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HomeMy WebLinkAboutBuilding Permit #851-12 - 4 HEATH ROAD 5/31/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Issued: .3 /�- IMPORTANT: Date Received must complete all items on this TYPE OF IMPROVEMENT PROPOSED USE ,of o p Residential i eb T TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New BuildingOne famil AdditionwoTY ore family Industrial Iteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic W611 p ` Floodpiain . ' `Wetlands Watershed Disfricf Water/Sewer e. ON OF WORK TO BE PREFORMED: L � s% s_ i . - Af. o a //I/�L!% A", = l-1 Ji%, e -r 400i", Cx 0, 4-1450,z vlejf�r 22 q' ISC r C Identification Please Type or Print Cle y) q c l OWNER: Name: Phone: Address: /`l ���� /r/© A-4 r�� CONTRACTOR Name:.�. Phone:._ .�GilNr9?s� �Q Address: i Supervisor's Construction License` Exp. ,Date Home Improvement License: '_ ' - Exp. bate F ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PE IT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ be0 FEE: $_ Check No.: ICI 2 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contracto- P, r, Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Pub=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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Planning Board Decision: Conservation Decision: Comments Comments Zoning Decision/receipt submitted yes Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: l_ocatea Jt54 uS ooa wreet . FIRE.DEPARTMENT - Temp'Dumpster on site .yes no Located�at 124 MainStreet Fire Department'signature/date. COMMENTS Dimension Number of Stories:f Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: =91!5 i �?d 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 NU I t5 and UA I A — (i -or department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 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 2.2008 Location —// A-4 7ZX /� 6 10 IDate No. 2 - TOWN OF NORTH ANDOVER I T, Certificate of Occupancy Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL $ 'r, Check # J6 25345 Au"Ilding Inspector Location No. %-5) — Date TOWN OF NORTH ANDOVER 164, Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee 0,0 s 16D -166 TOTAL Check# Building Ins ecte(r 25864 �(T, HORYN ,SSACH°SEt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 851-12 on 5/31/2012 Date: October 18, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 4 Heath Road MAYBE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS 1'�LkY APPLE'. Certificate Issued to: Edward Morgan 228 Dale Street North Andover, MA 01845 Building Inspector Fee: $100.00 �- 4 cd A O z =o `acv \`oo O y C O v V ti p, C A O m C p i Q ms CL ca 'E a� �cCD o C.3 $ `ems m C A co m CL O L y CO2 Co e m � c . C y y O C �m e € 10 o ; w s o CM �c ooh mi C? y IN cc O cm C300 CLO C Q �''O = m CO d � w y m� H O L .y fl.t�c Z oc E ; y o LU m o .0 E- co . h O. .� O _ ` y•7 O H Z �0. aim U O v .T34 W O MM� 1.� O O v Z °D CL O CO) � C CO CM o O �— y co m Co L- 0 CD �— CL — -P" CD CD O O m O d Ci Q c .o o Cc •Met O. O CD CD O Z O. C3 C C ca O. H U� Ucvcq r N OO ° ° G w 0 351, C N O w° cn w° U cit x to cn cn =o `acv \`oo O y C O v V ti p, C A O m C p i Q ms CL ca 'E a� �cCD o C.3 $ `ems m C A co m CL O L y CO2 Co e m � c . C y y O C �m e € 10 o ; w s o CM �c ooh mi C? y IN cc O cm C300 CLO C Q �''O = m CO d � w y m� H O L .y fl.t�c Z oc E ; y o LU m o .0 E- co . h O. .� O _ ` y•7 O H Z �0. aim U O v .T34 W O MM� 1.� O O v Z °D CL O CO) � C CO CM o O �— y co m Co L- 0 CD �— CL — -P" CD CD O O m O d Ci Q c .o o Cc •Met O. O CD CD O Z O. C3 C C ca O. e t� O z R.7? . a w v o w vi a C/)w U Z q a b a: C U as iz. OH U a p., x w w t�G OF w U p w chi C p a p C w C w ° �. cn Q o C/), VI v v O O co ■ O Z CA ii O y � C Ico Cm C C CO) 0 ■fl O LA co 'E m Co CDCL CDLft O O i e4-4 _vv o a .a CM< c CO2 *.6 C ccc O C Z CD CD CL C..± CO) c C C C _cc C. COD X50 �.m c c � �o ` O C O C.3 p, c R O r w:+ O L Com,. �.. c 0 m� v :moo c. c �E IZcm m c t4 m ` o z m 3 .• CoD o ;CA o s m :IN cc GoC N ev oC N Al �. Q m o cm N:c m m CD = MW 05 cm o� CL O 0 � i v N O. InO C O c Q .v O Q C = H m aCo. ..m mw p p H O N m a0+ N m m co CL= Lu o 0-0_ COD CL m O.fl VI v v O O co ■ O Z CA ii O y � C Ico Cm C C CO) 0 ■fl O LA co 'E m Co CDCL CDLft O O i e4-4 _vv o a .a CM< c CO2 *.6 C ccc O C Z CD CD CL C..± CO) c C C C _cc C. COD Building Permit Application Proposed work 4 Heath Road, North Andover, Ma. 1. Strip and re -roof / New Architect Shingles 2. Replacement Windows 3. Replace doors 4. Upgrade Kitchen to Code 5. Upgrade Bath to Code 6. Add % Bath 7. Enlarge a few interior openings 8. Re -do basement stringers 9. Replace Broken or Missing Shingles on Exterior 10. New ceramic tile in kitchen/bathroom The expected cost of the material and labor is approximately $ 30,000. Large portion/majority of work labor done by owner Edward Morgan. Construction Supervisor's license # 87352. Expiration 5/29/2013 <L : Nlasst zhusetts - Department of Public SafetN . 116ard of Buildin<a Re(rukit ion s and Standards Coristruction �vp&visor Lire Ose . L7j ee: se-. CS 87352 EDWARD J MORGAN 228 DALE ST NO ANDOVER, MA 01845 Expiration: 5/29/2013 Comink,ioner Tr#: 15254