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HomeMy WebLinkAboutMiscellaneous - 47 HAROLD STREET 4/30/2018 (2) 47 HAROLD STREET 210/0090000.0 i i I Location /,//)- 7 "``} pud 0— No. 3 Date Mo�TM TOWN OF NORTH ANDOVER Of t` c ,•,1•C F41 9 Certificate of Occupancy $ c„ <�' Building/Frame Permit Fee $ sisE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 3 Check # C;I C/o Building Inspector 153LA TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING x BUILDING PERMIT NUMBER: �� DATE ISSUED: e SIGNATURE: Building Commissio er/I for of Buildings Date SECTION 1-SITE INFORMATION ♦� 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Li NXap Number Parcel Number , 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use I Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided C 1.7 Water Supply M.G.L.CAO. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 1 Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ - SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT n 2.1 Owner of Record/ Mame(Print) Address for Service Signa re Telephone 2.2 Owner of Record: Name Print Address for Service: = Signature Telephone nr SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ e Licensed CoAstruction Supervisor: License Number Address t Expiration Date Signature Telephone r_ 3.2 Registered Home Improvement Contractor Not Applicable ❑ C v Company Name r Registration Number r Address r 0 d Signature Telephone Expiration Date SECTION 4-WORKERS COMPENSATION(KG.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. 'I Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work(check all a ticable New Construction ❑ Existing Building ❑ 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 UI?FICIAL ITSE Q�y� � Completed by permit alicant _., 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 3 �- 5 Fire Protection 6 Total 1+2+3+4+5 0 Check Number C1 C90 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, % I 6,P.r V I v L aslOwner/Authorized Agent of subject property Hereby authorize to act on My behalf ' 11 ers relativ to ork orized by this building permit application. ...e�a t / Si iah e of Owner Date v SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 t Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH VINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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: 17 (Location of Facility) Sig ure of Permit Applicant 21�1oa Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector it NORTH_ , Town of North Andover ° ���•• �� Building Department 27 Charles Street z North Andover, MA. 01845 D. Robert Nicetta sS ¢►�us4�� Building Commissioner (978) 688-9545 .•. 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please prink DATE rJ O JOB LOCATION — �} � �� .0 v y/ 2 Number Street Address Map/lot d1 c9 .HOMEOWNER l5"l J �VG��-� �7 0.J .IO b�'��3� q -7k) qLe-7—�70 Name If Home Phone c Work Phone PRESENT MAILING ADDRESS—43 A C`f O \L Ij V ---------------- ��ov�✓ IA- y t $ y S" City Town State Zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual foc 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, oris 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 than 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 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 requirements. r HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL - Nv R � ►y Town o . . over 0 :. .,. No. J FX _ o A o dover, Mass., ' S COC MICKEWICK A�RATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System a.14.0000Y � ' r � VuBiJILDING INSPECTOR THIS CERTIFIES THAT...... /� (� ��......./ ............................ ........... ................... .. .............................. Foundation has permission to erect.....a.�.................... buildings on '7 # A9,01 ............... Rough ... ... ......... ... ...... .. ... .................................... w I N A l.G S . o�r.� / a4y* rvm y t0 be Occupied as..... . . .. . .... �... ..... ... I....................................... ................ ................................................. 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 o the Inspection, Alteration and Construction of Buildings in the Town of North Andover. O� � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ....... .I�.... Service ... . .. .. . ......... ......... ....... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR i 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. SEE REVERSE SIDE smoke Det' Location y�' � 1-1,4 /10 No. � Date04 .L-- NORTIy TOWN OF NORTH ANDOVER � 1k n Certificate of Occupancy $ a r Building/Frame Permit Fee $ 5,7 Foundation Permit Fee $ s�cNust Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ S (/ Building Inspector I J t/ 0)6/15/99 14:41 25.00 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD********NORTHDOVER, MA MALP NO. i LOT NO. 2. RECORD OF ONVNERSIIIP ATE BOOK PAGE ZONE SLIB DIV. LOT NO. / LOCATION G PURPOSE OF BUILDING O\1NER'SN.4t\IE M +Np NO.OF STORIES SIZE OWNER'S ADDRESS �— /"f ii BASEMENTOR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1 I 2 D 3RD BUILDER'S NAME u O G�� R�MO IY l^� SPAN DISTANCE TO NEAREST BUILDOG /!, DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITIONMATERIAL OF CHLMNEY /J IS BUILDING ALTERATION v IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREME TS OF CODE r IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 1NSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST.BLDG.COST O PAGE 1 FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. EST. BLDG.COST PER ROOM ELIECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACIIED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: r. PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR L1ILDING INSPECTOR DATE FILED r OWNERS TEL# 7 J n W 1 CONTR.TEL# c����� CONTRAAC# cm SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PERMIT GRANTED I 1\ 19 Revised 5/5/99 JM Town of North Andover f N�RTk OFFICE OF �� �` `e�0 COMMUNITY DEVELOPMENT AND SERVICES . x t 27 Charles Street 9 North Andover, Massachusetts 01845 WU,LIAM J. SCOTT �S''ACHUS� Director (978)688-9531 Fax (978) 688-9542 In accordance with the provisions 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: (Location of acility) ignature 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 a } BOP.RD*�)FAPPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530- H'AL.TH 683-9540 PLANNING 688-9535 To ® dover No. o?je/ LPK dover, Mass., - 114�rpl COCNI E IC ATEc, BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.... .. .... .. .1V� �, BUILDING INSPECTOR ............... ........ Foundation has permission to erect... buildings on .......... .. ..... ... Rough tobe occupied as...... I� vd. .................................................................................................................. 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. PLUMBING INSPECTOR VIOLATION of the zoning or Building Regulations Voids this Permit. Rough PC *=6 PERMT EXr.lC E—S IN 6 MONTHS Final • UNLESS C0NS�UC ELECTRICAL INSPECTOR 9 I j3Rough .. ... . ........................ 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. SEE REVERSE SIDE Smoke Det.