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Home My WebLink AboutBuilding Permit #31 - 843 JOHNSON STREET 7/6/2010 BUILDING PERMIT F N Tti O .1 D /I TOWN OF NORTH ANDOVER o? APPLICATION FOR PLAN EXAMINATION '- � Z op Permit NO. Date Received �.QgDRATED�• Date Issued: — '� J SSACHUS IMPORTANT:Applicant must complete all items on this page _.. .. .. LOCATION; rin PROPE_TY{OWNAER P _,P, /�1 EMAJ 5p 210 : aPARCEL _ZONING DISTRICT:. Hlstonc=D�stnct4 �. yes tno - 3 Machine Shop;Villa e no �g. 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 ;Welly Floodplain :' an L R WatershedlDrstrct ;Water/Sewer r ` DESCRIPTION OFWORK TO BE PREFORMED: blic,(L S 1 F SrbLdCv� ,Veai S4uxst s � Identification Please Type or Print Clearly) OWNER: Name:_ ��ni,�K?G Phone: Address: CONTRACTOR Name Phone ' AddrFesst ` SuoerysorsFConstruction,License Horrielmp�ovement L=icense r_. Exp„�Da°te ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 001 FEE: $ .90, 6� Check No.: Receipt No.: NOTE: Persons clontracting with unregi tered contractors do not have access to the guaranty fund Sgnature�of�A ent/Owner� . ' - - - -- - - '19inature of contractor- _t _ _ 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 ' Si nature COMMENTS HEALTH Reviewed on Signature COMMENTS ZTning 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. s l"emp'D -n- on slt_e yes �no _ , Located of 124:Main Street= Fire DepartMent�signature/date: � su t:. _ t ::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 i Doc.Building Permit Revised 2010 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 _u 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 r_ / i Location d i? ,�may► S/'' No. Date NORTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ sACHUS I Building/Frame Permit Fee $ r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 230 '3 Building Inspector (molonfal Sapienza fRes"Idence Drafting . 843 Johnson Road New irntro North Andover, MA IOI°II l- 5hea:k.ing Attic—— 311 R G+r a 3u Z x 6 ?C" G Aff x 5e3Us i - Al 3 I i a I i �Eceno I Lk i • , ' � �t — � �� t j ! � 1 — '7 % 8 �81� � II I — 1 - —————— — -- - - I j �ASE'---�/ I � �� - � .,r• I �, ,,�,�x�, ,gip � � L.! —_ � . 'r rir8t _ — i 1 � � � � � � • i � ;� � .,_ PION a •�9 w I do � II Decking 30" - 381i higr1 t I i (m n,) 4'andrail <�. ) 1 1 i — � Simpson Reinforcing er �IQ;1 )_.530 ( i ear l side ) 41 ' J Header ' or ecjuai side 3 I �--2x4 Deader 34" }�i h (�n1n.) 1 I 36 high linin,) Y + 11 � I Horizontal V4 = 10 �i Stair Guardrail �I C�u�dratl i Staff stringer Notes;0 1. All dimensions to be field verlfled and changes made accordingly. it 'A i l 2, For additional information see "Notes,Specs, 4 Details", 31 When this drawing :s li x i1, it is tie scale as.indicated. 4, Draw;ng print out data= IV19103 I _ ..,olonfal Sapienza Residences Draftfng 043 Johnson Road New Entr o rc North Andover , MA '.I_.. .I....l.. I ---�-T r TT T I j I' I LI �� I i ! 'i - �,!� j' i I +- -i 1 1 i I, f , T j; I , i ! Ll _ LL._�_ j ,{ i i Attic ----------- i�� Second -- ------ '/ = - - - -- ---_ --- --._— ._........ 4'9 4'9 Notes- 1. All dimensions to be field verified and changes made acccrdingly. 23 120 FroMA= �, � y�Z. For additional information see Notes, Spece. # Details , Lo i 1 3. When this drawing is it x h, it is the scale as Indicatad, 1i4" = i`0 4, Drawing printout date- 11/19/03 ORTiy Town of _ r _ ,�.. , ove rn No. . �y LAK dover, Mass., [ COCHICHEWICK ' �d ADRATED pPa,`�5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR .. THIS CERTIFIES THAT Foundation has permission to erect.. buildings on ... �Kconfo .�.:�r....�.�........ Rough to be occupied as �q♦ � !!