HomeMy WebLinkAboutBuilding Permit #132-15 - 49 PLEASANT STREET 8/6/2014 BUILDING PERMIT o* "°oT" qti
TOWN OF NORTH ANDOVER 02
APPLICATION FOR PLAN EXAMINATION
Permit No#: ' Date Received '44`°` ""
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION 401 _
Print
PROPERTY OWNER bJCX�'p1�Pa-sem �'I`'� I�yEs'�I�I�Es-nr I.�LC_
Print100 Year Structure ye no
MAP _G PARCEL: ZONING DISTRLCT: 24 Historic District yes d
Machine Shop Village GiD no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition )ZTwo or more family ❑ Industrial
❑Alteration No. of units: Z ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
'Demolition ❑ Other
El Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed. District
)<1Nater/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
L�M,O t 1�-'C"�rL�C�✓L o�J t..--f o� �1 ���s� �CeC�"
- t--�� �l�� yI-�l,T"r �c� �5��� ��.rv�,��1 Com- • �►2.
Identification- Please Type or Print Clearly
OWNER: Name: V-M17,t-P4-sD 0E�� 6-VyS ti.1je-� 1-L�C-- Phone:(O M) A 3-6611
os E >c
T ��a
Address:_20 -)e- kozq M1, O l g 1 d
Contractor Name: eA Phone:- ('2�-iS-) 4Z3- (os-14
Address:_ I?O 00X 1gZ0j . P*_s,DOyGq-, "l4_ _ O�$►O
Supervisor's Construction License: GS- O-1C�Q(o3 Exp. Date: Z 1-1
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: $ C.oS�Z)o . 00 FEE: $ 9L—-
Check No.: Receipt No.: ��` �-00
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Age _wne ignature of contra
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
❑ 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
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 r
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Cross Section/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:Building Permit Revised 2014
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer 1�1 Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ 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
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/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: 2- Total square feet of floor area, based on Exterior dimensions.Z`13
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)
1-6 n1 it- 6wh e",-- tS eco C-A-DA— u n 4.cr"C'
❑ Notified for pickup Call Email
DateTime Contact Name
Doc.Building Permit Revised 2014
f
Location �GGS'�YtiT s; �—
i
No. Y2-" 1 Date-�
i
. '- TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $ `
Other Permit Fee $
.arr j,)X TOTAL $
Check#
2 7'8
6 0 Building Inspector
NORTH
own of � ? E ndover
0%
No.
h ver, Mass, &J,& //4
COC NIC MI WICK �1.
�R^TEO P4P��5
S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT .... .0IQ4.1404 .............. BUILDING INSPECTOR
........ buildin s on �� 10.. f Foundation
has.permission to erect .................. g .. . ......... . ... ..I�MLT............ .....�...........
� Rough
to be occupied as ..� ��."OW..... ... . ..*............................................................... 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
�a PERMIT EXPIRES IN 6 MO S ELECTRICAL INSPECTOR
UNLESS CONSTRUC N RTS Rough
Service
.......... .. ..... .... .................................................... Final
BUILDING INSPECTOR
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.
I
l
I ,
Safety
�> Department of Public Y
Massachusetts -
Board of Building ildin Regulations and Standards
� .
Construction Supervisor
License: CE;-076963
STEVEN SARACOO
68 R Woodland Street
Lawrence MA 01$41 dji�l
Expiration
02/17/2016 II
commissioner
Town of North Andover
-� Made Shop V I 4jibmhood Conservation Dishict Conumisdon
4 s4 1600 Osgood StrLa North Andover,MA 01845
Application For EXCLUSION From Certificate to Alter
For Items 9,10 or Ii,pzovide the foUming documentation:
Photos/drawings of existing doors.wtndom or siding,as applicable
Description/Catalog Cuts of proposed materials to be used for doors, windows or siding
Plan and elevation of reconstruction for Item II
Detetmitnatitm:
Xn
s project is determined to be
exempt
O not exemps
from review by the Machine Shop Village Neighborhood Conservation District Cormnission. Projects
that are not exempt must complete the Application for Certificate to Alter,available from the Building
Department and be reviewed by the Commission.
I
Determirra made by.
r ,
igttatune
c �
Neighborhood Conservation District Commission
Date � —
i
MSV KMC Pae 2 Ck ntChnk!3z Feammy.77 Elm Street,�.izeltafenneisuftahodxom.9786$&2915
Town of Nordi Andover
Machine Shop VdL-w Neighborhood Conservation District Commission
1600 Osgood Street. North Andover,MA 41815
s, sY
Application For EXCLUSION From Certficate to Auer
Certain alterations are excluded from review by the Machine Shop Village Neighborhood
Conservation District Commission in accordance with the Bylaw. Applicants for exempt projects
must fill out the form below and submit to the Commission Chairperson(contact info below).
Date:
ALA Ctusrf e Zt�14
Contact blame&Address:
ST��I�1 SA�,c�.sp
PD ADX. }02a
trt.t+G� C.cvE.CC"
III
Project Address: 461 —
Project
61 —Project Description(attach additional pages,if needed):
t 1J 11-NAC,- #h-.-V9k-4 CA"T CC)t--3
Exclusion From Review Requested For.
1.Interior Alterations existing conditions including materials,
design and dimensions.
❑ 2.Stora►windows and doors,screen
h windows and doors. ❑ 9.Replacement of existing substitute
doors,substitute siding or substitute
❑ 3.Removal,replacement or installation of windows with new materials that are
gutters and downspouts. substantially similar to the existing
condition.
Ll 4.Removal,replacement or installation of
window and door shutters. ❑ 10.Replacement of original fabric
windows or doors with substitute
❑ 5.Accessory buildings of less than 100 windows or doors that maintain the
square feet of floor area_ architectural integrity with respect to
form,Et and function of the original
❑ 6.Removal of substitute siding. windows or doors.
❑ 7.Alterations not visible from a public ❑ 11.Reconstruction,substantially similar in
way. exterior design,of a budding,damaged or
destroyed by Ere,storm or other disaster,
❑ 8.Ordinary maintenance and repair of pro-6ded such reconstruction is begun
architectural features that match the within one year thereafter_
MSV NCDC Page 1 Concur Chair:Liz Feromessy,77 Elm Steem lizeuafennessy@yahoo.com 978-M5-2915