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Home My WebLink AboutBuilding Permit #261-2017 - 340 JOHNSON STREET 9/13/2016 BUILDING PERMIT �. TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION . ey � Date Received Permit No#:go gSSACHUS�t Date Issued:® / � �i� IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNER P A t C'U Print 100 Year Structure yes no MAP PARCEL:ZONING DISTRICT-..Historic District yes no Machine Shop Village yes no IMPROVEMENT PROPOSED U TYPE OF IMPRO USE Non- Residential Residential ❑ New Building X-One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other - Septic Well' ❑ Floodplain 0 Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORIIIED: i a Identificatio- Please Type or Print Clearly OWNER: Name: "DA Jk Phone: Ct P Address: n 0''1 Contractor :ON�� Phone: Email: fAt t' M Address: U CPO a( - Supervisor's Construction License: C&f6� . Exp. Date: VI Home Improvement License: Exp. Date: ARCHITECT/ENGINEER N )A Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00.F. Total Project Cost: $ tU0 FEE: $ l �� e N Rec ipt N NOT rsoion a t ng wi un egistered contractors d . Zav access t guaranty fund i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DIS7SAL Public Sewer Swiimnin Poolsnning/MassageBody Art ❑ $Well bacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATIONReviewed on Si nature 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 Water & Sewer Connection/si nature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREIDEPAR+TMENT - Temp.Dumpster on site ryes no A L"o'cated atA1 41 MaintS_treet. Fire Department signature/date COMMENTS - r 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.$1oo-$1000 fine NOTES and DATA-- (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 I 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 OTE: 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 Ener Compliance Report (If Applicable) � Energy 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) 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 2012 IECC 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 ■ Location ��/��ln• .p✓ ~�/rte No.2// , Date t'.!99/ .ti • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Building Inspector V NORTFj : :. .c ve' 'o p �+ C), , h ver, Mass, "'a ADR^TED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System 07 THIS CERTIFIES THAT ....... ..04.so�F, ••••••.•••••• BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ... A.W. /... .�..., j�*..........:: Rough 00. to be occupied as , p �A►�•... .. ..... ................ Chimney provided that the person acce g 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR TIO STARTSRough Service .. . .. ... ...... ............. Final BUI INGIN SPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 00 g OFFICE OF WELDING DEPARTMENT { r : 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 RIJIDING PERMIT APPLICATION Pleaserp int DATE: " JOB LOCATION: 3y 0 Number Street Address Map/Lot HOMEOWNER \C t't_ M,Rr��j Get ��t-4 23- 9G,--�'F Name Home Phone Work Phone PRESENT MAILING ADDRESS S40 TQ,'V)-tA S O 0 Sr�n Kyoc &N A0000</?__ (Y�A o`,K `i 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, ron vided that the owner acts as su erp visor. 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/sic understand the Town of North Andover Building Department minimum inspection procedures and requirement at he/ e will comply said 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 Sales: 800.448.3636 Phone: 804.271.2363 A454CF NEXT GENERATION Fax: 804.743.7779 LET'S GET IT DONE STORMWATER MANAGEMENT SOLUTIONS acfenvironmental.com Site Development and Retrofit . Low Impact Development . Green Infrastructure FOCALPOINT(high flow biofiltration) - R-TANK(modular subsurface storage) - PAVE DRAIN(paving,drainage,storage) - FABCO(decentralized treatment) i I -- �— —� — 1— —1— -- L i rt Massachusetts Department of Public Safety j Board of Building Regulations and Standards License: CS-088997 Construction Supervisor MICHAEL V MAMMOLA,,. 22 MERRIMAC STREI= "I r AMESBURY MA,01913. - i Commissioner Expiration: 09/09/2017 n