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Home My WebLink AboutBuilding Permit #1254-16 - 360 WINTER STREET 6/1/2016 ■ BUILDING PERMIT NORTy O�tt''eo �64�214bVI TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION r Permit No#• `z _ Date Received � �q TEo �5 ' gSSACHU5�4 Date Issued: � I PORTANT: Applicant must complete all items on this page 22 ^ LOCATION c7� Print PROPERTY OWNER Awu /I Print 100 Year Structure yes CJno MAP _PARCEL:W L ZONI DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building kone family [I Addition [I Two or more family [I Industrial gAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION QF WORK TO BE PERFORMED: nn Identification- Please Type or Print Clearly OWNER: Name: k �A Phone: (o Address: �� w�� `� U � Contractor Name: Phone: Email: Address: Supervisor's Construction Licens Exp. ate: Home Improvement License: Exp. Date: 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: $ �CFEE: $ � Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Manning Board Decision: Comments "Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE�DEPARTMENiT - Temppumpster onsite ,yes Locateciiat F1.2'.4#MainiStr<eet � _ "- ` ` . -`- :-.�--•„s-_-�-. -..� Fire Department=signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICALS 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 Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 ■ 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 4. 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) 4, 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) 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 7)(,, b L°)' ` ' ,e No. ,( �11. — 7 Date L' I, 11 y . - TOWN OF NORTH ANDOVER W Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 7✓ Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 33000.00 m $ - $ 36.00 Plumbing Fee $ 4.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 4.50 Total fees collected $ 145.00 360 Winter Street 1254-2016 on 6/1/2016 Interior Renovation t%O R T1y Town of - : :' ndove' r O 0% 1X94 -2-Alp h ver, Mass � y T O lAN! Zw COCHIC//l WICK U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT Foundation BUILDING INSPECTOR �'' l� C;�- has permission to erect buildings on r%�l. � 5,�— Rough to be occupied as fG`:'.. f �.:� .�..;o��,s (�`� . ��u.s ............... ............ .............................................. Chimney provided that the person accepting 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 CONSTRUCTION STARTS Rough Service .............. ....... .. .... ... .......................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin-e 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 BUILDING DEPARTMENT ,* 1600 Osgood Street,Building 20, Suite 2035 +L North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: �)� JOB LOCATION: (�l nNumber I Street Address Map/Lot HOMEOWNER W 9T& �G C �o Namel dne Phone Work Phone PRESENT MAILING ADDRESS 3( 0 UJW�f J C)dwo, NAC)\f,Qr W 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 110.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 comply with said procedures and requirements. HOMEOWNERS SIGNATURE Ly"�,A APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 L a p A it fes` - - _ - - 141 -- - - F CRANWi QTS = ,-- _ {� ELMJo*too• l'Co8 TPT ft .. .* - I.--I — P' IIIAANI 1%IT6 9P 7W twl 0 P I I CAl FPU 05 1 !/Ui�t�►_ ED Aq K y MA w m 'V dann norris batting• architect o yy� y planning, design, architecture o MAM MALOM one sandown road ; Mass. Chester,new hampshire 03036 4 603• 887-0086 0F