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Home My WebLink AboutMiscellaneous - 47 EDGELAWN AVENUE 4/30/2018 Lt Location No. 3 z-- Date o2 /�-O Z N°RTh TOWN OF NORTH ANDOVER f A + ; , Certificate of Occupancy $ b'••°}'<�' Building/Frame/Frame Permit Fee $ cMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a S Check # /� 0 15314 Building Inspector The Commonwealth of Massachusetts State Board of Building Regulations and TOWN OF NORTH ANDOVER Standards BUILDING DEPARTMENT Massachusetts State Building code 780 CMR APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE.OF OCCUPANCY,OF;AR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Building Permit Number: Date Issued: /;;� C Signature: G/ Building Commissioner/Inspector of Buil ' gs Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: e yam/ Q i y � I �� ` � (,U e �� D Map Number Parcel Number 1..3)Zoning Info on: f v v 1.4 Property Dimensions: Lot Area(sq) Frontage(ft) Zoning District A ) _ProposedUse 1.6 Building Setback ft. /t/ A Front Yard f Side Yard Rear Yard Required Provided Required Provides Required Provided 107 Water Supply 9M.G.L.C.40.4 54 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Q Private b Zone Outside Flood Zone Q Municipal 0 On Site Disposal System 2.1 Owner of Record Name Print) Address: arm 6"noanc 41 Edo-dawn v 0-10Al. Ar)dovtr Signature Telephone v /9 79) V p 9 P 2.2 Authorized Agent: l lD /J (p Name(Print Address Signature Telephone SECTION 3 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE 3.1 Licensed Construction Supervisor: Not Applicable Q Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 32 Registered Home Improvement Contractor. Not Applicable Q Company Name Registration Number Address Expiration Date Signature Telephone Revised 1997 JMC SECTION 4 WORKERS'COMPENSATION INSURANCE AFFIDAVIT[M.G.L.G 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- PROFFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDING AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 7.80 CMR 116 CONTAINING NWRE THAN 35,000 C.F.OF ENCLOSED SPACE 5.1 Registered Architect: No Applicable Name(Registrar), Address Registration Number Expiration Date Signature Tele hone 5.2 Registered Professional •n 'nee s Area of Responsibility Name Address Registration Number Expiration Date Signature Telephone Name): Area of Responsibility Address Registration Number Expiration Date Signature Telephone Name Area of Responsibility Address Registration Number Expiration Date Signature Telephone Name Area of Responsibility Address Registration Number Expiration Date Signature Teleph e 5.3 General Contractor of Applicable Company Name: t Responsible in Charge of Construction 1 Address Signature Telephone SECTION 6-DESCRIPTION OF PROPOSED WORK check all applicable) New Construction E-xisting Building 13 Repairs 0 Alteration(s) [3 Addition Q Accessory Bldg. Q Demolition Q Other Specify e d Ana &Mrwn Brief Description of Propos in th lo,`/ f ' n f'toor collel' a,' f� walCs c SECTION 7-USE GROUP AND CONSTRUCTION TYPE USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly A-1 A-2 A-3 IA 13 A4 A-5 1B Q B Business 13 2A 11 E Educational Q 2B 13 F Factory 0 F-1 F-2 2C 1:1 H High Hazard [3 3A D I Institutional Q I-1 I-2 I-3 3B 0 M Mercantile [3 4 0 R Residential 13 R-1 R-2 R-3 5A E3 S Storage 0 S-1 S-2 5B U Utility 0 Specify: M Mixed Use Q Specify: S Special 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS. ADDITIONS AND/OR CHANGE IN USE Existing Use Group; Proposed Use Group: Existing Hazard Index(780 CMR 34) Proposed Hazard Index(780 CMR 34) SECTION 8-Building Height and Area BUILDING AREA Existing(if applicable) Proposed Number of Floors or stories include basement levels Floor Area per Floor(sf) Total Area(sf) Total Height(ft) SECTION 9-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes Q No Q SECTION 10a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, ,As Owner 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 revised bldg form/state JMC SECTION 10b-OWNER/AUTHORIZED AGENT DECLARATION I �as Owner/Authon zed Agent hereby declare that the statements and information6n;the foregoing application.are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date SECTION 11 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to Official Use Only be completed b permit applicant 1. Building (a) Building Permit Fee Multiplier 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee(a)x(b) 4. Mechanical(HVAC) 5. Fire Protection 6. Total= 1+2+3+4+5) Check Number 1 - � F � A Town of North Andover 4F Building Department 27 Charles Street �� North Andover MA 41845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE 2- JOB LOCATION q7 Ldul awn Ave, 0-10 Number Street Address Section of Town "HOMEOWNER M79)692.7$ 69 079)535-0-5W Number ��(( ,/ Home Phone J� Work Phone PRESENT MAILING ADDRESS `y'7 Edae%ul i /�ye 1 —I® City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied 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 owner acts as supervisor. (State Building Code Section 109.1.1) 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 to six family dwelling,attached or detached structures ac- cessory 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 Building Official, a form acceptable to the Building Official,that he/she shall be responsible 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 No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirementsi )� HOMEOWNER'S SIGNATURE /_'(/A A,, APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,000 cubic feet,or larger,will be required to comply with State Building Code Section 127.0 Construction Control. Ui. trr 1»M U.J.OLP UUUUUUVUWU Q LivtKJlrILV t'HVt k�G 38 Fa Avenue, Unit � Telephone (978) 685-4434 North Andover; Mas$aohusette 01845 Fax (978) 685-0521 F6bfuay 12,2002 Ric:47 Edgelawn Avenue Unit 10 NOM Andover Building=Inspector Michel: Karcn.Buonopane is a unit owner at Heritage Green Condominium. I just got off the , nth jlershe needs at letter stating that we have been informed the site is rew-vsahanbaahroorn, If you need any addi{iorifaation please, i"!1eP t4 contract the office. Sincerely, 6' RwAn:Ci0folo NORTH Town of 4 Andover L A O dover, Mass., o2- / -�oo a COCHiCHEWICK ADRATED S H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........1.1...A..!Q eJV.......3.6-0...N.�,/� .��-.................................................................... Foundarion has permission to erect...... ..... buildings on ....... ...................� . .......................................... Rough to be occupied as................1...... m 6 l ........I N.....6IV C.ID..........V^Jer L— Chimney .. ............................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. c� 8, zz IV7//pPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough /. ..... `...................................................:. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 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