*,.,,. Chimney . . . . .. . . . . . . . . . . . ....................................................... provided that the person accepting this permit shall in ery respecthe 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 UNLESS CONS U STARTS ELECTRICAL INSPECTOR Rough :- Service BUILDING INSPEC 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 t Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Comntonweralth of Massachusetts Department o f Industrial Accidents Office of Investigations 600 Washington Street Boston, M4 62111 www.massgov/rtia Workers' Compensation Insurance Affidavit: guilders/Contractors An licant Information /Electricians/Plumbers Please Print Le6ibiv Name (Business/Orgmization/Individual): d L ------- Address:_C, � cJh�Soti S� City/State/Zip: Are�� l�A (�,1�� Phone#: Are you an empioyer?Check the appropriate bozo 1•❑ I am a employer with 4, ❑ I am a Cr 77. �[] roject(re =ene-ral contractor and Iquired): 2.[] employees(full and/or part-time).* have hired the sub-contractors co I am a sole proprietor or nstruction partner- listed on the attached sheet t odeling ship and have no employees These suln_contractorshave emolition working for me in any capacity, workers com . ' 8• D [No workers' comp• insurance 5. o o insurance. 9• ❑ We are a c rp.ration and its ❑Building addition wed-J officers have exercised their 3.L.1 1 am a homeowner doing all work right of ex 10.[�Electrical repairs or additions Myself. [No workers' comp. c. 152 14),a do per MGL 1 I.❑Plumbing repairs or additions insurance required•] t '� �`�),and we have no employees. [No workers' 12•❑Roof repairs �.=ny.-2-T rantthat h box- comp.insurance required.] 13 ❑ Other 1 Wigs tiiso ilii c¢t F�OIneOWIIsubmit I;CC se-don L=iCP.'E:SCY,Wb CO7L'..e.,na;n�..Ci:.... �,,._,.. i els who suhmitthis affidavit indi acing they,arr dciag aL'work-and then hire outside cont, z�i:,submit a new Affidavit indicating such. Contractors that hr)c this h,, .atmched ad sheet showing the name of the sub coa , yam an em Providing P tractors and their workers'comp roi r�'er that is rovidinQ workers compensation insurance or MY em iY mfotmabon information. f ployees- Below,is oli the , P cJ and job site Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the Policy num Failure to secure coverage as required under Section 25A ofMGL c. 1, can lead to the y ber and expiration date). fine up to$1,500.00 and/or one-year imprisonment,as well as civil imposition of criminal Of up to$250.00 a da a penalties in the foam of a STOP WOE ORDER Penalties of a Y against the violator. Be advised that a co and a fine Investigations of the DIA for insurance coverage verification PY of maybe forwarded.to the Office of Ido hereby c Y under the pains and penalties of perjury thQi the information f matron.provided above is a and correct Signature: Phone#: v Official use only. Do not write in this arca, to be completed b,c J h) or town officiaL City or Town: Issuing Authority(circle one): Pnu ert/License# 1. Board of Health Z.Building Department 3. Cify/Town 6. Other Clerk 4.Electrical Inspector S.PIuinbin, b Inspector Contact Person: Phone,#: O� f µORTH TOWN OF NORTH ANDOVER " neo , 0 �2 o OFFICE OF 0 BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 �f,QS°A+rso.p ��5 North Andover,Massachusetts 01845 SACHUS Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: lo `w... _ JOB LOCATION: PNumber Street Address Map/Lot OME ` H OWNER S � Name Home Phone Work Phone PRESENT MAILING ADDRESS y .�G hV��0�1 S j 0 14 Ole City Town (z+�rw, 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 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535