The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #216-14 - 524 REA STREET 5/1/2018 aoRrH BUILDING PERMIT 3? , +• _ o� TOWN OF NORTH ANDOVER p APPLICATION FOR PLAN EXAMINATION Ms, ten * Permit NO: �� Date Received * '4 =:��• �► w°Rwreo�Q Date Issued: �Ss�►CMusst IMPORTANT:Applicant must complete all items on this page LOCATION 01 J/Y e ef � PROPERTY OWNER !�7��.i'"�. U/L/Print;,II.e ION DIZV Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes 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 H Water/Sewer r2 , ' in tl e .enc G Prop—or- lig �--310 -I b 04sfi(W 9w Seryl . Identification Please Type or Print Clearly) OWNER: Name: V 0ht7 and balvll elle Uldff Phone: 7 Address: 50 4 & 9, 1V•&0Vff CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. , FEE SCHEDULE:BOLDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 1300 FEE: $ .� Check No.: !22 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owne`r&aAUV z f contractor J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OP SEWERAGE:DiSPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑. 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 DATEAPPROVED PLANNING & DEVELOPMENT ❑ ❑ 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 Tow:: Engineer: Signature: Located 384 Osgood Street FIRE�DEPARTME"NT -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 I ® Notified for pickup - Date Doe.Building Permit Revised 2010 Building Department The fol:owing is-a-list of the required forms to be filled out for the appropriate permit to be obtained. Roofiv,g, Siding, Interior Rehabilitation Permits o` Building Permit Application Li Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract Li Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit p Addition Or Decks u Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit La Photo Copy of H.I.C. And C.S.L. Licenses Li Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Mass check Energy Compliance Report (If Applicable) Li 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) o Building Permit Application u Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 apn•,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be,tdbm.tted with the building application Doc: Doc.BuiHing Permit Revised 2012 I Location No. �f ' Date G" / . - TOWN OF NORTH ANDOVER ID)X646' . Certificate of Occupancy $ r Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Q� e. Buildin Inspector N°ReT1i 1 TOWN OF NORTH ANDOVER r.�'; �'•a°o° OFFICE OF a BUILDING DEPARTMENT t . $ " 1600 Osgood Street Building 20,Suite 2-36 l €# North Andover,Massachusetts 01845 sACHus h Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: gh L13 JOB LOCATION: �� )ee 5�-zr J Number Street Address Map/Lot HOMEOWNER Daljl�,Ile �`J()7/( �7a Name Home Phone Work Phone PRESENT MAILING ADDRESS St k,z47&dy1v- "4- City Town State Zip Code The current exemption 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 Cywey �' �f r g� -, � i tib- s_ � 1 �� r/✓/. �. S>•� v : yy ��:. .Y.919iS. .SI Sj"' A�.r� d/d .. +t�# In lip w `l4 _ Ate 1001111� pf b,,'� F"p, pL ./� "' fid ,4� • '� + Al s` 1 FFiK''�!�"*F+R•�." tel.ice"' - ♦ •v d 1 n •' ` i EK;� s aq ..., r. t. ��°.. y �� R - ... r=h2 �. s:,3: is �ti';t � �. ,ms`s` *+. ;;;yn ti= � d '�'"` �, .� � ,. b 'moi. _ '— - x 1 ��'� ��" t .. �'�` � � , Y tr ff 1 � £ , , u= Lf^: ,cT .• , ,. .. w - ,�., + ., .�, ( ass �'++ni a� �,., ..� _,,r3 K a� 3 EXISTING POOL N 90.4'x' N �P sT EXISTING DWELLING #524 , • -z2 4 POOL LOCATION .,jH0F* CLIENT.• DANIELLE& JOHN WOLF aMICCHAEL (g SERGILo N m} t(R�li%iVi1i. 3L'F%SCfi 3191 J i. vvA ,fvu. l !VG/S,fViA V (q A.7 E* ?i i4l10 _o a f;-_i-=.in y A PROFESSIONAL ENGINEERS&LAND SURVEYORS n CHRISTIANSEN & SERCI, IN`s '� � +. sin e�,rnnna�c� crc+c�r un,sie�urr r rynnccnr�ur r�r--t-}-c nsovn WWW GSI-EIVGR.COM TFL. 97"1 3-0310 FAX 9:8.37'-39960 f!IAA—Aft-1 -ennc-f nn.. nno as NORTH Town of t EAndover No. .• ' - � 3 C, h ver, Mass D� 0 1 co C MIC Nl WICK y7. QDa^TEO S u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .......... �`� `� / ........................................................................ BUILDING INSPECTOR ................................. /J �-^ .� /!7 V - Foundation ........... has permission to erect.......................... buildings on . ....... ........................................................ ................................................................................... Rough to be occupied as ............. C. 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .................................... Service Final BUIL G INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. ,SEE REVERSE SIDE