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HomeMy WebLinkAboutMiscellaneous - 33 ELMCREST ROAD 4/30/2018Location 33 ?d No. X 0 1 Date ' 8- v a VkaRTN TOWN OF NORTH ANDOVER • OL 9 a ; ; Certificate of Occupancy $ s�cNuse Building/Frame /Frame Permit Fee 9 $ 3 Foundation Permit Fee $ Other Permit Fee VV/b. $ TOTAL $ Check # 16002 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: j� / DATE ISSUED: / J _ 4i Soo SIGNATURE: C C` Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel V MapNumber Number: Parcel Number 33 El��leres 1.3 Zoning Information: Zoning stri Proposed Use 1.4 Property Dimensions: Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water. Supply M.G.L.C.40. 54) Public ❑ Private 0 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIPIAUTHORMD AGENT I 2.1 Owner of Record 1 - ��t1 Name (Print) Address for Service Signature Telephone 2.2 Owner of Record Name Print Signature SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: a Licensed Construction Supervisor: 41 Address Signature Telephone 3.2 Registered Home Improvement Contractor Company Name Address Address for Service: Not Applicable License Number Expiration Date Not Applicable ❑ Registration Number Expiration Date T M X Z O SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 2506) 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 .......0 No ....... 0 SECTION 5 Desch tion of Proposed Work check aR applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant w OFFiCIAiL USE,(?NLY ,ax 1. Building -7 — .� � �� ' (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction ©z 3 Plumbing Building Permit fee (a) X (b) 30 P -12N641 i D61 r— WK 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 Cas Owner/ thorized Agent of subject property dereby au(ori�ze to act on My behalf, in all matters relative to work authorized by this building permit application. -Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Owner/Aent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2 ND3 PD SPAN DIN ENSIONS 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 L4 , C-4 rn v: ✓A-^ . 1,9,'2o : o2 — 44 Ae- w; r I �.Q;Q s►�. �s+. - TO Z �� D E TIME A �-� -LL -r PM `P -L FRPHONE ( (L HCELL( OF CELL ( o�_ 1 F4r 9" E E G,.. �-If - M s �a7 E a P �- M G _ E Q E-MAILADDRESS SIGNED PHONED❑ CALK❑ RETURNED❑ 8 NTSTO❑ WILL ALL❑ WAST URGENT TO t UAlt I IllAr PM PFROM1 ` r PHONE ( ) H h—`760-- 0 0 � Roth),CELL(` �mLr eSt RFAX ( ) 35 N _ E E f/ s M s E A M G 0 E E-MAILADDRESS SIGNED �. PHONED ❑ CBACK ❑ CALLRNED ❑SEEYOUO ❑ AGAINALL ❑ WAS IN ❑ URGENT ❑ ��o ej�- <� o o-7 ` "ll 99 r 0id�-d K- 22- to C. �c FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits 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. I*****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT 1�ht C'1 ..� �)� �+���� HONE - '4 f )E®- 1033 LOCATION: Assessor's Map Number PARCEL SUBDIVISION n LOT (S) STREETKT. NUMBER 3 ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: A-V 't- e CONSERVATION COMM TOWN PLANNER COMME FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS ,TOR DATE APPROVED !O -3/-G-7, DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS M DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm ., I V_ 1 — "thpoint — Survey Semices 180 'rater SWVOf llavemia At. 0/4'90 t&V) .77R-M.Rf LOT 2 14,264±S.F. 4D.03' L=64.97 - R=585.60' ELMCREST ROAD /�3-1 