HomeMy WebLinkAboutBuilding Permit #596 - 50 BEVERLY STREET 5/8/2009 BUILDING PERMIT of"°oT"qti
TOWN OF NORTH ANDOVER c? ° '` o°,
APPLICATION FOR PLAN EXAMINATION
Permit NO: / Date Received
'by °a,re°rePtgS
�s�D
Date Issued: SSACHUSE
I ORTANT:Applicant must complete all items on this page
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LOCATION_
-� Pnnt
PROPERTY OWNERUc�r� 1
Print
MAP NO: PARCEL:- k-ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Buildingne ami y
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
ater/Sewer
DESCRIPTION OF WORK TO B�PREFORMED:
CU �
Identification Please Type or Print Clearly)
OWNER: Name�C�� 7ihesc�n Phone
Address: I P ' 1SU� 1 An d oV2 (,, 0 ri q
CONTRACTOR Name: r` ; Phone: V0(0
Address: J i C� ' £ �' C V t
i y
Supervisor's Construction License: Exp. Date:
Home Improvement License: 1 `i 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: $ '1 �( � �Q FEE: $ ro
Check No.: 3 Receipt No.: a a` O
NOTE: Persons contra ting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner vvN, i Signature of contractor {
Location '30 6ey-*'c.•�'� c-
No. 5 Date
NORTry TOWN OF NORTH ANDOVER
3? . . 0
F p
" Certificate of Occupancy $
CMU'E<� Building/Frame Permit Fee $
SAS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
2� u -
Building Inspector
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 DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
L /CONSERVATION Reviewed on -j n Signature
/ 710 V-
COMMENTSA-.-W-�-Aor�d a��
wit, / 0 ' i
HEALTH Reviewed on Signature
COMMENTS
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I
• I
I
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 signatureldate
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
❑ 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
❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2008
EXHIBIT "A"
DESCRIPTION OF PROPERTY
The land at 50-52 Beverly Street, North Andover, Essex County,
Massachusetts being shown as Lot 85 on a plan entitled "Plan of
Green Farm", recorded with Essex County (Southern District)
Registry of Deeds, Book 708, Page 300 and Essex County (Northern
District) Registry of Deeds, Old Salem Copies No. 26, bounded and
described as follows:
WESTERLY by Beverly Street, as shown on said plan, one
hundred (100) feet;
NORTHERLY by Lot 84 , as shown on said plan, one hundred
ninety-four and 25/100 (194 .25) feet;
EASTERLY by Lot 72, as shown on said plan, one hundred (100)
feet; and -
SOUTHERLY by Lot . 86, as shown on said plan, one hundred
ninety-three (193) feet.
Subject to Taking by the Commonwealth of Massachusetts, Department
of Public Works for a limited access state highway, recorded with
said Deeds, Book 938, Page 421, and as shown on Plan #4303 ;
together with sewer easement shown on Plan #4303 .
Subject to title to and rights of the public and others in so much
of the premises as lies within the bounds of Beverly Street.
Being the same premises conveyed to John D. Mattheson, Jr. and
Wendy A. Farelli by Deed of White Birch Construction, Inc. , dated
this day and recorded herewith.
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JAMES GRIFOiVI
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TOWN OF NORTH ANDOVER
ti • _ o� OFFICE OF
BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
North Andover, Massachusetts 01845
s�e�s
E .
Gerald A Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE: �'Tvx\-Xl 11'wl
JOB LOCATION: S�
Number Street MaPIAYt
HOMEOWNER�v `b - ��-I- `i 3 1
Name Home Phone ®rkPhone
PRESENT MAILING ADDRESS
City Town state Zip code
The current=mpaon for"homeowners"was adended to include ow;.ei-oxcupwd dwellings to tw;, or less
and to allow sock homeowners to engage an individual for but who does not possess a license,provided that the
owner acts as supervisor). State Building (Code motion 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 responsibiiity for COMpliances with the State Building Code and other
Applicable codes,by-laws,Hiles and regi lations-
The undersigned"homeowner"cera5es that heJshe understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that he/she will fly with said procedures and
HOMEOWNERS SIGNATURE
a
APPROVAL OF BUII.DING OFFICIAL
Revised 10.2005
Form Homeownas Enaption
TIOARD OF TPEAI_S 689-9541 CO\SER\'.tiTlp\6xs-953 IiE.l11'H 698-9540 PL.L\VNG 6g8_9535
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7� DRATED O' �C2
`r BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
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BUILDING INSPECTOR
THIS CERTIFIES THAT.............`T.Q �'\r
Foundation
has permission to erect..... .................................. buildings on ..�........ . -C U.46wAo.. .....4 ................. Rough
Chimneyto be occupied as......... ' ...... ....... ......ej.4b
...............................................................................
provided that the erson acce tin this�ermit shall in e respect conform
to the terms of the application on 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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUO TS Rough
........................ ...................................B.... ................ Service
RUILIN
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.