HomeMy WebLinkAboutMiscellaneous - 48 Kingston Street (2) 48 KINGSTON STREET f
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TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
77
BUILDING PERMIT NUMBER. DATE ISSUED. ,
i
OWNS
SIGNATURE:
Building Commissioner/IRERcctor of Buildings Date
SECTION 1-SITE INFORMATION 0
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
$ K ' slu.6 �
Map Number Parcel Number
N . f�•do��� Ma °J84s
1.3 Zoning Information: 1.4 Property Dimensions:
i
Zoning District Proposed Use I Lot Area Fromm 11
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Reqtlired Provide Required— Provided ReqWred Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D
Public 0 private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT IS oris is rlc : Yes No rn
2.1 Owner%of Record
✓neVA►H E + c"G H 1 K- A PI L JAr-J
Name Print) Address for Service:
�111
Si re r Telephone.
12.2 Owner of Record:
Name Print Address for Service:
Z
rn
Signature Tele one 90
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable
Licensed Construction Supervisor: O
License Number M
Address
Expiration Date ic
Signature Telephone r
3.2 Registered Home Improvement Contractor Not Applicable 0
Company Name rn
Registration Number
Address re
Z
Expiration Date
Signature Telephone V
1
SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result t
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes.......0 No.......0
SECTION 5 Description of Proposed Work check all applicable)
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work: `-'
o
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OMCLkL USE ONLY.
Com leted b rmit a licant
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
5 Fire Protection C� a
6 Total 1+2+3+4+5 Z2 600, 0 0 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, L t as Owner/Authorized Agent of subject property
He eby�au orize to act on t
M beha nn all matters relative to work authorized by this building pennit application.
4-, �e iC ' n3
S iat r o Owner Date
S N 7b OWNER/AUTHORIZED AGENT DECLARATION
I, as Owner/Authorized Agent of subject
property
Hereby declare that ih 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 TIMBERS iST2N 3
SPAN
DM ENSIONS OF SILLS
DMENSIONS 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
NORTH
Town. of Andover
No. 97
C% A over, Mass.,
0 "A
It.
COCHICHEWICK
ADRA
r E D
ST E BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
0 BUILDING INSPECTOR
THISCERTIFIES THAT............V.*........... ...................................... ............... ............................................. Foundation
has permission to erect........................................ Wings on ...4/J...... .. ... it .... ..............
*NO
.Impm -R. ......It*...... Rough
00 Chimney
to be occupied A"- •��Mw................. ...........................................
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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION T TS Rough
.............................. Service
BUILDING INSPECTOR Final
Occupancy Permit Required to Ocmpy 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.
SEE REVERSE SIDE 11
AUG-10-2005 1126 CROWN I NSH I ELD MANAGEMENT 5785326023 P.02
o� ANDaTM-IIIsaa1s45..
" August 1012005
' Ms. Vahe&Cheri Apelian
` 48 Kingston Street
Y No. Andover Mass.01845
RE: Renovations to Kitchen&Bath ;
Dear Cheri&Vahe,
..,: please be advised•that the Board of Trustees has granted you the owner of48 Kingston Strect
No.Andover Mass.permission to renovate kitchen and bathroom areas. Work will commence
on August 11,2005 and is•non-structural.As agreed you will be permitted to have a,-•15 yard
dumpster to be placed in your assigned parking space for two days forthe purpose'of rei moving
construction'debris.
Unit owner shall be responsible to keep parking spaces on each side of-the dumpster.clear of all
debris during this process. Unit owner shall be responsible for any damages to common areas
r; that may'occur as a result of this work.As agreed unit owner shall forward a copy,of the building
permit from No. Andover Building Dept..to'this otllce.
Should you have any questions;please contact this office at 978-532-4800- pax 978-532-6023
Sincerely,
5- David Hamel
Crowninshield Management-
Corp.rA'
As ;
Mane ,
'n A ent for
g _
Village
Green West•Condominium �.4
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
at: 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.
Also note Permits areuired under Fire Prevention laws Chapter 148 Section
�l P
10A.
The debris will be disposed of in:
(Location of Fac'
I
Signatureof P it Applicant
Fire Department Sign off: X
Dumpster Permit
bio --® s
Date
' I
NORTH 1 TOWN OF NORTH ANDOVER
w �?,•theOFFICE OF
F0
A BUILDING DEPARTMENT
50 400 Osgood Street
North Andover, Massachusetts 01845
SS HUSt
D. Robert Nicetta, Telephone(978)688-95454
Building Commissioner Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE: - � S
JOB LOCATION: t�- K3 ,
Number Street Ad ess Map/Lot
HOMEOWNER C-Ino e�ltoC_ ? -�)C -1 L a 7
Nam2 0 Home Phone Work Phone
PRESENT MAILING ADDRESS I L i n
q f c1
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
BOARD OF APPEALS 698-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
s Location
�
Date
No.
N°RTh TOWN OF NORTH ANDOVER
O411
�`•"
F 9
Certificate of Occupancy $
�'�s'•' E<� Building/Frame Permit Fee $
s�CHus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ ?
Check # eo
R
8460
Building Inspe�(