3REGOR) .L BOWDEN 034610 PLEASE CALL 978-372-0835 PRibR TO USING THIS PLAN FOR ANY OTHER REASONS THAN MORTGAGE PURPOSES THE ABOVE MORTGAGE INSPECTION WAS i CLIENT: PHILIP PARRY.P.C, BORROWER. SHIRLEY FITZEATRICK PREPARED FOR DATE: 10-29-01 GMAC MORTGAGE CORP. SCALE: 1 40! ADDRESS: 33 ELMCRESI ROAD AM IS NOT INTENDED OR REPRESENTED TO JOB No.: 3m&OO NORTH. ANDOVER- MA. BE A LAND OR PROPERTY LINE SURVEY. RECORDED AT NO. ESSEX REGISTRY OF DEEDS NO CORNERS WERE SET, IT CANNOT BE USED TO THE BEST Or MY PROFESSIONAL FOR ESTABLISHING FENCE, HEDGE. OR KNOWLEDGE AND BELIEF BOOK* 953 PAM 316 L.C. CERT.f THE LOCATION OF THE PRIMARY BUILDING LINES, THE LAND SHOWN ANDD ON CUENT FURNISHED INFORMATION AND MAY STRUCTURE SHOWN WAS EITHER IN PLAN REFERENCE: PLAN #Wig BE SUBJECT TO FURTHER OUT -SALES. COMPLIANCE WITH LOCAL APPLICABLE DRAWN PER OF ASSESSORS TAKINGS, EASEMENTS AND R1014T OF WAYS. ZONING BY-LAWS IWEFFECT MIEN NO RESPONSIBILITY IS EXTENDED TO CONSTRUCTED (WITH RESPECT TO MAP# BLOCK PARCEL THE LAND OWNERS OR OCCUPANT. 17 IS HORIZONTAL DIMENSIONAL NOT INTENDED FOR THIS DOCUMENT 70 BE: REQUIREMENTS ONLY) OR IS SUBJECT DWELLING LIES IN FLOOD ZONE C RECORDED. EXEMPT FROM VIOLATION ENFORCEMENT AS SHOWN ON NATIONAL FLOOD INSURANCE ACTION UNDER MAL TITLE VII, CHAPTER 40A. SEC.. 7. UNLESS RATE MAP DATED: JUNE 2. 1993 OTHERWISE NOTED. OR SHOW. COMMUNITY 250098 PANEL #0003C I '++s t I i cli— cy LA i I 2 I '++s I tl North Andover Building Department DEBRIS DISPOSAL FORM Tel: 978-688-9545 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 c11,S150A. The debris will be disposed of in: Sz5v) Cis (Location of Facility) Signature of 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 13 Town of North Andover '-/ Building (Department • 27 Charles -Street North Andover, MA. 01845 D. Robert Nicetta .Building Commissioner .(978) 688-9545 (978) 688-9542 Fax Please print DATE IOB LOCATIC 10MEOWNER Number Name ESENT MAILING ADDRESS HOMEOWNER UCENSE EXEMpTJON Street Address Home Phone VL" - a/ lot Work Phone J n State The current exemption for "homeowners" was extended to irEclude o�wnerupied dwel�ngs of two units or less and to allow such homeoWners to engage -aft i d . not possess a.ticense, provided that the owner acts as so h who does Pervisor. (Staab Beading Code mon 108. 3.5.1) DEFINITION OF HOMEWOWNER: Persons) who owns a parcel of land on which he/she resides or intends tothere is, or is intended to be, a one or twofYIlin9. a#tached or cls ►e d .. on which cessory to sunt► Else and/or fawn sbctucies Ape wnc►:, s ac - two -year j e im shall r►of be .r e..tlr ►One ipc srdered a honneowner. hie°in a The undersigned -homeowner" assumes responsibility for co Applicable codes, bylaws, rules and regulations, ►►►Pbd►r� with the State Building Code and other The undersigned "homeowner~ certifies that he/she understands the T Building Department minimum ins action O1Nn d No Andover P Procedures and requirements and that he/she will :10MPtY with said procedures and requirements_ OMEO VNER'S SIGNATURE Code I'PRO`✓A) OF BUILDING OFFICIAL ' � r Cl) m Cl) 0 m C40) 'O Cl)co Z CD = ar d _ a a� O o p a� c� CO CD O .p CD 0 O _ -0. 0 CA M) Cl) co 0 CD CD r� CD CO) C =r-, O mcr S _n H m H y CL toci no m Z H ?-o N' ,y O .-a m H T =rn•-•n Er CD C o m d G y CO) c 0�m. m CD O 0 - .� O O n C y' n . 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