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HomeMy WebLinkAboutMiscellaneous - 29 ALCOTT WAY 4/30/2018J �ocation C� ? A I" -# 'AI'4- Y No. 3S-3 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ C) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 Check # C) 8 (sc" 16 9 U'3 ,-Avt( I - Building Inspector 10" OF NORM AWVER BU"ING DVART5TMT 11 1 If P'll 11 0 ".1 I'll "Wil-sil Kit W -ME -F-Milo 7-T IM WAwR"UowW= " OW&n%pzpw CE mwuw a p V za 9 119e Co 7/—/&A Rq&w 777--pomed R99*0 p"rAd IM WAwR"UowW= " OW&n%pzpw CE mwuw a p 9 119e Co 7/—/&A Mdu; aft "/,W, Tsbw&W Cm atGu,� to be a� ow"ft lec6, eo (s) saw% ft"A Fa El a,26-- 1 M L<MUftaTdACmavf 6 T" VWff= AM" M EMMAMM ANUM TM ff WnMM NOMI gout w hfj4j(,� 'jr�U,7 .-IM, WV M FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvalsipermits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. """"APPLICANT FILLS OUT THIS SECTION*****************"****-] APPLICANTAW&t.&d,. PHONE LOCATION: Assessor's Map Numberr:�:�d&—o PARCEL/'� 0 lb SUBDIVISION LOT (S) STREET-- Olcb-�- w� ST. NUMBER USE 1, RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED--__ COMMENTS rOWN PLANNER COMMENTS DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED Comm PUBLIC WORKS - SEWERIWATER CONNECTIONS--__________ DRIVEWAY PERMIT FIRE DEPARTMENT. RECEIVED BY BUILDING INSPECTOR ----------DATE Revised 9197 jm North Andover Building Department W Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number 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. The debris will be disposed of in: R/C-E ;R,14117111 - "(Location of Facility) 6ofiatureAd -Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building inspector q I'& , Town of North Andover Building Department 27 Charles, Street North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE Z1119 14 15 ttORT#f 0 .3 CHUS JOB LOCATION ,VZe471_ Number Street Address Section of Town "HOMEOWNER 7f Z, FZ 4,6 Z;L Nur�ber Home Phone Work Phone PRESENT MAILING ADDRESS L_/ City Town State The current exemption for "homeowners" was extended to include owner -occupied dwellings of 1 or 2 units 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) Code DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which of two there is, or is intended to be, a one family dwelling, attached or detached structures accessory 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 Build . ing Off icial, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) 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 reSom-Nents. HOMEOWNER'S SIGNATU APPROVAL OF BUI Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control. Revised 4.30.03 Home owner ExemptionsForm R't ioLk 0 V -4—, C9 () -/- FORM U LOT RELEASE FORM P-P�klw- WAk tz �­ 63 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro Boards and Departments having jurisdiction have been obtained. This does not relie% the applicant and/or landowner from compliance with anyapplicable or requirements. """'APPLICANT FILLS OUTTHIS SECTION***—**—**—**--**********.. APPLICANT 'Jje)qe,'s '(PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET—ALo-0-0 WAq 14. ST. NUMBER USE C6N-SERVATION AGENTS: DATE DATE R COMMENT r'l - . 1, �11 I UJ A e�* t TOWN PLANNER COMMENTS DATE APPROVED DATE REJECTEQ_ FOOD INSPECTOR -HEALTH DATEAPPROVED DATE REJECTEQ­ SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE- REJECTED, COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT, FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9X97 im MN me' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensabon Insurance Affidavit er /I Please Print Location:. �29 ��Ze o 71 t/ C ity A10 --- LA Z!5—��Q Wf Y-, 1W. 4.19 -4 5 Phone # 9 e�� 72 DTI am a homeow . ner performing all Work myself., I am a sole proprietor and have no one working inany capacity' F-1 I am an employer providing workers! Compensation for My employees working on this job. Comoarw name: Folure to secure coverne as required urider Seetion 26A or MGL 152 can Wed toft krpmWon of anclior one yeare mprommatw wall -w yrKmrstand thm a cepy or this staternent may be forwarded to ft Ofte of Irmesugamm & ft m for coverjg& AwUkMon_ Print Official use only do not write in this area to be caMleted by city or tamn aTcjw city or Town. 1� AL §u on] MANAGE I N C 0 R P 0 R A T E D November 12, 2003 Michael McGuire Town of North Andover Building Inspector 27 Charles Street North Andover, MA 01845 Subject: 29 Alcott Way North Andover, MA Dear Mr. McGuire: This letter is to confirm that the Alcott Village Condominiums Association has approved the deck for the above -referenced location as drawn. If you have any questions, please feel free to contact this office. pS'ereilyl 41U, Richard Stern President 200 Sutton Street - North Andover, MA 01845 www.suttonmanagement.com - (978) 689-9994 - Fax 685-8593 rl a r kri 43 rA 44 0 �2 0 LE E V) U) o J-4 0 W. �J 92 C) —co W4 P-4 uc PL4 0 W4 ZW Co C3 CJ V) o V) uj 0 4'� 12 u 0 CD 0 E CD cc 0 is ts CD z 0 co cm C 0:5 CD CD CD cc 0 cm< cc ci co z t5 C.D j LLI LU (1) C9 LLI LLI 19 LLI LLI U) uc 0 Co C3 CJ CCO CD C2 CL 60 41C L ors CL Cap' cc " I E cD cm ce C D a cm Ini gms.� C=o wo _;OV9 z 0 -jai0 = cm 0 CD COD OCL.2 M:s cc, 'I .- A 0— MC— Z LLI Cj i 93 ED HISS CO — = C2 CL.S Cl 5 0 4'� 12 u 0 CD 0 E CD cc 0 is ts CD z 0 co cm C 0:5 CD CD CD cc 0 cm< cc ci co z t5 C.D j LLI LU (1) C9 LLI LLI 19 LLI LLI U) v v xv T� SEE PLAN ENTITLED: PLAN OF ACCESS EASEMENt TO BE CONVEYED BY N/F MERRIMACK MERRIMACK COLLEGE. INC. COLLEGE1