HomeMy WebLinkAboutBuilding Permit #369 - 44 RUSSELL STREET 11/10/2009 TOWN-OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: / ��
// I P RTANT:Applicant must complete all items on this age
LOCATION1`Z" (���SC <� ;U. 4&Le4g-4 C)
Print
PROPERTY OWNER_
V Print
MAP NO: --7�PARCEL: 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
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:
Identification Please Type or Print Clearly)
OWNER: Name: PWo d
Address: aLL
MR
CONTRACTOR Name: Phone: d
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING ERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 P F.
Total Project Cost. FEE: $
Check No.: Receipt No.: ;2
NOTE: Persons c retracting with unre ' tered contractors do not have access to the guaranty fund
Signature of Agent/Owner Siginature of contractor.
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 DATIE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION " Reviewed on Signature
COMMENTS
HEALTH - Reviewed on Signature
COMMENTS
•�. 'Zgning 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
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
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 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
_ i
L3Workers 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: Doc.Building Permit Revised 2008
Location ��/ /dU
No. Date
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NORTH TOWN OF NORTH ANDOVER
� s
• ; ; Certificate of Occupancy $
s�CMUs<�' Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
226s , t
!/Building Inspector
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ovm of : over
No..3 (P
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'QA COCHIC HE WICK
ORATED P �(5
S ` BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.......... &
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Foundation
has permission to erect.................. buildings on.....�'/- C.1-�;��..��.5Y ................................ Rough
t0be OCCUpled as...................... ... .' V fl: .................................................................................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application an 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
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION TS Rough
.............................................................de............. ........................... Service
BUILDING PECTOR
Final
Occupancy Permit Required to Occupy Building 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.
SEE REVERSE SIDE Smoke Det.
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PARCEL_ID:210/070.0-0044-0000.0 MAP:070.0 BLOCK:0044 LOT:0000.0 PARCEL ADDRESS:44 RUSSELL STREET
PARCEL INFORMATION Use-Code: 101 Sale Price. 0 Book: 01169 Road Type: T Inspect Date_: 07/15/2004
Tax Class: T Sale Date: 12/31/1970 Page: 0302 Rd Condition: P Meas Date: 07/15/2004
Owner: Tot Fin Area: 1216 Sale Type: Cert/Doc: Traffic: M Entrance: X
TORLA, MARGARET H Tot Land Area: 0.17 Sale Valid: N Water: Collect Id: RRC
Address: Grantor: Sewer: Inspect Reas: M
44 RUSSELL STREET
NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LKO Indust-B/L% 010 Open Sp-B/L% 0/0
RESIDENCE INFORMATION LAND INFORMATION
Style: CP Tot Rooms: 6 Main Fn Area: 820 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4
Story Height: 1.5 Bedrooms: 3 Up Fn Area: 396 Bsmt Area: 792 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class
Roof: G Full Baths: 1 Add Fn Area: Fn Bsmt Area: 1 P 101 S 7500 0.17 158,286
Ext Wall: AB Half Baths: Unfin Area: Bsmt Grade: DETACHED STRUCTURE INFORMATION
Masonry Trim: Ext Bath Fix: Tot Fin Area: 1216
Foundation: CB Bath Qual: T RCNLD: 79373 Str Unit Msr-1 Msr-2 E-YR-BIt Grade Cond /oGood P/F/E/R Cost Class
Kitch Qual: O Eff Yr Built: 1962 Mkt Adj: 1.2 G1 S 264 1988 A A 50///50 4,600
Heat Type: ST Ext Kitch: Year Built: 1952 Sound Value: VALUATION INFORMATION
Fuel Type: O Grade: FA Cost Bldg: 95,200 Current Total: 258,100 Bldg: 99,800 Land: 158,300 MktLnd: 158,300
Fireplace: Bsmt Gar Cap: Condition: A Att Str Vail: Prior Total: 240,600 Bldg: 94,100 Land: 146,500 MktLnd: 146,500
Central AC: N Bsmt Gar SF: Pct Complete: Att Str Va12:
Att Gar SF: %Good P/F/E/R: 11100172
Porch Tyne porch Area Porch Grade Factor
P 24
SKETCH PHOTO
71
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24
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13 33 13
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44 RUSSELL STREET
Parcel ID:210/070.0-0044-0000.0 as of 1/10/06 Page 1 of 1
F ,AORTH TOWN OF NORTH ANDOVER
OFFICE OF
o
A BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
North Andover,Massachusetts 01845
�SSACHUSE�
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: y-f &_5_5e,—rzz
Number Street Address Map/Lot
HOMEOWNER p 6
- 3 s
Name Home hone Work Phone-
PRESENT MAILING ADDRESS-
A1419
DDRESS
/yTownr
City Ton State 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 requirements 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 688-953