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Home My WebLink AboutBuilding Permit #109-11 - 52 MIFFLIN DRIVE 8/5/2010 BUILDING PERMIT pOR7Nt,r.o ,b qti TOWN OF NORTH ANDOVER 0 4 .,1 APPLICATION FOR PLAN EXAMINATION Permit NO < Date Received U f rco �SSNCHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION1 Print PROPERTY OWNER5(��l t[Yl / - MAP 21'Q. PARCEL- _ ZONING DISTRICT- Historic District_. yes o 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 PR�� or) d0�f AP-- Q(e- no ago, Identification Please Type or Print Clearly) OWNER: Name: �ffSS1 Ca a- Secl0 SItIYY Phone: 709 y Address: �� mi Ili "be we A*doW r rha 0 (yv�- CONTRACTOR. Name:. oOx1 < - Phone: Address: IYI C+ .nom ' V�h w*'ekeyttfet,�11 Supervisor's Construction.License: Exp: Date,: _ Home Improvement License• Exp.: Date: ARCHITECT/ENGINEER 0044 Phone: Address: Reg. No. FEE SCHEDULE:BULDING PE IT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: q, 1d0, oo FEE: 16 k — Eby :� 9a9� Check No.: Receipt No.: NOTE: Persons contracting wit nregistered contractors do not have access to the guaranty fund Signature of Agent/Owner = Signature of contractorjOE'ony+Qcn_��.� 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:Building Permit Revised 2008 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 CONSERVATION Reviewed on Signature COMMENTS P"'ALTH Reviewed on Signature New 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 v-Temp-Dumpstdron 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 2010 Location L�, -4– No. Date NOR,h TOWN OF NORTH ANDOVER 0 9 Certificate of Occupancy $ —, �'�s'•••°''<� Building/Frame Permit Fee $ -:i SACHUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #� Building Inspector � N ►y , TO" Of pRTAndover = LAKE -o over, Mass., -0 COCMICMEWICK ,_ %AORA TED `s BOARD OF HEALTH Food/Kitchen P-E �n M .1 T T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... �il�� ........... ♦.. P..................... ... ................................... Foundation has permission to erect............. ......................... buildin son ....... Z.................. ....... .... Rough ............... to be occupied as....... ......... .� .........�........� / s...�j�.4.�. . ii ..� Chimney provided that the person accepting thipermit shall in every 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 CONSTRUC T TS Rough ...... ............. .......................................................... ........ Service BUILDING INSPECTOR 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. Jessica Slipp 52 Mifflin Drive North Andover, MA 01845 August 4, 2010 Dear Brian, My name is Jessica Gulezian-Slipp. I understand you were at the home my husband and I recently purchased. I am writing to assure you that we will not be doing any construction without a permit. The previous owners left us a filthy mess and we have been removing their belongings that were left behind. Aside from disposing of their debris, we have removed wood paneling from some of the walls and sheet rocked over bad sheet rock. We are purchasing our kitchen cabinets from Doyle Lumber and per the request of Dan, their kitchen manager, we removed the existing cabinets (half had been removed prior to us purchasing the house) so he could take proper measurements. As we were doing this, we discovered some weird electrical and became nervous that there may be a safety hazard. We contacted Phil from Stateline Electric to assess. My husband briefly met with Phil last night August 3rd and he said he could fit us into his schedule today August 4th. Phil figured he would get the scope of the work to be done and then obtain a permit because it was unknown how much bad electrical was in the house. I would like to emphasize that the only work done today was the correcting of safety issues; including replacing a,bad electrical sub-panel and removing some electrical wiring that could pose a fire hazard. I want to also point out that Phil has every intention of taking out a permit for any other work that is needed. Also, since I work in Boston and will be unable to apply for the permit in person, I am giving permission for my father,David Gulezian,to obtain said permit on my behalf. We would like to take out a permit to do the following: • Remove tile from kitchen walls • Install new kitchen cabinets ($3,100) • Install new kitchen counter($2,500) • Install new kitchen appliances($2,099) • Repair the ledger to the deck At this time, we have no plans to renovate any of the bathrooms. Thank you, in advance, for your understanding in this matter. Sipperely,pv--*4t� �ID 0 -''`�`�` Jessica Slipp NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: S cif-Fir? is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: (Location of Facility) �yenf Signature of Permit Applicant a U y s' �6 Date v n C Q. C v � CD r O 0 C Q. CD CA 0 O 3 Note: This drawing is an artistic 20 °� Designed: 7/16/2010 interpretation of the general `"�`; Printed: 7/22/2010 rp g TECHNOLOGIES' appearance of the design. It is not meant to be an exact rendition. 52 Mifflin Dr. FPl.kit All Drawing#: 1 144" L--24"--7 30" 30" 24" 36" 69" _59"_ 16" 36 18" 30" 24 36' n W3036 W3018 W2436DD N W 0 Cl) W N - N D618 30-RANGE2 B24DD QU-) to -- V CL CD II r v O I M� '- C c = I N (n M M w w W O_) N Co W — cn W -� M B18-L W w q q rn M Q O n C CL CD � z 0 O 3 60" All dimensions_size designations 9�``n ;; This is an original design and must Designed: 7/20/2010 given are subject to verification on TECHNOLOGIC! not be released or copied unless Printed: 7/22/2010 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. 52 Mifflin Dr. FP2.kit All Drawing#: 1 °f N°oT# t TOWN OF NORTH ANDOVER 3: .•'; �`•.o°� OFFICE OF ° BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 bAArgo North Andover,Massachusetts 01845 �JSAC1Ws� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: Number Street Address Map/Lot HOMEOWNER 5C`o &01 0 & & ),16o7 Name Home Phone Work Phone PRESENT MAILING ADDRESS Sa / ' 'I- 1 n �'1✓� City Town State Zip Code The current exemptioa 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 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535