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Home My WebLink AboutMiscellaneous - 15 FURBER AVENUE 4/30/2018 -15 FURBER AVENUE 210/067.0-0063-0000.0 Location 1G �- No. G Date — L gR 10RT1y TOWN OF NORTH ANDOVER � � a • ; ; Certificate of Occupancy $ ��s'•^°;<�' Building/Frame Permit Fee $ wtMUs Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 1-5 -Building Inspector t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: 9� SIGNATURE: i 3 Building Commissioner/InEpedorof Buildings Date Z SECTION 1-SITE INFOR TION 42 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O a l� f Map Number arcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R 'red Provide Required Provided Required Provided 1.5. Flood Zone Information: 1.7 water Supply M.G.I,.C.40. 54) 1.8 sewerage Disposal System: pubes ❑ private 0 Zone Outside Flood Zane 0 Municipal 0 On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rlc Is rIc : es o rn 2.1 Owner of Record Name(Print) Address for Servfce Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 9 3.! Licensed Construction Supervisor: Not Applicabl Licensed Construction Supervisor:-- O License Number Address _ Wn Signature Telephone Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable`0 Company Name Registration Number '' '••. Address _r Z Signature Telephone Expiration Date SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building unit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Workcheck sv applicable) New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition ❑ Other 0 Specify Brief Description of Proposed Work: _ h Ab SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OWCUL USE ONLY Completed by permit applicant_ 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical(HVAC) O drJ 5 Fire Protection 6 Total 1+2+3+4+5 t!J Check Number _T_ SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i2 (�%f�� —,as Owner/Authorized Agent of subject property Hereby authorize to act on Mybehalf' all matters rel � to work authori#py this building permit application. Si ature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, -— as Owner/Authorized Agent of subject Property Hereby declare that, statements and information on the foregoing application are true and accurate,to the best of my knowledgot+ and belief s Print Name `\ Si ature of Owner/Agent Date NO.OF STORIES �`�SIZE BASEMENT OR SLAB , SIZE OF FLOOR TIMBERS 1 2w 3 PD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS ., DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE F NORTH Town of _: tAndover C% dower Mass. T O '- L A 1 1 COCMICKE WICK 0RATED P`? 7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System — A 6. � • BUILDING INSPECTOR THIS CERTIFIES THAT...............6. ................... . ................ ............................ 4W. Foundation ......... Foundation has permission to erect........................................ buildings on . �,.......... . ............. Rough to be occupied as ... ............... ......... .............................................................. Chimney e provided that the person cepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the pro isions 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 Roughy . ... (� Service ........................... BUI�LDI�INSPECTOR 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 Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NORTH TOWN OF NORTH ANDOVER +' Of 010 � ."010 OFFICE OF § p BUILDING DEPARTMENT > : » 400 Osgood Street North Andover, Massachusetts 01845 Its D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 1� '— JOB LOCATION/ A6 & Number Stre_Address Map/Lot HOMEOWNER &41,0 Lcr vOF p Name .yHome Phone ` Work Phone PRESENT MAILING ADDRESV` C� n � � 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 artment minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE _L� APPROVAL OF BUILDING OFFICIAL HOAR))1R))0F,\I'P)',.U,S(,RS-95.11 CONSFRVATION 688-9530 111:.\1S1168X-')540 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: 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 1 OA. The debris will be disposed of in: C 01. �- (Location of Facility) r Signature of Permit Applicant Fire Department Sign off. Dumpster Permit Date Location �� - //7 No. Date NORT1y TOWN OF NORTH ANDOVER Of•"•O ••,�O Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ �S s�cNust 9 Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ 5 Check # CA 5 r %j J Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. 19 DATE ISSUED: a SIGNATURE: ..� Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Simply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: v Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(P nt) Address for Service: c 1 ature Telephone Q 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 1 90 3.1 Licented Construction Supervisor: Not Applicable ❑ 1-7 Licensed onstruction isor: o icense Number Ad ressD ;-"f 1- "-2 6- d' Expiration Date r si0aWre Telephone r 2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name M Registration Number r Address r Z Expiration Date ^ Signature Telephone Y y 'r SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify !Brief Description of Proposed Work: ti SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building, (a) Building Permit Fee J (J Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. ' 6P Si iature of Owner k Date SECTION 7b OWNER/AUTHORIZ AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of 0e/A ent Date MIMM NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS iST2ND 3RD SPAN DINIENSIONS OF SILLS DUvIENSIONS OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t PORT{,, Town of North Andover ��'�"' Building Departmentto p t Y # = X 27 Charles Street r North Andover, MA. 01845 SA��g4 D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCA/9 d Number S eet Address Map/lot "HOMEOWNE Z N me Home Phone Work Phone PRESENT MAILING ADDRESS ��/�f r� i City Town State Zip Ccde The current exemption for"homeowners"was extended to include owner-occupied dwellings of 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 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 or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. 