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Home My WebLink AboutMiscellaneous - 49 PARKER STREET 4/30/2018 / 49 PARKER STREET J 210/044.0-0025-0000.0 -- ---- ---- - - Location No; s Date �ORT� TOWN OF NORTH ANDOVER � D ` Certificate of Occupancy $ �'�s'•••°•E��' Building/Frame Permit Fee $ s�c14 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '� Check # 15 1 L 6 / Building Inspect 0 / TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING y r 5 ' 115 �� BUILDING PERMIT NUMBER%W /" DATE ISSUED.V SIGNATURE: A94f Building Commissioner/I for of Buildings Date SECTION 1-SITE INFORMATION` 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoninj District Pr osed Used 1 Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide Required Provided Required Provided 1.5. Flood Zone Information: 1.8 Sew 1.7 Water S/apply M.G.L.C.40. 54) ferage Disposal System: Public C] Private ❑ Zone Outside Flood Zone ❑ Municipal 01, On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Record `ame(Print) Address for Service Signature / Telephone 1 2.2 Owner of Record: O Name Print Address for Service: Signature Tele hone p� SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone ic 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number M Address Expiration Date Signature Telephone 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 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: e,4 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be flFFICIAL-USE(}NLY. , Completed by permit applicant 1. Building Z (a) Building Permit Fee Multiplier 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 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OVQ4XRS AGE OR C.ONTRACTOR,APPLIES FOR BUILDING PERMIT '*'��. � 4) L as Owner/Authorized Agent of subject property He eby au orize to act on My elf; i all i e rel e to work authorize d by this building permit application. / )0/< �I Signat&elof Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject prop Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief N nt ame � ty/_?o/o I Si ture of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING x MATERIAL OF CHIIv1NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Building Department x 27 Charles Street p North Andover, MA. 01845 D. Robert Nicetta '+c►�use Building Commissioner (978) 688-9545 978 688-9542 Fax HOMEOWNER UCENSE EXEMPTION Please print DATE D, 1-3 JOB LOCATION 191 STT Number Street Address / / / Map/lot „HOMEOWNER V O MSI 1 A1iAW 1/ 7 e?- 6A,�-6d Name Home P l hone Work Phone PRESENT MAILING ADDRESS /7 9 10,4e e--r_ 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 homegwners 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 j 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 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"certfies that helshe understands the Town of No_Andover Building Department minimum inspection procedures and requirements and that he/she will wrnply with said procedures and r uirements. HOMEOWNER'S SIGNATURE i APPROVAL OF BUILDING OFFICIAL Town of North Andover Building Department -i'� y '- Y° o o 27 Charles Street North Andover, Massachusetts 01845 _W i (978) 688-9545 Fax.(978) 688-9542 Dg9TED `Pa`y 5 9SSAcHus��c DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit-# the debris resulting from the work shall.be ' of in a properly licensed solid waste disposal facility as defined by MGL cl'1, sI Oaposed The debris will be disposed of in/at: l/ 6 C11 4 acihty locat - lk�C-4'017 lature of Applica t Date NOTE.- A demolition permit from the Town l P of North Andover must be obtained for this project through the Office of the Building Inspector. NORTH Town- ofNo. E 2,3, C% aO�o� - 'oL ,� dover, Mass., Aaa I� 7 A0RATE0 p'? 5 ,9S H BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .......... .......... . ............................................................ Foundation has permission to erect........................................ buildings on.. ..... ....... ............... .q. ..7... ..!.r. ................ Rough to be occupied a .......... Chimney provided that the perso ccepting thi ermit shall in a respedconform to the terms of the application on file in Final this office, and to the visions of t Codes and By- s 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S T 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. SEE REVERSE SIDE Smoke Det.