HomeMy WebLinkAboutBuilding Permit #271 - 352 Forest Street 10/12/2007 BUILDING PERMIT
TOWN OF NORTH ANDOVER 3 - `
APPLICATION FOR PLAN EXAMINATION
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Date Received
Permit N0: �� �SSACHUSE�
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 family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: 11 Commercial
❑ Repair, replacement 1XAssessory Bldg e 0 Others:
❑ Demolition ❑ Other /a,k JZ
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DESCRIPTION OF WORK TO BE PREFORMED:
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OWNER: Name:` c - , �0�� Phone: � � 1 � �
Address f-7�LI �Q✓���'�-
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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: $f ac� FEE: $
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Check No.: 2t�� Receipt No.: Z)
NOTE: Persons contacting with unre istere ontractors do not have access to the guaranty fund
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§19104a pare�f Age VU S nGI# r of t-ay+► k
Location /s
No.
f Date /0 -9
,4pRTM TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
��s' °''•<�'
Building/Frame/Frame Permit Fee $
s�cMust 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # c)
20677
Building Inspector
CIiT ��
fi
77777
:w
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)
❑ Notified for pickup - Date
_...._.__....._....__........_.............._,
Doc.Building Permit Revised 2007
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
a 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
❑ 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
❑ 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 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 DEPARTMENT:BPFORM07
Revised 2.2007
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
DA JECTED DATE APPROVED
CONSERVATION
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑
COMMENTS
6
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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
Located at 384 Osgood Street
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NORTH
Tovm Of And
No. -
._ � C%o LAK o � dower, Mass., •
COCKIC EWICK
��p AERATED O'Pa,���
S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
R `V BUILDING INSPECTOR
THISCERTIFIES THAT............��/ ............................................................................................................................. Foundation
has permission to erect...................:.................... buildings on ... .3. .......� ....... ...... Rough
tobe occupied as.......Wx r7w. a.....4.4....0...................................................................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
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
a PERMIT' EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS ONSTRUC S I, S Rough
.......................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building _ GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE smoke Det.
Ii
1
LIST
3 IndustrYal Drive 2007 PRICE
Hudson,NH 03051
Toll Free: (888) 85-SHEDS
: I Y Tel: (603) 883-1362
Fax: (603) 882-9566
www.reedsferry.com
AMERICAN COUNTRY HISTORIC COLONIAL/
CLASSIC CARRIAGE TRADITIONAL GAMBREL
SIZES AVAILABLE IN THESE MODELS
SIZE #1 #2 #3 #4 #5 #6 PINE VINYL CEDAR PINE vl""" - VINYL CEDAF
6X8 1,279.00 1,489.00 1,659.00
6X10 " 1,589.00 1,699.00 1,999.00
i
8X8 1,509.00 1,759.00 1,959.00 )0 1,819.00 2,159.0(
8X10 '" 1,869.00 1,999.00 2,379.00 �j )0 2,149.00 2,599.0(
8X12§ 2,159.00 2,329.00 2,699.00 )0 2,489.00 2,979.01
l�
8X14 2,399.00 2,609.00 2,989.00 mak. z'4 0 2,749.00 3,289.01
8X16 2,809.00 2,969.00 3,459.00 ,� U 0 3,199.00 3,799.01
10X10 "` 2,159.00 2,389.00 2,729.00 pJ 3 2,499.00 2,999.01
10X12§ 2,479.00 2,649.00 3,099.00 ) 2,849.00 3,399.O1
1OX14 2,749.00 .00 3,419.00 ) 3,199.00 3,759.01
1OX16 '" "" "' 3,199.00 3,459.00 3,919.00 3,699.00 4,299.01
1OX18 3,469.00 3,709.00 4,239.00 4,019.00 4,659.01
1OX20 '` 3,739.00 4,099.00 4,559.00 +,ei�).UO 4,999.00 4,099.00 4,279.00 4,999.01
12X12§ 2,799.00 3,139.00 3,479.00 3,079.00 3,269.00 3,829.01
12X14 3,099.00 3,489.00 3,839.00 3,399.00 3,639.00 4,219.01
12X16 3,579.00 3,889.00 4,379.00 3,939.00 4,159.00 4,799.01
12X18 "` 3,889.00 4,239.00 1 4,739.00 4,279.00 4,539.00 5,199.01
12X20 '� 4,229.00 4,699.00 5,079.00 4,599.00 4,899.00 5,589.01
§Model #4 is available on 12' front with 54" double door.
Prices include installation in New Hampshire and Massachusetts.
Tax NOT included.
Prices subject to change without notice.
•Permits are the customer's responsibility where required*
Prices Effective 4111
f µORTq 1 TOWN OF NORTH ANDOVER
OFFICE OF
0. BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
�►''�;,..e:.��'�� North Andover,Massachusetts 01845
c►nts��
Gerald A.Brown Telephone(978)688-9545
Fax (978)688-9542
Inspector of Buildings
HOMEOWNER LICENSE EXEMPTION
Please pri
DATE: W-b 7
JOB LOCATION: /3 Gl ✓�J cl^�. ��
Number Street Address Maput
HOMEOWNERKoc
Name Home Phone Work Phone
PRESENT MAILING ADDRESS r.✓ycJ��• Sd`�t
A^.44%tev-
City Town State Zip Code
The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less
and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the
owner acts as supervisor). State Building (Cade Section 108.3.5.1)
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 structures. A person who constructs more that one home in a two-year period shall not
be considered a homeowner.
The undersigned homeowner' assumesnsibility for compliances with the State Building Code and other
� g
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 heishe will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Fom►Hwmwrurs Exemption
BOARD OF \PPF:\LS(M-95 41 CO SERV.VRON 688-9530 11E.\1.11i 688-95.10 PLANNING 668-9535
MO
RIGA GE lNSPEC r10 N P. L AN
NO. 134 FA R N UM ST.
/N
N. ANDOVER , MASS.
MIDDLESEX SURVEY INC. LAND SURVEYORS
I3/ PARK ST. N. -READING , MASS .
SCALE.' I It = /00` DA TE.' JULY /8, /996
CERTIFIED TO.' ANDOVER BANK U R/CHAW A. MCGLYNN
LOT 4
44, 3.30�S.f.'-s
28.Z7
ST
NOTES.' .
/'OFFSETS ARENOT TO BE USED TO
ESTABLISH PROPERT YLINES.
2)LOT L /NES ARE COMPILED INFORMATION ,
TI TL E REFEERSENCE
REGISTRY
EED BOOK 3298 PAiSl
/HEREBY CERTIFY BASED ON MY KNOWLEDGE INFORMATION
AND BEL IEF THAT THE STRUCTURES ONTHIS A AN ARE
L OCA TED THE.GROUND
APPROXIMATELYWN AS SHOWN.
SETBACK REQp IREMENM AT THE TIME OF CONSTRUCT/ON
AND THE PARCEL /SNOTIN A FLOOD HAZARAP
ASSHOWN.ON F. E. M. A MAP COMMUNI T Y NO.
ZONE.* X EFFECTIVE DATE.' 6-2-93
NO. P9070