wo or more faIndustrial ❑Alteratir El No. of units: ❑ Commercial ElRepair, replacement Assessory Bldg El Others: ❑ Demolition ❑ Other pa4lNel ® ;lood= n� W la111 ate; lied stf"cta 110,1 .1111%01--6 'c DESCRIPTION OF WORK TO BE PERFORMED: � r GVt �-f-004 - N/ AA � Identification- Please Type pe�o%Print Clearly Phone 9 7D �� OWNER: Name: 2-A 1n rY- �-�I -4 l Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement Licenser Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.MOO PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ / � FEE: $ Check No.: ��Uo y Receipt No.:��a y� NOTE: Persons contracting with unregistered con tors do not have access to the guaranty fund Building Department The follow5ng is a list of the required formas 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 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4 Building Permit Application Certified Proposed Plot Plan 4� Photo of H.I.C. And C.S.L. Licenses 46 Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract ® 2012 I ECC Energy code Engineering Affidavits for Engineered products OTE: 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 Doe:Building Permit Revised 2014 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF. SEWERAGE DISPOSAL r. Public Sewer ❑ FSw Pools ❑ Tanning/Massage/Body Art ❑ Well ❑ Tobacco Sales ❑ acaging/Sales ❑ Private(septic tank,etc. ❑ Pennaneut Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL. SIGN OFF m U FORD PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed ori Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments ' Water& Sewer Connection/Sr nature&®ate Driveway Permit DPW Town Engineer: Signature: FIRE DEPAR'�'j-- Te p Dum stet on s _ Located 384 Osgood Street p it yes no �. Located at 1V24 Main Street Fire Depart n sign {rt*.Lt � .x c ° ii ` ,o�t •,"`' metura/date y+ - � ,,:'n ry '✓t; -J .Ae` ,�+'�t�'b{7�+*+'3�.A,r�.:..a... ' A}^w" ,, •4 } �aC,®MMENTSt 6 Dimension Number of Stories: Total square feet of floor area based on Exterior dimensions. Total land area, sq, ft„ ELECTRICALS Movement of Meter location, cation Electrical Inspector � Mast or service drop re Yes p q uires approval of N0 ®/ANGER Z®N,E Ll�"E��TlJRE4 MGL Chapter 166 Section 21A—F and G min.$10$000 fine �® NOTES and DATA, - (For department apse) ® Notified for pickup Call Email Date Time--. Contact Name 3 boc.Building Pen-0it Revised 2014 I ._.. ..A -... , _tea._ w.._:v.-• .. .��.n.*+—-.-t_-� fi ... y .. ...-=ti.-.. a. � _ .. �. Location 1, No. �'� ,"� - Date r . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ z Check 0241 L'fil_di g Inspector i NORTH own of o ' . Z •�1 � Z Z h ver Mass o��— > > coc«ic«.wic« 1• QjgsoRATE o `.PP�,�S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT i`G��'W/"r ! � BUILDING INSPECTOR has permission to erect buildings on ... ..`?'. ��.:��4�� Foundation p ,� ...... .......... ... .................................... � �� L y Rough to be occupied as G.. C./��r!' r� 7` S 6'I�i ��=�. C��T�..f' 6G .................. . .. ............................. ........... ............................................................. Chimney provided that the person accepting this permit shall in every re ect 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough Service .......... ....... ..� ':�........................................ BUILDING 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. TOWN OF NORTH ANDOVER OFFICE OF a BUILDING DEPARTMENT a 1600 Osgood Street,Building 20, Suite 2035 North Andover,Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUiIDING PERMIT APPLICATION Please print DATE: 2 JOB LOCATION: 3 lkNumber Street StreeetAddress I Map/Lot HOME-OWNER P-,( C._ I n (i— ! y I P_�\' l0 �7'g— 32 9—�3 � 7 Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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 dwelling, attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section I IO.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with 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 he/she will com with sa'd procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535