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Home My WebLink AboutBuilding Permit #626-13 - 38 COLUMBIA ROAD 3/27/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: > Date Issued: IMPORTANT: Date Received int must complete all items on this LOCA ION Print PROPERTY OWNER -- - _. _ Print. 100 Year ORSthxture., yes - N0: 02.. PAftCEL`:S�t . ZONING'RISTR1CT.__ Historic Distridt yes•MA i _ Machine$hop'Village, y_es. TYPE OF IMPROVEMENT ❑ New Building ❑ Addition ❑ Alteration ❑ Repair, replacement ❑ Demolition ❑ Septics ❑ Well - PROPOSED USE Residential Non- Residential ❑ One family ❑ Two or more family ❑ Industrial No. of units: ❑ Commercial ❑ Assessory Bldg ❑ Others: ❑ Other_ ❑ Floodpfair ❑ V1letlands: ❑ Watershed§C Identification Ple a Type o Trint Clearly) �� OWNER: Name: I V1'LG� I O Ph ne: 0 0 Address: i Home Irnprovemenfl ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ �, FEE: $ 00 Check No.: �— 00 Receipt No.: �6 X32 � NOTE: Persons contractin gis red contractors do not have access to the guaranty fund Si nature of cor%tractor3` ' gnature of Agent/Ovvne g.._ __.. ---- rn Plans Submitted ❑ I s Certified Plot Plan ❑ Stamped Plans ❑ Permit N0: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this page LOCATION. c� (bl 3 tayn C — �i' /l __ yy Print] PROPERTY OWNER, t't vy\o -_ I Print` 100 Year,01d structure yes, nQ MAP NO: Y, PARGEL� ZONING DISTRICT: Historic District. yes no.. Machine. Shop; Village yes.:, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial [!i 'Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic, .❑ Well ❑'floodplain; - ❑ Wetlands ❑. Watershed?District' . ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: O Yv a tL l LA ( o rl, entification Please pe or Pri Clearly) f OWNER: Name: Phone: 7 `97 • dOPAMA R {9!h CONTRACTOR Name: - - _ _ _ _ _ Phone: Address: Supervisor's Construction License: Exp: Date: 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund rSignature of Agent/Owher, Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location J,:� (�20 /,/M� I -;la A-.41 No.—,; A� – /j Check # 26232 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $_ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL $ Building Inspector 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 CONSERVATION Reviewed on Sianature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comm $ Water & Sewer Connection/Signature & Date Driveway Permit DPW 'lbw, Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes_ Located at -124.Mairi' Street Fire Depai -tme'nt.signatureldate:' COMMENTS Located 384 Osgood Street no 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 PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE APPROVED 11 Reviewed on Signature Reviewed on Signature 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 IDPH' 'Tow,! Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes Located at -124 MainStreet Fire Depaifinerit•signature/date COMMENTS Located 384 no ood Street Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A —F and G min.$10041000 fine NOTES and DATA — For department use El Notified for pickup - Date 1 Doc.Building Permit Revised 2010 No 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 leo DARKER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NUTES and UNFA — (t -or department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The foliowin9 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 o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products a Department prior to issuance of Bldg Permit NOTE: All dumpster permits require sign off from p Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses a Copy Of Contract Li Floor/ Crossection/Elevation. Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit NOTE: New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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 et this recorded at the Registry of Deedsclsion from the Board of Appeals One copy and proof of recording that the appy al period is over. The applicant must then g must be submAted with the building application Doc: Doc.Building Permit Revised 2012 TO" OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT ;: '1600 Osgood Street Building 20,.Suite 2=36 North Andover, Massachusetts 01845 Gerald A. Brown Telephone (978) 688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOVJNER'LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: 3 �� JOB LOCATION: Number Street Address Map/Lot IZOME01WER Name o e Phone 7 3�S Work Phone PRESENT MAILING ADDRESS Cit; To.,,,, SILPte . Zig Cod The current exemption for "homeowners" was extended to 1nclude owner -occupied dwellings to two units or less and to allow such homeowners to engage an ,�cividual•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 Persons) who Qwns 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 andregulations. The undersigned "homeowner" certifies that he/she understands the Town of Forth Andover Building Dep artment minimum inspection proceduresMaents and that he/she will comply with,said procedures and requirements, HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OFAPPEAU 688-9541 CONTSERVATION 688-9530r HEALTH 688-9540 PLANNING 688-9531 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 Lj Building Permit Application Li Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits 6equire sign off from Firo Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered pro acts NOTE: All dumpster permits require sign off from Fire Dd�artment prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application a Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit Q Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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 appal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm;¢ted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Gerald A. Brown Inspector of Buildings Please print TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2=36 North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION . DATE:11-3 JOB LOCATION: 3,? CAO I fa tnA I IiOMEOWNER Number Street Address Name PRESENT MAILING ADDRESS Telephone (978) 688-9545 Fax (978) 688-9542 Map/Lot Work Phone Uty Town . S+�r,� . . 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 Qwns 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.11 The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures uir_ ements 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 82 C Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 49800.00 m $ - $ 116.00 Double Fee Plumbing Fee $ 7.20 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 7.20 Total fees collected $ 230.40 38 Columbia Road 626-13 on 4/1/2013 Remodel of Basement, Laundry Room 1 Bath, Family Room, Play Area and Storage Area :t CO) m m m y m CA mm < 0 0 'a p 2 r+ �D CL 0 CD D 0 CL 0 3 rn o E u m F z N 0, oortCL O m O -h =4 m Cl) ID _. _ 300 rt -� ocm U) P —CD o =rC 0 Z N A C S. m -a p CLi Rl co < co• • \� 1 • O sv a' 0 Cr m ;a c 10 o o 0CDD N CL < -� CL M (nm � cn C CD SU �"��C CD O O z " n O a CD Q. 0 m• It _ 1 O70 r+ m• N rt 0\� CO CD cn m � O �. oo ur - Z CDU) Z : =r G) : a 9 Cl): "- o m < 0 CD o CL O r v 3Ln O N o (�D (D z O m -n m v D 3 -Zi or o c D H m �' m 2 (D o m r m �o r Z to m 0 �' v o oco S V0 r C - w G)_ Z H rrm 0 2 _s (D c S oc n) O W C F v z tZi+ V n -M a v ct (D 3 00 Q. (D : W O � o Om 2 m _ ft ti t ow 0 c