HomeMy WebLinkAboutBuilding Permit #271-15 - 49 PLEASANT STREET 5/1/2018 BUILDING PERMIT o* NORTFl q
TOWN OF NORTH ANDOVER
02
APPLICATION FOR PLAN EXAMINATION '"
Permit No#: Date Received
TED
�9SSACH►15�t��
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER V-4 u�—�_L-
Pnnf 100 Year Structure yes no
MAP _ PARCEL: _ ZONING DISTRICT:,, Historic Districtyes
Machine Shop Village es no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition 4 'Two or more family ❑ Industrial
%64AIteration No. of units: ❑ Commercial
'Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
El Septic ❑Well ❑ Floodplain ❑Wetlands. El Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
z
III Identification- Please Type or Print Clearly Y
OWNER: Name: �t�y�l-�--r� -i tv.�tl�i ��-L Phone: 4•
Address: 'PO OC3X- IOZq I b
Contractor'Name: _ Phone:_. On 8 &'14-
Address: _ SPO__ 5 IV— IO2cll Pte--'U A= , t-tet.✓• -
Supervisor's Construction License: c��lbq lob. _ Exp. 'Date: 'Z- t'1 )IZOt Q=1
Home Improvement`License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ S�OO FEE: $ (f:5
Check No.: t�2(0i Receipt No.: �
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
nature of A '^
g g nt/Owner nature of contractor _'�
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 ed products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
o 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/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
Li Certified Proposed Plot Plan
L3 Photo of H.I.C. And C.S.L. Licenses
Li Workers Comp Affidavit
L3 Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
L3 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
Doe:Building Permit Revised 2014
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 ❑
I
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY `
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
i
CONSERVATION Reviewed on Signature
COMMENTS
d
HEALTH Reviewed on Signature
a
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: 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)
a 1
❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Pen-nit Revised 2014
Location l9l::S i iq
�
No. Date
. - TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $.� ,
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
i V
Check#
28024
v Building Inspector
TO"OF NORTH AND OVEP,
OFFICE OF _
DUMDWGIMPARTAWNT
• ' x Qom " 600 i0sgo od greet Building 20,•S>rzte 2-36
_ y.�ssanm s��y •N'orthAbdovex,lVlassacbusetts Q7.84.5
RCHU
Gerald A.Brown Te-D.phone(978)698-954-5
InspeetorofBiiildings
Fax (975)688-9542
HOMEOWNER.'LICENSE EXENlPLION
BODING PER T. ''PLS ICATTON
• pleasepnnt •'
-
DATE:—
JOB LOCATion-4 1% S
+.J o �-{j . c5 ►�9S
Number StreetAddress 1llCap/Lot
OALEOWNER A}'
Name• Home Phone
Work Phone
PRESENT MAU NG.ADDRESS S
----------------
j C 'To gj�-
it
.�+p 0 t -
zip Code
The current exemption for"homeowners"was extended to
to aloes such ho,neo,T- - ' .nclnde owner occupied 6iveliags to IWO units-DY cess and
eels ro engage an?idiViaual•forhire who does notpossess a license,provided that the
acts as supervisor), StateBO,ding (Code Section lt)8.3.5.I) owner
DEFD ITION OFROMEOWNER.
Persons)who gwns aparcel of land on which he/she resides or intends to reside,on which there is,oris intended to +
be,a one or two family sfznctares. A person who consfracts more that.one home in.a twoyearperiod shalt not be
considered a homeowner.
The undersigned"hornedwner"assumes responsibility for compliances with the State Building Code and other
Applicable codes,by laws,,ales andzegulations. s
The undersigned"homeownef'cextr�ies that holshe 11ndersf2nds the Town.of North Amdover$uiIding Deliatfinent
mznimum insPoGfion procedures and requirements and that helshe,will comply with�said procedures and
requirements,
-ROAMO RS srOrrA ,
APPROVAL OF BMDWG OFFICIAL.
Revised 7.2009
FormPlommwners xempfion .
'33OARD OF APPEALS 688-9541T
O01\TSEK�AT10N 688-9530 HEALTH 688-9540
MANNING 688'-9535
NORTH
own of
t _E : ndove'r
0 .
: :.
No. '— P5
h ver, Mass,
Ish COCHIC"RWICK 'l•
�.9 A�R'�TED Qp`,`'�5
S V
BOARD OF HEALTH
Food/Kitchen
PERM ..IT T D Septic System
THIS CERTIFIES THAT �......R444...... . V4�,� �` BUILDING INSPECTOR
... ........... ........... ......
Foundation '
has permission to erect .......................... buildings on .1110....7.......... ..X�,
...... .....
a ♦ Rough
to be occupied as ..... .. .. ..'�'.. ................. .
........... .... ...... ....................................... Chimney
provided that the person acce ting this permit shall in every respect conform 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
664 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI STTS Rough
60 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.
v
NORTH
F� ° °p Town of North Andover
Machine Shop Village Neighborhood Conservation District Commission
1600 Osgood Street North Andover, MA 01845
SSACHUSE
Application For EXCLUSION From Certificate to Alter
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 submittothe Commission Chairperson (contact info below).
Date:
Contact Name &Address:
-c%
ISt
Project Address: 9 �S /' S
Project Description(attach additional pages,if needed):
Exclusion From Review Requested For:
❑ 1. Interior Alterations existing conditions including materials,
design and dimensions.
❑ 2. Storm windows and doors,screen
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.
❑ 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,fit and function of the original
i
❑ 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 building,damaged or
destroyed by fire,storm or other disaster,
8. Ordinary maintenance and repair of provided such reconstruction is begun
architectural features that match the within one year thereafter.
MSV NCDC Pagel Current Chair:Liz Fennessy,77 Elm Street,lizettafennessypa yahoo.com,978-688-2915
(w
i
NORT{{
D�tTLEO 40
Lp Town of North Andover
Machine Shop Village Neighborhood Conservation District Commission
o
ITS A,rEo ��� 1600 Osgood Street North Andover, MA 01845
AG HUS
Application For EXCLUSION From Certificate to Alter
For Items 9,10 or 11,provide the following documentation:
Photos/drawings of existing doors, windows or siding, as applicable
p�LDescriptionlCatalog Cuts of proposed materials to be used for doors, windows or siding
Plan and elevation of reconstruction for Item 11
Determination:
This project is determined to be
exempt
not exempt
from review by the Machine Shop Village Neighborhood Conservation District Commission. 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
Determination made by:
Signature
1�
Neighborhood Conservation District Commission
Date
MSV NCDC Page 2 Current Chair:Liz Fennessy,77 Elm Street,lizettafennessy_&yahoo.com,978-688-2915
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