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HomeMy WebLinkAboutBuilding Permit #154-2011 - 426 ANDOVER STREET 8/23/2010 BUILDING PERMIT of "°or" TOWN OF NORTH ANDOVER02 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: Ssgc►+usEt i IMPORTANT Applicant must complete all items on this page �£ t � •� , .�„ i'..r, A a •�-,�,44 " ` � h � a Y'�>_ y g•.,e U � � 3 GX7410%- ..{c� SIR ilt_ '�'. •c,t + t i - ¢w mmij x,?L1. , Za'�' a�a-fx Mr. rf � Na�14fs--a- rpy`� mi tst St:. ,t {Mf-v .� .�7iM )::rF�$i `e`!? C a�i�,;y ', - 1,,,;.y. y, s'`�..h37 } s'ryY�. -cir S n '1h'i` t u K 't -'�-^�'4.-Itt eA [• k f�'�"' YT r i c � �"��^t' ��1',�."s�,�';`�j•�o- S -r ,n�.t��'r�a,� �. y� � �z� . - `� , �' ���'��0�� �'�T�I�C�T ,��iiiyn �`•y�` �[+�` a`- � , air. �r "'�, .. .,�-°� ,..�,.�.a�,de...-.�� t' .Y�_i�,t<�:Ni..1_�,'. s;� .d�.S�rxs ,_.;dty.�l".,���.:�,�-:.3`a*.4P i�'.,�`x�.�.f''itix'.Lt/is'y.•i�`e •-1. '��'�'JW1AJ����aFAY�A�t3���'��' T�'� {��',;k TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One famil Addition Two or more.family Industrial Alteration No. of units: Commercial epair, replacemen Assessory Bldg Others: Demolition Other 'Rh2 a 3air a -31 n G�c;..r..,.,.. .. ._ ......_..�-_.�..�,._ 3.�-,.� f...� 42 d,:.,,�1��+.R� ...^_-��1',r•y.,,y���y...-r.J,�+.st"+r.+,v�t-'�..443�'., `��z t�l �" `IL'` �f�* j DESCRIPTION OF WORK TO E PREFORMED: Identificationlease Type or Print Clearly) OWNER: Name: CM �ia-.,// Phone Address._ 1*,,dt-Cz1 *20w ed 'r r- Y tac v x *' N' ''fir4-- ,hiNot 4iie^ '3y�' � �� �� "�L�`�'h'&'^„"#y'� 4 i nne�+ 1V Tr�'ria'9 lv.Xr's"S�y F {�fS^'6_ ? !sr �46EPz 4 pg Y �'r„ rd.�.-' �9Yf4ht ' rrhi �,sctt5.s .Tr6 �tYo} r au Y � R'c s �.r. 7a^ Tp� g701 �' i-" 'ra i n7Y"d'h 4L7 -0 �'1 �,.��� YV�� ����.r..t���.c�,� �-�,��.7�f�Va�'a'�k.,r�'r�x!✓';k�:�a¥��T���,y�r�a�'}+"���"c„c��,���F''gi,C�� aC�n�J+ �7d?.�i���` �. e1�l����"�.w�?�,�� - �'.i„("LiL46�,G��7�h""' �,s�'-'�',;Ji'ri.G���.�+ F>r=A'� F •4 � n 3�� t4 �.F��m= �'-F��ys�,� ��� �t.F Mn 1'� r�� L'L':�e-�l�F:fit,.�H....L..l'S's'fs47+.,-„F.--• f'�.'�(P��'1�� 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: $ Check No.: 7 P op�3 y� Recei t No.: NOTE: Persons contracting wit g' ere contractors do not have access to the guaranty fund Stgr�a 1_re Location y�6 ,4 la j'I,- Sf" No. �y ` 701 Date -2 Cts MaRTh TOWN OF NORTH ANDOVER � R • Certificate of Occupancy $ 6 6 �'�J'••°•tt� Building/Frame Permit Fee $ A ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �6 d Check # 77.2 2- 2 3 Building Inspector i Plans Submitted Plans Waived Certified Plot:Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL ublic Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING DEVELOPMENT I COMMENTS I i ' II CONSERVATION Reviewed on Signature C 0 MiViEN TS HEALTH Reviewed on _ Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water $ Sewer Connection/sicinature&Date Driveway Permit DPW Town Engineer: Signature: FIR Edi l'JDlE � ger }�'Dt ip er�r� rtes e , 4 Located ood Street 384 Os tr ns� 'Lvcafedt 1�llain=Sfre YF i 5 k Daepa-m,e t � na ire;!1a e k 1 .. Dimension Number of Stories: Totals square feet eet 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.wo-$1000 fine NOTES and DATA— (For department use) i I ❑ Notified for pickup - Date i• 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 j ❑ Building Permit Application ❑ Workers Comp Affidavit t ❑ 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 Prot 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:Building Permit Revised 2008 �ORTP, ToVM opo�i" _ ', Andover V, 000 F `}[ 0 n== - o dower, Mass., ..p` O �- LAKE �9 COCHICHEWICK V ArE� �oRAPa,`�5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ° ` 4 ' .................................................................... , ..... a Foundation has permission to erect........................................ buildings on.. `'`y .�rf��' ���'°°' ...r � � Rough sJI ................. j .................. J t0 b8 OCCUpled aS.r `:°"`: sJ .. � d'f...:.° tY d"` _ s..::�?.. y.'� � F.:...... i a......... `�............... ,,.. ne provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fina 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 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS �/ELECTRICAL INSPECTOR �. `Rough .. �.. ..... ... ...._ j ervice BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR lv Display in a Conspicuous Place on the Premises — Do Not Remove Final,(/. / Z� No Lathingor D Wall To Be Done G FIRE DEPARTMENT Until Inspected and Approved b the Building Inspector.P PP Y 9 P Burner. . Street No. SEE REVERSE SIDE Smoke Det. NORTH Town of And 0 dover, Mass., LAKE COC-CHEWICK ADRATED 0'PC1� S$ BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............. O // Foundation has permission to erect........................................ buildings on y 6 /`� ovf S Rough j ................ ............. ....�..... .................... fir�loc/� a /�/�/► %7L�Jf� ��/6!O�a.��r�..... ...r..!..%l��`T!!!F'(+................ Chimney to be occupied as.. .......................................................................I.................. 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ....... ...7�. . ` .—..................................................... 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 i No lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner. Street No. i SEE REVERSE SIDE Smoke Det. F NORTH TOWN OF NORTH ANDOVER 0 tteo , �4, ,°L OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 �.ys q�reD��a qty North Andover,Massachusetts 01845 SAGNUS� 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:__!kW ��,�j -- / �4 Number Street Address Map/Lot HOMEOWNER Com- // V7 ' 01J d'/dz �,� Vol Name Home Phone Work Phone PRESENT MAILING ADDRESS City TO-Am rw 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 fancily 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 requirements and that a/she will ly 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