HomeMy WebLinkAboutBuilding Permit #208-11 - 37 GROSVENOR AVENUE 5/1/2018 BUILDING PERMIT F OORT
TOWN OF NORTH ANDOVER or��SFLLDai6"4,�,0
A PLICATION FOR PLAN� EXAMINATION -
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Permit NO: a -• •
ti
Date Received
7� �RrSTE D•�•*Rt.�5
Date Issued: SSAcHusE�
IMPORTANT:Applicant must complete all items this p
age
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition ' Two or more family
No, of
Alteration units: Industrial C� Repair, replacement- Assessory Commercial
Bldg
_ Demolition Other Others:
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F WORK TO BE PREFORMED:
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Identification PIease Type or Print Clearly)
OWNER: Name: f 9W
Phone: �• �f`y� �r1 Address:
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ARCHITECT/ENGINEER
Phone:
Address:
Reg. No.
FEE SCHEDULE:BULD/NG PERMIT.$12.ODVP�ER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON125,00
$ PER S.F.
Total Project: Cost: $�
FEE: $
Check No.: `7 _
NOTE: Persons contracting W1 unieb�ster� contractors do noReceipha o
_ have access to the borcaranty fund
na 'r� �:A
-,.San : �aTe4of .0 -We
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer TanninglMassageBodyArt 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
CONSERVATION Reviewed on , _ Signature •
(CA OiviIvlEN T S
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals.,.'Variance, Petition No: Zoning Decision/receipt submitted yes
Plannirig, award Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature Date Driveway Permit
DPW Town Engineer: Signature:
_ __ Located 384 Os ood Street
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a��..r�-,-� .i.`.•. _ - - - - _ _ :•rx_:=.ms's rsi••..�... xv,`,;.
.y�.�+'• -_ .111 ,'.,.;'��,__:_• _
-
.5 Ji
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 2010
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
Q
Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or..Decks
❑ BuildingPermit Application
pp orr
❑ Certified Surveyed ed
y 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 Calculation
s (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
Construc ti
onSin le and
( 9 Two Family) .
❑ Building Permit Application
i•r: r n
11 Cel i.li leu r-ropose4 Plot Plan
❑ Photo of H.L.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan An
Hydraulic Calculations (If Applicable) p d
❑ 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 co and
must be submitted with the buil g P3 roof of recording
dm application
P �
b PP b
Doc:Building Permit Revised 2008
Location d dY"Z-
No. d ' /�/ Date —��
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
sAcMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
i
Check #
2341
Building Inspector
i
NORTH
of0111,............. _ - -
Town Andover
..Yw.r ti'�1',
4.
No. aDy'
4 (N _-- - -o dover, IVMass.,
O LAKE 1,
COCHICHEWICK
' �gSRATE D PP If% BOARD OF HEALTH
Food/Kitchen
PERM .1 T T D
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT...............� .......... ' ..... ................................................................ Foundation
.. I!1 .....................ZN
has permission to erect... buildings on . ......... �.j ~••"'..."" Rough
Chimney
to be occupied as............ .......... . ....... ....... �. ................ ...... rN40...... v
him y
provided that the person accep ng this permit shall in eve respect conform to the terms of t application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration a onstruction 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 CONSTRUCTION ARTS Rough
Service
.....................................r. ...... ... ..........
BUILDING INSPECTOR Final
occupancy Permit Required t0 Occupy Budding GAS INSPECTOR
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.
SEE REVERSE SIDE
F µORT'+ TOWN OF NORTH ANDOVER
0
20Ett4eo ,b atioL OFFICE OF
y BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
��a q,no a�t5 North Andover,Massachusetts 01845
SACNUS
Gerald A.Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
BUIDING PEPMT APPLICATION
Please Print
DATE: /(J
JOB LOCATION: F �� o�KAP
Number Street Address jj Map/Lot
IiOMEOWNER ,e (9000
Nam Home Phone Work Phone
PRESENT MAILING ADDRESS 7
VOR4/-), 40vE2
City Town ct,
atep 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 (Code 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"assumes responsibility for compliances with the 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 requ' ents and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 7.2009
Form Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530
HEALTH 688-9540 PLANNING 688-9535