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. r HOMEOWNER'S SIGNATUR -.- APPROVAL OF BUILDING OFFICIAL i NORTH Town of North Andover 04 O` Building Department o Z f 27 Charles Street * _ North Andover Massachusetts 01845 iC. j (978) 688-9545 Fax (978) 688-9542. pq ,c".`"'" SSAca�us� �'' I DEBRIS DISPOSAL FORM In accordance with the provisions of MGL. c 40 s 54, and a condition of Building permit.# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL el 1, sl 50a. C 4 Tr d br',s v;at be disposed of in iat: Facility location i i Signature of Applicant Dae i NOTE: A demolition permit from the Town of North Andover must be obtain;d for this project through the.Office of the Building Inspector. L y i i I f I G NORTH Town of over o No. I? rj * ,� o -= a dower Mass. COC MIC MEWICK V > ADRA rE D S H BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System THIS CERTIFIES THAT.......CA AM.?~ BUILDING INSPECTOR ........... / .`,. .. ...... ... ................................... Foundation has permission to erect.....S. p.... buildings on ......��.1�.........4F..M.14...�!,r......A" Rough to be occupied as Roe r 00 F.........*-�� Chimney . ..........................'...�. .............. .... provided that the person accepting this permit shall in every respect conform to the 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. YVI & I P (P,3 06tro doom, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI.01N ELECTRICAL INSPECTOR ARough ............ ......... ......... .......... ... .. .......................................... Service BUILDING INSPECTOR 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 ,Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location I`S E u,Pr3,=--3-- 4-Af Nu E No. Date �a-7- NpRT►, TOWN OF NORTH ANDOVER p� �a° a�ti0 p? •''1 a pA „ Certificate of Occupancy $ + Building/Frame Permit Fee $ b''^°''� Foundation Permit Fee $ �Ss�CHusEt Other Permit Fee $ Sewer Connection Fee $ 1 Water Connection Fee $ / `-V TOTAL $ S ��. Building Insp ce for l 'J4;5G 15.Co RAID. 7548 5 4 vQDiv. Public Works PERJtr+ NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 S MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION ^ PURPOSE OF BUILDING S l I,Iol:� 1 Z OWNER'S NAME 7 NO. OF STORIES SIZE�C� OWNER'S ADDRESS r _ / BASEMENT OR SLAB ARCHITECT'S NAME �•�LJ� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Ammov- IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST Q PAGE i FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED ND APPROVED BY BUILDING INSPECTOR •A) C ALED ` / BUILDING IN8P CMR SIG AT RE F OW E O AU HORIZED AGENT F E E SOWNER TEL.# 1 PERMIT GRANTED y CONTR.TEL.# O t 19 CONTR.LIC.N. H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D —_—— PIERS PLASTER _ DRY—WALL _ _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '14 1/2 1/1 FIN. ATTIC AREA _ NO EMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"✓D _ ASBESTOS SIDING _ COMMC:N VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE I-i ONE 5 ROOF 10 PLUMBING GABLE I BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING ' WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 8 COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING OF NORTH 1 OFFICES OF: 3 ° Town of 120 Main Street i o n APPEALS NORTH ANDOVER North Andover, BUILDING '�,':.>�";� Massachusetts 0 1845 CONSERVATION � HU DIVISION OF �1 HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number A40 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 111, S 150A. The debris will be disposed of in: (Location of Facility) a—yignaRire of Permit Applicant G Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. i Town of , o" rthAnd over 7 No. 440 y , ,North-Andover, Mass., ,T 19,94- t BOARD OF HEALTH PERMIT TO ' BUILD Food/Kitchen Septic System .�. BUILDING INSPECTOR THIS CERTIFIES THAT............................ �— ..................................................... Foundation &f9 has permission to twst..... .�.• L� ..... ...... buildings on .....t5... ��......7 .../r� ......(0 . ......... Rough ��, 100ls(//V 1 G.�/IV L Chimney to be occupied as................ ...�....... P....i. ..................... .. ..........................¢......1�...t�..............� .. provided that the person accepting this permit shall in every r pect conform to the terms of the applicationfile 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 IIJ��.I�.�11 � !-',..�;�-�1►.' �'re l�� i �, le �) � ! I' !� . ELECTRICAL INSPECTOR UNLESS t "Ul' Ile ; Rough ~......... ......................... a" ........................ Service BUILDING INSPECTOR Final QCC'L(Pa c-V1 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 Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SFWFR /WATER FINAL DRIVEWAY ENTRY PERMIT