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HomeMy WebLinkAboutBuilding Permit #837-13 - 440 MAIN STREET 6/4/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �y Permit NO: `? -c 7- /� Date Received Date Issued: y 1- IMPORTANT: Applicant must complete all items on this page ' . WCA �IONI. Main - PROP ERTY'OWN.ER Tf7C�CL a�nC1, ` r — . P�ir�t 100?Year Old IStructure, yes. no . "'MAP, PARCEL: ZONING'DISTRICT _._ _ = Historic.District yes no} M'achine�S.fiop. 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 i ❑Septic; ❑ Welli ❑ Floodplaini ❑ V1/etlands ❑ Watershed©istrict? D Water/Sewe rn N OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Taco an& R l VSon sm l �-k Address: yyO Maul SL�c'e?_ Address. SupervlsorYs;C:onstruct on License,: Exp?, Date: Horne, frnp[ovement' License; _ _- Exp! Date*= ARCHITECT/ENGINEER Phone: Address: Reg. No. gici(`cI 73 -03o3) T -a, -N e-q:1!g1 FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ o�C��i• o� Check No.: 76 % Receipt No.' -76 �7 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund _. .- Signature ofAgent%Owner� !' :Signature,,of contractor ��..' .'l Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Building Department The fol owing 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 u Copy of Contract u Floor Plan Or Proposed Interior Work u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application ❑ Certified Surveyed Plot Plan u Workers Comp Affidavit u Photo Copy. of H.I.C. And C.S.L. Licenses u Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u 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 o Certified Proposed Plot Plan u Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ' u Copy of Contract u Mass check Energy Compliance Report u 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 appal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:ated with the building application Doc: Doc.Buil Jing permit Revised 2012 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/BodyArt ❑ . _ 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 FORINT DATE REJECTED PLANNING & DEVELOPMENT COMMENTS DATE APPROVED El CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes "Planning Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPS' Tow;! Engineer: Signature: Located 384 Osgood Street FIRE'DEP'ARTM i'T - Temp Dumpster, on site yes no Located at *124;M'ain' Street Fire Departmerit 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 Doe.Building Permit Revised 2010 Location 4^10 No. 93 7 — Z3 Date Check#-2�--? 26475 TOWN OF NORTH ANDOVER Certificate of Occupancy $- Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL $ Building Inspector Enter construction cost for fee cal - North Andover Fee Caktilation Construction Cost 7100'0.00 m $ - $ 204.00 Plumbing Fee $ 25.50 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 25.50 Total fees collected $ 355.00 440 Main Street 837-13 on 6/4/2013 Kitchen Remodel 9 m ci: C cl: O m 0: O L O m 0 Q .0 C O •y�—r QO 1 N c.i p L N • .F+ 4a 0 v���• 0 L N `rye V M A.; i z y J ` x,00 D CL U) • r >`° w. 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CO 0. d '> ;F N O J 0 2 H m -� o L- = o. 0 U > 2 z Z W w H W a V O 0 LLI U) N 19W W X W U) C/) CD -U 7-1 1 -------------- tv M x -0 U) M r- M X C/) --j 4, > M ;z IM 03 0 U) > Z > M Cn C) 6 0 Mgo K 0 0 A M z 0 Z > IM --j CC) =i Cq -n M m5;01 ;01 05 0 Z C-- ;0 M M 0 0-1 0> C/) C= x IM M M > IM oL M5 --------- 0 z 0 "Ta V 02 G-) I T tv M x -0 U) M r- M X C/) --j > M ;z IM 03 0 U) > Z > M Cn C) 6 0 Mgo K 0 0 A M z 0 Z > IM --j CC) =i Cq -n M m5;01 ;01 05 0 Z C-- ;0 M M 0 0-1 0> C/) C= x IM M M > IM M5 0 z DATE: 05/31/13 r- 0 T 0 z G) Cn 0 0 z < M M M > G) 0 > G) M Smith Residence Interior Alteration 440 Main Street North Andover, Massachusetts SHEET NO. 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A-0 11'-5411 VIF m/� �\ 0 m �� N c Q u_ O Oo, ��� C) ��,, - _'� T O O� � < // /- -=o - c:) - -- TI] r < o , -I- 0 ,- \\ ��0 �/ 0 Z 0 p 00 N N T / / NIS - < I TCO < \ \ — — — — LNO — — 0 1115. 11 21-7111 n1 11 1 011N -011 z L- - 2'-6G 11311 4 VIF L C=== o m 7'5\11' i Cn O 0 I z !-j- _ - - i D Zz zm Z m Z xm D Z zm z m ------- — - - -- M `M —Ln Z D O Z� O 0- W r 7C Z D 0 r- r x z r V 0 D ZO m ) 0 O X M M O C -'-I N O r C Z M M Gzi m > C) _T Z 0 = En- D X m r --1O CnCnr z M G) D C) M C-) N n� 0>�T 00�00Cn zoo r� 000 Cn0 DOM 0 �C �D� D -C+M Zr� z r-0 -ni zC 0_D22m zC)G)� �Z92 �D nZ m� CC% O MD D --q M- �-<G) ��O z� r O M 07 D --i,zr Om C -< m Cl) CXr- m mZ MZ T0 z ONO z z� ccn 2 T -0M z�CnT) -�Zm0 D� oD Iz �� OD I D r-Cn r �0 Cl) -00 mD -=i0 �nD T-0 D2C) D 5 0 UZm �0 �Zp XD z(mn0 r coo 0 z m Z n n M z 0 0 a M O�� C)-0 D z�-D m> �� Mm zm0 pM -ni 0nmr �C) zD DOCO OT m -i O �Cn �) �ON D Dom_ Z MO -U x m0 r C)�< MTI �O C) ;UC7 Cn ---1 Mr M X M O KCl)O ZO 056 0�� m0 - K � Mz z0 -fin ZO GZ� 00C m O�XC) O 0 G)X z 00--i --Am > cn r T C: z XZ �D m0 �z * 0D � z�m T r cn— N z G) C m D OC > D M m m Mm r m m U MzU, Cn DATE: Smith Residence Interior Alteration SHEET NO. 05/31/13 440 Main Street q North Andover, Massachusetts /-1 _1 TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT -.'1.600 Osgood Street Building 20, -Suite 2-36 North Andover, Massachusetts 01845 Gerald A. Brown Telephone (978) 688-9545 Inspector of Buildings f Fax (978) 688-9542 j Z HOMEOWNER•LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION: H400 M a o n Sire Z�-- Number Street Address MapiLot Name PRESENT MAILING ,ADDRESS �1 Home Phone y 0 Main Sire- e-+ Ma Work Phone City Tn._,n, V ti O Sty+P • Zip Code The current exemption for "homeowners" was extended to hiclude owner -occupied dwellings to two units or less and to allow such homeov"Mers to engage an ildividual.for hire who does not possess a license, provided that the owner acts as supervisor). Slate Bolding (Code Section 108.3.5.7) DEFINITION OF HOMEOWNER Person(s) who Qwns a parcel of land on which he/she resides or intends to reside, on which (here is, oris intended to be, a one or two family structures. A person who constructs more that one home in a t hick there o shall not e considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. k 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 — W ► 9AM APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption r ; 130ARD OF APPEALS 688-9541 CONTSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535