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Home My WebLink AboutBuilding Permit #712-114 - 345 STEVENS STREET 4/15/2014TOWN OF NORTH ANDOVER f APPLICATION FOR PLAN EXAMINATION Permit NO: Date Issued: IMPORTANT: AI Date Received icant must complete all items on this LOCATION 2V'.� j.Jar PROPERTY OWNER✓t �_'��. —_ ` Print ' 100 Year Old Stru:ctur MAP NO: ._PARCELNIi-a . ZONING"DISTRI,CT. Historic District Machine Shop Vill ye /n0` yes no yes no__ .TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition El Two or more family El Industrial ❑ Alteration No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: 11 Demolition ❑ Other `Septic -QWell Y 0 Floodplain 0 Wetlands ❑ Watershed District' o' Water/Sewer DESCRIPTION OF WOKK i O lit rtKruKivitu: Identification Please Type or Print Clearly) OWNER: Name: Phone: AAA /'1UU1 GJJ. 154 CONTRACTOR Name``. _ _ 10,t/ Phone: - _ -C. Address: Supervisor's Construction License: Exp. Date: .Home Improvement I License: Exp,.. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ &/2 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund rig of Agent/Owner�C _ ghature of contractor.' r9 - w. Plans Submitted LJ lans Waived ❑ Certified Plot Plan ❑ 4amped Plans ❑ —Plans Submitted ❑ PlansfA%aived ❑: Certified Plot Plan ❑ Stamped Plans F1 -TI'PE.OF SEWERAGEDISP-O,SAL = Public Sewer ❑ Tanning/Massage/BodyArt ❑ Swimming Pools ❑ Well ❑. ,Tobacco.Sales ❑ Food PackaginglSales ❑ Private t(septic tank, etc _. ❑.--�. ' �PermanentD�mpsteron:Site ❑ THE..FOLLOWING SECTIONS FOR =OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE:A_PPR=OVED 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 t Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Toov;, Engineer: Signature: Located 384 Osgood Street FIRE DEPA RTM.E`NT.=-`Temp Dumpster on site yes no Located -at :124Main Street Fire Deint si partme gnature/date <' COK ENTS '`` -iJinians i mil Number of Stories: Total square feet of floor area, based on Exterior dimensions._ _Total land area, sq. ft.: -ELECTRICAL: -Movement'-6f. Meter, location., trust -or service drop requires approval of Electrical Inspector Yes No DANGERZONE LITERATURE: Yes No MGL.Chapter 166.Section 21A -F and G min.$10041000..fine NOTES and DATA - (For department use El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The foh�-3wingis-a=list of.th6 required.forms to be filled outfor. the appropriate: permit to -be obtained. Roofh,g, Siding, Interior Rehabilitation Permits o 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 o 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 o 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 ❑ 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 apw-,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Bui?ding permit Revised 2012 Location No. Date S^ Check # 27450 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $„QUA.. Foundation Permit Fee $ 1 Other Permit Fee $ TOTAL $ ..e "Building Inspector oo-q° N I (D (DDQ `* z -4 Tx S. DJ O C _=<� N V1 O < CD, CD 0 CD v S 3 O m O C OL1 3 O O O_ 0 o CD (D n O O_ \ O O •-• °. 0 m CO) W0 CD c D Z to CL = m m m '° D r M 0 Q• C C C_ _W Z m 0 C � cn rt fl1 O ° G) M D 0 3 � rt n W > ° O x .�=rCD CD -0 0� y� ML 0 CA oCD 0, �rt r iU 0 D CD c N > n Q N Q o � SCD CL CDP 6�N � �D C D c 0 O 0 CLr-0• luo rrn rt o 'b Cl) 0N � y CD Cl) >co (t o -, zr OO X CD � N @ cn vCD 10 C<D o ; �m CL n� Cn cr a) c z CD o _ CD0CDO z� °a �n0 vCD WI �_ Iz O v, CO CD Z cn O �.. v Z r 0 v O =s z < 0 CD -i oo-q° N I (D (DDQ `* z -4 Tx S. DJ O C _=<� N V1 O < CD, CD 0 CD m S 3 O m O C OL1 3 O O O_ 0 o CD (D n O O_ \ O O •-• °. 0 m CO) W0 CD c D Z to CL = m m m '° D r M 0 Q• C C C_ _W Z m 0 CQ � cn rt fl1 O ° G) M D 0 3 � rt n W > ° O x .�=rCD CD -0 0� y� ML 0 CA oCD 0, �rt r rt D CD c a > n Q N Q ��CD SCD CL CDP 6�N � �D CD 4b c 0 O 0 luo S rt CD CD � y CD 1 CD C7 CO) o -, zr DCD CD � @ 10 n� y 0 B O T. (D rD N I (D (DDQ `* z W = rD Tx S. DJ O C T O Dl V1 O < A O C _T 3 x O OU S T 5. 01 S 3 O m O C OL1 3 O O O_ 0 o (D n O O_ \ '^ m o(A D Z to m m '° D r M 0 C C_ _W Z m 0 3 ° G) M D 0 3 S : W > ° O x 4 �oRry yTit 'YS�A�i-1t15�� To "OF i'MTH ANnoVER OCE OF _ BiTMID NG ]DEPARTMENT 1600 i)sgoodStreetBOdiug20,.Suite2-36 North Andovex, Massachusetts 01 845 Gerald A. Brown Telephone (978} 688945 Inspector of Bi ldings HO MQNER•LZCBME XEMPTION (978) 689-9542 W— E BYTIU)tG pEIMT-YLZCA'I`ION please print • DATE: ; j , " j o J rOB LOCATION; 3 Number SfxeetAddress Map/Lot .. � e • Home Phone Work Phone -PRESENT MAIIfING ADDRESS City Tom zip Cod; The current exempfion for "homeowners" was extended to inchide owner -occupied dwellings to two units or loss and to allow su;h homeo..ruers to engage audividual•for hire -vho does notpossess a 1 cense, provided that the owner acts as supervisor). StafeBuilding (Code Section 108.3.5.1) DEFM11TON OFHOMEOWNER PErSOn(S) who awns aparceI of land on which he/she reskes or intends to reside, on which tlleze is, or is intended to considered a homeowner. be, a one or homeowner. wO Ieown structures. A person who consiracts more that -one home in. a two yearperiod shall not be The undersigned "bomedwner" assumes responsibility for compliance's with the State Building Code and other Applicable codes, by laws, rules andzegulations, c The undersigned "homeowner" cert hes that he/she understands the Town of 14orth Andover Building Deliartment minimum inspection procedures and requirements and that he/she will comply withs requirements, { aid procedures and, HONMOWN)3RS SIGNATURE APPP,OVAL OF BUILDING OFFICIAI, Revised 7.2009 Form Homeowners Exemption 'EOARD OFAPPEAiS 688-9541 CONSERVATION 688-9530� FiEALTIi' 688-9540 PLANNING 689-9535