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Home My WebLink AboutMiscellaneous - 29 BEAR HILL ROAD 4/30/2018 (2)i" " Ili //4 / Location No. ,,?0"7 Date TOWN OF NORTH ANDOVER - '. 144 - : Certificate of Occupancy $ s 96-I'l.00 Building/Frame Permit Fee - Foundation Permit Fee $ Other Permit Fee TOTAL Check # �2 76 ��_ 2 2 4 19 Buildi66/lnspector TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: al Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCA P, t PROPERTY OWNER 0 Rec /7 q Pfiht MAP NO: �z :Z PARCEL: 10r ZONING DISTRICT- Historic District Machine Shop yes no ves no 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 Well Floodolain Wetlands Watershed District Wa4r/Sewe'r L DESCRIPTIONPF WORK TO BE PERF ED: 7;� -//b J J(-'; e- n o( 1,le 4,, Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: 0--u CONTRACTOR Name: na- CA44"VC5( Phone:_/'/O�� Address: 1.e>0 'Su'pervisor's Construction License: Exp. Date: Home improvement License,) Exp. Date: 20 / 16 ARCH ITECT/ENG INEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: W.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F. Total Project Cost: FEE: $ 00 Check No.: V /7 Receipt No.: -Iltl NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund /A qfgnature 6f`Agqnt/Qwng.��j� Signature of contra Plans Submitted Plans Waived Certified Plot Plan Stamped Plans 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 • 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 apptication Doe: Doc.Building Pern�t Revised 2008 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 't% DATE REJECTED 6ATE 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: Comm Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Locateo 384 USgood btreet FIRE DEPARTMENt'- !Eirnp Dumpste,r on site yes no Located at 124 Main Street Fire Department signatureldate 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.$100-$l 000 fine NOTES and DATA — (For department use) 0 Notified for pickup - Date . . . ... .... . . . ........ . ....... ......... . . ...... . . .......... . .. ..... ............. .......... . ........... ......... ... . . ........ ...... ........... . . .... ...... .. ......... .. - ----- .............. . ....... . ....... . ..... ..... . . ........... ... . ..... Doc:.Building Permit Revised 2008 0 0� 0 FM4 0 u w 0-d V) LU L) COD 0 k CIO WZ CL c cc m 4 u -0 0 Cl) 0. cu CD- cc c > u cd �z :j cd 0 MD —Co 114 1� C-/) V) 0 FM4 Cl) z 0 c,r,.) ;u : WJ Cl) z 0 u C/) U) w u C 12, co E co ts co z 0 co Im c cm CD .ca 0 = E CA Im co CD 0 C., CL cmot ca Z CD 0 C.3 CO) CL (A w w U) C9 LLI w I% w w U) Go ui LU L) COD Cl) z 0 c,r,.) ;u : WJ Cl) z 0 u C/) U) w u C 12, co E co ts co z 0 co Im c cm CD .ca 0 = E CA Im co CD 0 C., CL cmot ca Z CD 0 C.3 CO) CL (A w w U) C9 LLI w I% w w U) CL c cc m CD- a - 00 A CD Cc C.) ts tm 'm C,.s Cs Ma cm r S cc cc 0= .-.COD ICOL cm I=0 2. ICCM R =0 .— 0 COO co , g S, MOZ b- 0 cm ip ID co ,W - CD --r-" C41 U �o Z CS cof cs CL 93 0 .0 M CD 0 = CL. - Cl) z 0 c,r,.) ;u : WJ Cl) z 0 u C/) U) w u C 12, co E co ts co z 0 co Im c cm CD .ca 0 = E CA Im co CD 0 C., CL cmot ca Z CD 0 C.3 CO) CL (A w w U) C9 LLI w I% w w U) IAORTH TOWN OF NORTH ANDOVER OFFICE OF A0 41 �Al BUILDING DEPARTMENT 4L 1600,Osgood Street Building 20, Suite 2-36 S cmis North Andover, Massachusetts 0 1845 Gerald A. Brown Telephone (978) 688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION:— ;7-) /& " , "/. / ta , � W Number Street Address Map/Lot HOMEOWNER C,&c-e Name Home Phone Work Phone PRESENT MAILING ADDRESS evq -_ 6) 1 9� v_r 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 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 Charest Builders PO Box 1288 Plaistow, NH 03865 Name / Address Tom Beck 29 Bear Hill Rd. No. Andover, MA 0 1845 Description Install new cedar clapboards, compsite trim, new shutters and 13 windows Location: 29 Bear Hill Rd. North Andover, MA Work will be done on front and left side of house Homeowner is taking care of all demo on the house Job debris will be placed at: LL & S Inc. Recycling, Salem NH Charest Builders charestlisa@yahoo.com Date 9/16/2009 Estimate # 27 Qty Rate Total 22,000.00 22,000.00 Subtotal Sales Tax (0.0%) Total 603-303-3539 $22,000.00 $0.00 $22,000.00 Charest Builders PO Box 1288 Plaistow, NH 03865 [I�ame / Address Tom Beck 29 Bear Hill Rd. No. Andover, MA 01845 Description Qty Install new cedar clapboards, compsite trim, new shutters and 13 windows Location: 29 Bear Hill Rd. North Andover, MA Work will be done on front and left side of house Homeowner is taking care of all demo on the house Job debris will be placed at: LL & S Inc. Recycling, Salem NH 0 12 Date 9/16J2009 Estimate # 27 Rate 22,000.00 Subtotal Sales Tax (0.0%) Total Charest Builders charestlisa@yahoo-com 603-303-3539 Total 22,000.00 w-'-- $0.00 $22,000.00 01 VN & 0 ts- D 2 67%Vding /egulat 4 a�ntan ar s One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home lmproveme�tlaRtractor Registration Registration: 136211 Type: Individual Tr# 270128 Expiration: 6/25/2010 DANA CHAREST DANA CHAREST PO BOX 1288 PLAISTOW, NH 03865 rd. Mark reason for change. Update Address and return ca [] Address E] Renewal [] Employment F Lost Card )PS-CA1 Co 5OM-07/07-PC8490 r 2818 Date. .......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 10 S "S S C This certifies that. ................. has permission for gas installation Ar ................ in the buildings of . 1'�IA ............................ at ...... North Andover, Mass. Fee. J. Lic. No../ k 1. 7.� .. ....................... GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ....MA�5Z5AL;HUSETTS UNIFORM APPLICATION FOR, PERMIT TO 00 GAS�I-j TINa (Print or Type) I Mass. Date, 2- 192� Permit BuRdIng Lo=tlon2� cwner,-t Name i Type of �,Ccupanc New p. Renovatlon 0 Replaczment 0 Plans SubmIlted: YesC3 No nsWIlng Company Name &GAS FITTING INC. Check one: Certificate r R,0. 13UA subu SAI Ph Corparallon 508),744-4149 [3 PartnershIp aph6ne rAA kWq) 0-600-001:) Firm1co. C -*n Plumber or Gas FiRer 1W,q'--Z,-current IlablIfty Insurance pcllcy or Its subs"antlal equWent wh[Qh mee!s the requkements of MGL Ch. . 14Z No C3 011PL�; Ycs ou- e. eck6d�Le_s, pie-ise Indicate the type coverage by checklng the awop&le box nce policy Ok Cther type of IndemnIty El Bond C3 INSURANCF_ WAjVER: I am aware that the licensee does not �ave the Insurance coverage requIred by ��aplcr 142 of the Mass. Gene.ral Laws. and that my sIgnature on'this permit aPPlIcallon waives. W's requiremenL Check one: Signattue-al CwneFo( —Cwner 3 Agent owner[3 Agent 0 �sfibi�irfltY that aff of the delails and intotratlon I have submitted (or entered) In above ipplicaU06 a's true and a ='rats to the best at my aMedge and that ag&lumblng work and InsWaticris performed under the permit Istued for ails applicaLlon Will be in Compliance with 4 0( 0 Mauichusaits, State Gas r -4d* and Ch3p ter 142 a( the Genefw�jws. T u Icense: mber ignalufa o ense urn as jLte, Castillar kcr Ucensa Number 4, `7,\ V) C: W a (fi W 0 10 C: W cz .0 ILA LL, Ul W LU Ul V3 UJ 0 .g r, 2 Uj a: > = U. a - W a f4 4 LU Uj > = W o 0 a > 5 0 C. SUB—aSUT. BASEMENT I -IT FLOOR 21,10 FLOOR V10 FLOOR 4TH FLOOR ST, H FLO 0 R GTH FLOOR -1TH.FLO a R $-a H FLOOR I -Ulvlullmu. 171r-jA a lam" nsWIlng Company Name &GAS FITTING INC. Check one: Certificate r R,0. 13UA subu SAI Ph Corparallon 508),744-4149 [3 PartnershIp aph6ne rAA kWq) 0-600-001:) Firm1co. C -*n Plumber or Gas FiRer 1W,q'--Z,-current IlablIfty Insurance pcllcy or Its subs"antlal equWent wh[Qh mee!s the requkements of MGL Ch. . 14Z No C3 011PL�; Ycs ou- e. eck6d�Le_s, pie-ise Indicate the type coverage by checklng the awop&le box nce policy Ok Cther type of IndemnIty El Bond C3 INSURANCF_ WAjVER: I am aware that the licensee does not �ave the Insurance coverage requIred by ��aplcr 142 of the Mass. Gene.ral Laws. and that my sIgnature on'this permit aPPlIcallon waives. W's requiremenL Check one: Signattue-al CwneFo( —Cwner 3 Agent owner[3 Agent 0 �sfibi�irfltY that aff of the delails and intotratlon I have submitted (or entered) In above ipplicaU06 a's true and a ='rats to the best at my aMedge and that ag&lumblng work and InsWaticris performed under the permit Istued for ails applicaLlon Will be in Compliance with 4 0( 0 Mauichusaits, State Gas r -4d* and Ch3p ter 142 a( the Genefw�jws. T u Icense: mber ignalufa o ense urn as jLte, Castillar kcr Ucensa Number 4, `7,\