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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 r 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 � r10RTly ovm of : over No..3 (P �O LAKE o over, Mass., a 'QA COCHIC HE WICK ORATED P �(5 S ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... & ,c 7oz-11<7................................................................................................................... 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. McSwenuai riuNeny rcewiu L,afu 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 jig 24 Q• ., 4 ' 13 33 13 4 4 j 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