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Home My WebLink AboutBuilding Permit #244-14 - 65 MAYFLOWER DRIVE 9/18/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: y/y`y Date Received Date Issued: 7 �i IMPORTANT:Applicant must complete all items on this page LOCATION ro 5 �.Q v /oL�E i� � ti�/L —ice /�i�/�7o�/ & Print. PROPERTY OWNERS Print 100 Year Old Structure yesno MAP NO: t U ) PARCEL ZONING DISTRICT: Historic District yes no 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 PERFORMED: 27�ino 61< �l 5; ✓e2 l Xi 51K/e2*2 121-2 -? Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: 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: FEE: Check No.: 10-17 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 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 To-,,v;! Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT -Temp Dumpster on site yes no Located-at 124 Mair Street -Fire DepartMe?It 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 E Doc.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. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o 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 o 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 apoaal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 Location No. �y�/•/S+ Date o TOWN OF NORTH ANDOVER 0 0 Certificate of Occupancy $ Building/Frame Permit Fee $ 412 cc) - Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#./I Ar r � .• r •- �� Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 3,500.00 m $ - $ 42.00 Plumbing Fee $ 5.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 5.25 Total fees collected $ 152.50 65 Mayflower Drive 244-14 on 9/18/13 Change first floor bath from bathtub and shower to just shower %07 1 is NORTH own of s ndover No. .A44-A4 L^K11 ° h ,� ver, Mass, COCNICNl WICK I-1. A°RATED Ok" S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ..... ...R...C.r.1......S .(,�. ?.I.Ct............................................................................... BUILDING INSPECTOR has permission to erect .......................... buildings on .. 17111Afid./. (^................................ Foundation /Q Rough to be occupied l� !n4��. .1...........:/......... .d�;. ��a�GGE;�me-;v ........................................... 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service . .......................... .................. ..... Final BUILDING 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 TO'RW OF i'MTH ANDOVER VIL OFFICE OF BUILDING DEPARTMENT ` '1600 Osgood Street Building 20,-Suite 2-36 North A n.dover sAF+�us�. ,Massachusetts 01845 Gerald A.Brown Inspector ofBuildings Telephone(978)688-9545 HOMBOWNER-LICENSE EXEMPTION Fax (978)688-9542 11UIDING PERMIT.APPLICATION Please print DATE: JOB LOCATION: 724 Number Slree Address . Map/Lot ' HOMEOWNER v Sh v o 7 y Name. Home Phone Workphone PRESENT MAILING.ADDRESS City'Tn,=m Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow su;b homeormers to engage an individual.for hire v�ho does not possess a license,provided that the owner acts as supervisor). State Building (Code SP'ction 1083.5.i) DEFINITION OF HOMEOWNER Persons)who Qwns a parcel of land on which he/she resides or intends to resi be,a one or two fwn structures. de,on which there is,oris intended to considered a homeoeowner. A person who constructs more thatone home in a two-yearperiod shall not be 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 n Town of North Andover Building Department requirements, minimum inspection procedures and requirements and that he/she TT comply with,said procedures and HOAMOVIN13RS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption ''EGARD OF APPEALS 688-9547 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535