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Home My WebLink AboutBuilding Permit #136-15 - 74 HEATH ROAD 8/7/2014 ,..�• �' 044S1.E0 BUILDING PERMIT 3� 4`;.'. „ '•'6 0� TOWN OF NORTH ANDOVER ° ff APPLICATION FOR PLAN EXAMINATION Permit NO: 16 Date Received Date Issued: s l c. �R3 �ac►+usE41t`a IMPORTANT: Applicant must complete all items on this page LOCATION 14 HEAT-1A 9--61,N V Print PROPERTY OWNER L-tfot2.?'0 //,,�� n G Print I MAP NO: (00,f� PARCEL: C0 ZONING DISTRICT: District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One farm Addition Twmore family Industrial Iteration / No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District aterlSewe ,/ Identification Please Type or Print Clearly) OWNER: Name: �", ��nCz^ L-t�oR"r Phone: 9-7 0 - 6 gam- �1,7�'S- Address: -7 - t t=n� >z��r� N o ; ►a , ,��v 2 M,� o i B 4� CONTRACTOR Name: N�/� Phone: r Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 'N f A Phone: Address: Reg. No. " FEE SCHEDULE:BULDING PERMIT:MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. i Total Project Cost: $ 5 01 fav FEE: $ 960 Check No.: l I 1 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund s` SignatLCof Agent/Owner Signature of contractor d" A-' 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 PLANNING & DEVELOPMENT Reviewed On Signature_ 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 Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street t' Fire Department signature/date COMMENTS I 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) n ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 o 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/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 ❑ Certified Proposed Plot Plan o 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 2014 Location 1 T f '�tThr No. { Date R . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ T Building/Frame Permit Fee ` Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check# C P 27865 Building Inspector r14 5 110 Vil 'VCL I JV7 ul a 19 Ln C) Ln O cu 0 mc CL t r tE o CU Qd IrC-> u co r'01 vvou O:g jr lw�L 0 C: 40 tt woo > c I XC z Ix -Z sm M IT, /.............. Pl E Cl tc:) E n 0 Lj C: 'e- 61d ort IMVV2;� :0 9 of- toe VW /,MQ va v 'Q vv 012041� Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 30,000.00 m $ - $ 360.00 Plumbing Fee $ 45.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 45.00 Total fees collected $ 550.00 74 Heath Road 136-15 on 8/7/2014 Kitchen Remodel NORTH Town of E ndover O - A- I No. C, h ver, Mass, t Ut cocNICHI W.[N 7,9s R'�TED HPP��S U, BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • THIS CERTIFIES THAT .........��... ,. r' BUILDING INSPECTOR �.L.�.:,�. ............ � •l y� � Foundation has permission to erect .......................... buildings on ......) .......4e,%4oL......rU ................ Rough tobe occupied as .....� .1~.. . . ............... .............. ...................................................... 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 3100 . PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONSWT Rough Service -- .............. Final BUILDING INSPECTOR 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. i f it TN 1 } yp Town of North Andover . Building Department -�,,.o,• s . 400 Osgood Street 'SS�CN�SEt North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE 8 . '7 . I Ar- JOB LOCATION 7 14 E/A7' N Ac) Number Street Address Section of Town "HOMEOWNER 9s- 97 B b6 I=49 617 e 9S`—11 ° 4 Number Home Phone te_ Work Phone PRESENT MAILING ADDRESS 12114 /4-N D 0 / 9 4 S' City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six 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 109.1.1) DEFINITION OF HOMEWOWNER: 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 to six family dwelling,attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance 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 No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 9 35,000 cubic feet or larger,will be required to comply with State Building Code Section 127.0 Construction Control. i ,�..�'J�'`r'Ci�•'�� -e �S•4'��'.S�s Cl'�! �.-�e�1.e,+c��"7 E S 1-�wl��"tf 7 e`tg N �-y►q�� c�4 STtN l.J K.SY r-L-Ts C) P EM o W put L. t ivi`C�kt.�, G'i A�1 ev fr AT' tz- ®aF i�tL-Atis t P tit o t+.- "+� D#�+°+y •� OSMla W A-%A..• VEM O but GT -t r`' crPr btrs ' DEMO 151� -t` L.oWet'L Ic-1Tic,t<Lsv--� rrS D eet. r.o 40 41 ! rl «.. _ it fA f. . 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