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HomeMy WebLinkAboutMiscellaneous - 269 BARKER STREET 4/30/2018I Ml 0 M jD -q Location -C, �- No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ NQ��v Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ C,A i) Building Inspector 3 7 PAIn 06123/99 14:01 Div. 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L- Q r= cm CL 4D -t� E ca 0 cm CD cc C" S cm CD CD cz 5 E :U :w ts z CD CL CA a) cm CO) bl 0 CD CD 0 L- C:L cc 0 CL cmcc CO2 ob" c cc .2 CL CO) C* a) Z *6 4D 06 C.3 4-4 ca 0:4 CO2 E ts z CD CL CA a) cm CO) 0 CD CD 0 L- C:L cc 0 CL cmcc CO2 ob" c cc .2 CL CO) C* a) Z *6 4D 06 C.3 CO2 ca CO2 Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption ..'lease print) �)ATE JOB LOCAT.ION—&,/,g �,�W Number Street ress ection of town i-IOMEOWNER" h4 E,5 41�17_7_01V 9 7k- Z& - ,/-, �20 e—` Name Home Phone Work --Phone PRESENT MAILING ADDRESS_g 1,5� State Zip code C 1 �ty The current exemption for "homeowners" was extended to include owner -cccupied 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 omner acts as supervisor. (State Building.Code, Section 109.1.1) 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 to six family dwell - i , ng, attached or detached structures accessory t.0 such use and/or farm S11ructures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeownerit shall submit U� the Building Official, on a form'acceptable to the Bulding Official that he/she shall be nesponsible 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 North Andover Building Department minimum inspection procedures and requirements and that he/.she will comply with said procedures and requirements. HOMEOWNER'S SIGNATUR APPROVAL OF BUILDINCT""OIFFICIAL �te: Three family cTwellings 35,000 cubic feet, or larger, will be :cil-Lred to comply with State Building Code Section 127.0, Construction N oll� ON r-4 ts 0 a :4 - CL Cc 6: 1: L- it; 0 A:cL : to !D, CEO 0 �-4 u rw 4) r- u E 0 F4 C2 x 0.4 =w =0 cm" X P -W W4 6 z 0 ts 0 a :4 - CL Cc 6: 1: L- it; 0 A:cL : to !D, cm C IM CD C3 z co CD 0 u -e U -- .0 E E CLU =w =0 cm" CL M CO2 so 0 No z ti ro- M E C ca co CD E CL:5 c.2 .0 ui 0 CC- ca 0.0 CL C3 0 CD , C,L S c a cm C IM CD C3 z co CD 0 u -e U -- E z CL M CO2 cm co M E co CD CD ca CID CL. CD CIO z 0 U CO2 cc cc CL CO2 N OINI aN r-4 0 CD U CD go ci C-1 U, 0 E or. co Lm E COD co x .4D 0 z C� co Son to — cz ZW 0 Z6 8 ca CD U CD go ci C-1 co U, 0 E Lm E COD 0 .4D 0 z co CLU L.: 4:D Son ca CD CD cm ca ccm .94 0 CD cc cl I'S -ra 0 Z CD Q C3 Z 0 CM< C 2-6 CL. CCM 0 4D COL. 301 co 0 'm CD MD E CL= = 4- u -w u clam Z C-2 LU C3 CL 0 W.00% 93 Fc " cc 0 .0 o Z.- CL zoo co 0 E 0 0 z co 0 ca CD cm ca 0 .94 0 CD CD CD Q CL CM< CA cc Z 0 ca CL 0) COD Location gr No. Date N2 12076 Q�\C 4 - IN OF 0 H ANDOVER ate o Oc a cy $ t N e OF 0 Oc 0 aR n cy de) /F m Per Fe $ A n erm Fee $ ler it ee $ i o 0 tio nn tion Fee $ ,onnection Fee $ Building Inspector Div. Public Works c-2 I No.: M W, Date rOWN OF NORTH ANDOVER BUILDING DEPARTMENT Building/Frame P F Other Permit Fee 1-10 §3 s *euildi�g lh�pector APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. L.,,/PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP jDATE BOOK 'PA E ZONHE SUB DIV. LOT NO. LOCATION VIPRI(FR sl PURPOSE OF BUILDING OWNER'S NAM I E TA k4.Fs 4 NO. OF STORIES SIZE OWNER'S ADDRESS (14� 6Ao?1lf45A BASEMENT OR SLAB ARCHITECT'S NAME '51;"'K SIZE OF FLOOR TIMBERS IST 11" 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 MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 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 SEE BOTH SIDES PAGE I FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS I - 12 ELECTRIC METEPS MUST 13E ON OUTSIDE OF BUILDING ATTAC14ED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS /ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR -p ;_I TE FILED /SIGNATURE OF OWNER OR.