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HomeMy WebLinkAboutBuilding Permit #062-13 - 790 DALE STREET 7/25/2013 C,0 JU BUILDING PERMIT txORTH TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ArE Date Issued:: AC U IMPORTANT:Applicant must complete all items on this page IXOCATION .1gJ PrR%0FPEA, RT E'R, P TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Altera ion No. of units: Commercial Alte= Re-'pair, replacement Assessory Bldg Others: Demolition Other At&she 7 istric '-., At 3 DESCRIPTION OF WORK TO BE PREFORMED: std kq-, L40ihouse W� -,Zvec- S 0 "A -�Oeoq� Of Out- Identification Please Type or Print Clearly) Phone: OWNER: Name: CAZL �,J kGAPY'Kk-)-1— Cq Address: 4RO AL ST ST, AIV OVeZ M/t --rr '-, I I . ,GONTR-A TQR?`Na&e Phone k" 1 7 2'"V-Ft:S Wb -'.[Date. D 'bf'v1§b1, c6de nd 9 ti6n Ui s �Home Improvement n11sb1* XP -a. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OFTHETOTAL ESTIMATED COST BASED ON$125.00 PER S.F. is,—, FEE: $ Total Project Cost: Check No.: Receipt No.: NOTE: Persons contracting with contractors do not have access to the guaranty fund Signature.of Agent/Ovvner._ 1. Si nature OTc6ntracor,,-- -..*- Location No.06 -13 Date . = TOWN OF NORTH ANDOVER e yN - A Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ ,� TOTAL Check# 25541 VBuilding 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 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 "' . . r�'no '` , ` 4 •0 Zr i YY �3 � .. 4, Located`�at 1�24•Main Street ��- ,�' �� {�� f`� `�->~� � �` `��' � � ��� i�' �; �. to Fire�iDep,.,armensignure/date r r-Y -.: �a4-� �i tt at � 4i�i} � t -:T. •FSS. ��. ♦t �Si.! `�4�, a o.r, ��y �,�} r�,',i P i�i�v r� yr s ,�. .Y j i�rZ fis;� ✓~ ){t`. �i yy� .' COMMENTS, tom-�� r` , �' f S`.�'+.. "k, . +i �1.�'., :w_ .a`� A.� .d rs. .t +.� +a .;e:` v,. s '• '. 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) U 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/O C.S.L.' icenses -��❑ 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 DEPARTMENTMFORM07 Revised 2.2008 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: 710 ba(If Sf is that the debris resulting from this work shall be disposed of in a properly licensed solid.waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I 0A. The debris will be disposed of in: LLQ s ��� �� Lr well ;�� ��, N7V- 0307 (Location of Facility) - Sig r f Permit Applicant Date ,Qe 3� his 5sae- WN OF NORTH o��r�eo ,bsy TO ANDOVER 0= 6E'�-��T`0°, OFFICE OF s BMDING DEPARTMENT f7 o P, y* ::,1600 Osgood Street Building 20,-Suite 2-36 sSq�nos North Andover,Massachusetts 01845 Gerald A.Brown Inspector of Buildings Telephone(978)688-9545 Fax HOMEOWNER-LICENSE EXEIVIpTION (978)688-9542 BUIDING-PERMIT A ppLICATION Please print DATE: 1 . JOB LOCATION: �' /Number Street-Ad cdl,,.s,. FJOMEOWNER L-!.0 Map/Lot Name ome Phone Work Phone PRESENT MALING ADDRESS Ale Y� Citi Tn�=fin 5L.+e. Zip Code The current exemption for thomeowners"was extended to include owner-occupied dwellings to two u ' to allow such horrmeoti= ers to engage an individual-for hire who does not possess a 1 cense,provided that the owner r1 acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who awns a parcel of land on which he/she resides or intends to reside,on which there is,oris intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not e considered a homeowner. be The undersigned"homeowner"assumes responsibility for Applicable codes,by-laws,rules and compliances with the State Building Code and other regulations. The undersigned`homeowner,,certifies that he/she understands the To of North Andover Building Department minimum inspection procedures and requirements and that requirements, e co . y with,said procedures and HOMEOWNERS SIGNATURE � APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 l ' NORTH own o s E : ,. ndover No. oh ver, Mass, COCKIC"RWICK �1' A04ATED S V BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THATC'.'. / "'`".r�' BUILDING INSPECTOR ....... .... ...... ........................................................................................... l has permission to erect ...........:............:. buildings on ............................................ foundation to be occupied as dKF .. - ���=-� g C�a'w. �kta .�.. :'f!� ur ^C� . Rough ........,�.... .............-...... :s. .............. .. .�.�►............... ......... ..... ...... Chimney provided that the person accepting this per It 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 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. SEE REVERSE SIDE NORTH own of t E : 1, ndover 0 . - � No. 4."L.K.t _ oh ver, Mass, COCNICNl WICOC �� p�R-ATEo 0'��.(5 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT /....�i:;: `.�'. ®'.. .................................. BUILDING INSPECTOR ....... . / Foundation has permission to erect ...........:.............. buildings on .79!!2A?/ ............................................ to be occupied as ... �.a :.. < nt :: S C 'itG�k .f.. '�;1� �>� "��'c;.,c ^�� ....... Rouen y .. .. !•.41....... Chimne provided that the person accepting this per It 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 .................... .��:-90,................. 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. SEE REVERSE SIDE