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HomeMy WebLinkAboutBuilding Permit #720-2016 - 43 SUTTON PLACE 5/1/2018 A / _ NORTH BUILDING PERMIT ED 6gNO TOWN OF NORTH ANDOVER � APPLICATION FOR PLAN EXAMINATION Permit No#: ol d ' ��/6 Date Received 7 A�Rwreo �SSACHU5�4 Date Issued: IMPORTANT• Applicant must complete all items on this page LOCATION 4 3 Print PROPERTY OWNER C • L Print 100 Year Structure yes no MAP __�i _PARCEL:© D 7 ZONING DISTRICT: Historic District yes no �— Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential II ❑ New Building Ane family ❑Addition ❑Two or more family ❑ Industrial RAIteration No. of units: ❑ Commercial G,Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0:Se tic ❑"V,llell ❑1FI©©tlpla n '0 etlantl s ❑ _ _ _ - �p ,. �� tlNatershediiDtstr[ct� I � � �. rr .,VWaterrlSewer __ _yb � DESCRIPTION OF WORK TO BE PERFORMED: d- ' Identification- Please Type or Print Clearly _ OWNER: Name: e_Z-u V_-,-'t- L L Phone: Address: y 3 Contractor Name: Phone: Email: 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: $ 2- `I" L-C"I FEE: $ 3 o " Check No.: 2 7 /-/ 7 Receipt No.: 9 k11 NOTE: Persons contracting-with unregistered contractors do not have access to the guaranty fund _-h- 1. _R- .- - _ - 4 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ f [Public YPE OF SEWERAGE DISPOSAL Sewer ❑ Tanniug/Massage/Body ArtE] Swimming Pools El ell ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ 1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature t COMMENTS 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/SDriveway Permit DPW Town Engineer: Signature: .� Located 384 i F R DEPARdTI�IE IlT�T,emp Dempster on.s to +yes � gg4Sn"oo'�. e .Located at 124 Main Street h- >�•c',,t,�, *� y r �'t; , �" ; ,ire` = ,: �;r 4 ✓ X. !Fire Depar�(trn-�tenignature/datex� <j a>. 9 v2 th/.` ." f' • S y t 1. �w ♦ 7 .. may( °u+ � ♦r ' t� '�, �• � sq,� i*. L 'LF_ n s.t i.•i �. n,l - R 4 ]i , � x ; 'I t �J .Fi t�y .�ry o Y� i h'ti Comm �� + a �. .• r -_ •p� �.=• �b4 f t+' � •1 ,{f,t�.e,7 ,,ii { c�J�`^? c t.f3 � _ r� ..i��n I ' Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL; Movement of dieter location, wast or service: drop requires approval of Electrical Inspector Yes No i DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1o0-$1000 fine NOTES and DATA— (For department use) P i i I ® Notified for pickup Call Email E Date Time Contact Name 3 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 4 Building Permit Application 4. 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 Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract 4. 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 i 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 2014 Location No. ���o �l� Date i • - TOWN OF NORTH ANDOVER ,t • Certificate of Occupancy $ f � Building/Frame Permit Fee $ .' , Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 0 7 C� 29 81-1: 1 Building Inspector � NORTf-� Town of ndover o 11101)No. h ver, Mass %2' 11 o .AK. 1 OATE 1) U BOARD OF HEALTH Food/Kitchen PIERMIT T LD Septic System THIS CERTIFIES THAT ........ .�./ �r..f.�GJ..L�.�d�cJ.................................................................. BUILDING INSPECTOR ........... o'GE Foundation has permission to erect .......................... buildings on .AJn....Std;T�e?�.t... .................................... Rough cv� to be occupied as ........................ ..................... .................................................................................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START_ S Rough .............. Service ............ ...... .. .. ..`�.......... BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. of �ORTp 1 TOWN OF NORTH ANDOVER i t"" '`•"° OFFICE OF A BUILDING DEPARTMENT a ; * 1600 Osgood Street,Building 20, Suite 2035 North Andover,Massachusetts 01845 ,SSACHus�� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: t2—+ I I 1 S JOB LOCATION: `f 3 `�-- Number Street Address Map/Lot HOMEOWNER Name Home PhoneWork Phone PRESENT MAILING ADDRESS S� C 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, rop vided 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 requ' is and that he/she will comply with said procedures and requirements. i HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL I Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 i I