&4*T4QRIZFAj. AGENT E E PERMIT GRANTED 19 alio 6,611 OWNER TEL. CONTR. TEL, CONTR. LIC. # 3 PROPERTY INFORMATION ,I,KND COST * EST. BLDG. COST 511 EST. BLDG. COST PER FT. EST. BLDG. COST PER Room SEPTIC PERMIT NO. 4 BOARD OF HEALTH PLANNING BOARD ARD 0 SELECTMIEN 4ZA . I . OCCUPANCY SINGLE FAMILY S'OWIES MULTI, FAMILY FFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR a INE HARDW D �LASTER 'DRY WALL NFIN FINISH 2 13 CONCRETE CONCRETE BUK. BRICK OR STONE PIERS 3 BASEMENT AREA FULL FIN. B M T AREA 1/1 1/7 1/1 FIN. ATTIC AREA �jO 8 M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALL$ 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING __�ONCRETE EARTH WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING HARD%',/ D —COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SU ERIOR I I POOR I NONE _�DECIUATE "E 5 ROOF 10 PLUMBING GABLE 11 BATH 13 FIX.) GAMBREL _�IP MANSARD TOILET RM. 12 FIX.) �LAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES_ KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & 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 ELECTRIC B'M*T 2nd 10 1 Td NO HEATING BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. Af Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use Only NLAME OF CITY/TOWN Permit No. A�) 4 Al2-20 Ile f�_ 1114 Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the "reconstruction, alteration, renovation, repair, modernization, conversion, inprovement, removal, demolition. or construction of an addition to.anv pre-existing owner -occupied building containine at least one but not more than four dwelline units .... or to structures which are adiacent to such residence or building" be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: K)A/ yl� Est. Cost Address of Work r9 /I- RfipwF Owner Name: I -A M ES /I IV /-/-/-7V V Date of Permit Application: 2zz y 3 Xi9_9 I hereby certify that: Registration is not required for the following reason(s): —Work excluded by law —Job under S1,000 —Building not owner -occupied 'Zowner pulling own permit —Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent of the owner: 22 Date' Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: 11111Z (3,2�2 Datd J Owner Name f) -10 n 5: ri Ti 10 '-n r C-) C) m cn m C) m a) CO) CO) CM) 10 0 CD CD CL 0 CO) C-) CD 0 CD %'C CL CD CD 0 CD co w P. c CD CO3 CD CL C) co) CD COP) 10 CD z CD a 0 dc CD CD Q z N CD co 03 0 cl, cu* C cr co) c a CO2 SCE 10 = =c CD CD Cl) U2 -1 C2 Co V) CL C2 m CD .* = - =r.0 CO) CD — =r CL CL S rn CD 0 -P CD ca CD CD -V : -2 GO zic .0 C4 0 rA* cl) a a' CD =r in CL. * N CD CO) CD 7q rm 0 CD CL CO) 03 go cr crcl W je CD CD w CO) C'D co C07 CD ca -0 CD tob a CD 0 24 P §F =col CD co CD CL 03 CO) C:D cn E3 0 rD cn - z W c �z 0 C: aq cp (D 91 r_ OQ GOD Z :3 �z 0 Z C) m 0 n :7, CD 0' cn C/) CD 91 0 (D Immi 0 j HUM i - ", , 7� (A rail X11 rg JE A MPH emil p C, a �4 9 > R 611W 4111 19H m c rm 0 > ca -4 0, Lo ma Fn 0 t -N, 0 m E;7 Cj -'a r�� C— j C�J C-1 C.4 <i C-11 co r_n C -n N.2 Qn Qn C -4-1 1-3 :i5 r- C."I -M 4-- -0 CM m M 0, 0., = -0. a a, a ND -C. rri -,o <73 10 C- :0.1 cc cn rl i'—,. Z=. :T,) C-� r7z) I'm -C O-ri Zr I -�b C= J4 W4 4mm *;F-� im , = 4#� m C- L;� C -j �:= = Cj C-1 C> M cri --- C --j CM, --q 0 t -N, 0 m E;7 -,o <73 C -n cc 0 t -N, 0 m E;7 c PERMIT NO. KAAC3 Pdn APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 3 PAGE 2 FILL OUT SECTIONS 1 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED cv/9 //) -5*-- � �- 4" 3�111-zzv- - SIGNAfUhE O5'f?*NkR OR AUT90RIZED AGENT PC F E E 'Tr C 4e PERMIT GRANTED ,rz/p/-4/ �r 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN ev"— 'q SE;�- BUILDING INSPECTOR OT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE ZON E SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME " ( )( / NO. OF STORIES EWZE /.g OWNER'S ADDRESS U '14!9 13 m-'4� 4t— BASEMENT OR SLAB 5-4--t— ARCHITECT'S NAME 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 3c REAR -30 GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATER;AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 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 SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 3 PAGE 2 FILL OUT SECTIONS 1 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED cv/9 //) -5*-- � �- 4" 3�111-zzv- - SIGNAfUhE O5'f?*NkR OR AUT90RIZED AGENT PC F E E 'Tr C 4e PERMIT GRANTED ,rz/p/-4/ �r 19 3 PROPERTY INFORMATION LAND COST EST. 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