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Home My WebLink AboutMiscellaneous - 44 AUTRAN AVENUE 4/30/2018 44 AUTRAN AVENUE ` 2101045.C-0020-0001.0 r - 1 I 4 Location q41 �,-✓ No. 679 Date i ^TM TOWN OF NORTH ANDOVER 3? •. OL 1. 9 ` Certificate of Occupancy $ +,�a'^• E<t' Building/Frame Permit Fee $ swCMus Foundation Permit Fee $ Other Permit Fee $ a, TOTAL $ Check # 172- 78 ' /' `!Building Inspec 01 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING v..„� ,' '.. c 1�9 BUILDING PERMIT NUMBER: I DATE ISSUED b i {�' ic SIGNATURE: Buildin Commissioner for of'Buildings Date — d SECTION 1-SITE INFORMATION L 1.1 Property Address: /f 1.2 Assessors Map and Parcel Number: 7` v�R4iy /`Fye° 6 q-1,& Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re Wired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 _! SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT -+ISTUt iL +�;StriCt: yes Ntp MMi 2.1 Own r of Re rd Name Print Address for Service Signa Telephone y- 673 - 3 vel wner of Record: Name Print Address for Service: M Signature Telephone r CTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date U 14 Signature Telephone 1 SECTION 4-WORKERS COMPENSATION(XG.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 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Bri/beef Description of Proposed W/ork: / / - SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beY+'I+CIAL`IISE, � Com leted by permit applicant r� f 1. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTIONNE UTH ZAT TO BE COMPLETED WHEN OWNERS GENT OR CO CTOR APPLIES.FOR BUILDING PERMIT uthorized Agent of subject property Hereby authorize 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/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVIBERS 1 s 2NU3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X -- —�--®-__ MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUU DING CONNECTED TO NATURAT,GAS L11VE e r 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 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: (Location acility) ' c gnature of Per it Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Ka�vk Town of North Andover Building Department 27 Charles Street o North Andover,Andover, MA. 01845 �SscNuy�}' D. Robert Nicetta . Building Commissioner (978) 688-9545 (978) 688-9542.Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE S 1/ JOB LOCATION �v�R4rr/ le Number Street Address Map/ lot c _ "HOMEOWNER "`'� V/'� T''r !(.r/ �oS�� ' J-4 �' /- �.7c1 U Name Home Phone Work Phone 11 /� PRESENT MAILING ADDRESS City Town State Zip Code s The current exemption for"homedwners"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#=,,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 trW ss elands the T n of No. Andover Building Department minimum insp tion procedures and require s an he/she will comply with said procedures and r uirements. HOMEOWNER'SSiG ATURE �— APPROVAL OF BUILDING OFFICIAL NORTH Town of over And dover, Mass.,_ 010 6e T Q LAKE � COCHICHEWICK S RATED U BOARD OF HEALTH T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...U104..... ........ ......................................................... Foundation tn has permission to erect........................................ buildings on ............. W.......... ..... Rough • to be occupied as.. Chimney provided that the person opting this permd shall in every respect conform to the terms of the application on file in Final this office, and to the pro sions 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 SC Rough ............................................................................... ................................ ervice BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. t A55 SETTS UNIFORM APPLICATION FOR PER-MIT' --T-O-DO GASFITTING (Print or Type) NORTH ANDOVER19 , , Maas. Date_ f a ' ) � Building ��qL QN� Sj Permit # Location rT Owner's Name New O Renovation CJ-'— Replacement p Plans Submitted: Yes p No (p NN - N >< N N U X H ec W w r p N = r Q A N W N p X N cpc r X t s• = ae N d a t 009 X s M N N N3 < M = N M i X 4 M fir. tl ; O �pp p r O d I'i. a lit, O V > o d / O SUf11-11GMT. • SAGEMENT A. IST FLOOR 2ND,FLOOR I !RD FLOOR 4tH FLOOR BTHFLOOR STH FLOOR 7THFLOOR •TH PLOOR -� ' Check one: Certificate Company Namer' (IN � \ "A a ry�/�� Corp.. � Address_ c2 I,D �FL/��4-l/tn 1 J� RC , fL1/�. d Partnership 0-f Co. y( � Business Telephone 4!; c-�- y7 2 9 Name of Licensed Plumber or Das Fftter 14-L A hl m 8 w G i� INSURANCE COVERAGE: Check��o�r I have a current Ilabllfty Insurance policy or Its substantial equivalent. Yes Ca' No O If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liabilityInsurance PdIcY Other type of Indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: nature o Owner or—Ownefs-Fgent Owner O Agent O (hereby certify that all of the details and Information I have submitted(or entered)M above application are true and accurate to the best of my knowledfle and that all plumbing work and Installations performed under the permK Issued for this appl�alion will be In compliance with all pertinent provisions of thhe Massachusetts State Gas Code and Chapter 142 of theXure —UT—��— � T of Ucense:Plumber n THle 0asfllter Master City/TownUcense Number 6 D Joumeyman AITFIO ED(OFFICE USE ONLY) BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER - LIC. NO. r.. � . . ..- PERMIT GRANTED DATE��19 GAS INSPECTOR Date. .�U./ .` .. ./!. . . . p r .NORTH TOWN OF NORTH ANDOVER 02 Oy t1�E� �°9�OA PERMIT FOR GAS INSTALLATION 9SSACNUSES This certifies that . . .fit^'-".r' !' - . . . . . . r . . . . . . . . . has permission for gas installation, in the buildings of . at . . . �. . .`.. ... .. . . . . . . . ., North Andover, Mass. Fee.1:4 . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (J!"/,r 7l�/�' GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File