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Home My WebLink AboutBuilding Permit # 6/11/2015 01 FORTH .1 BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received SSHC U5 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER -5 l-,C' t V\, o' 74 11-1111., I Print 100 Year Structure yes no n MAP PARCEL: ZONING DISTRICT: Historic District yes no, Machine Shop Village yes rFO) TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family [I Industrial ddition 0 wo or more family [I Alteration No. of units: [I Commercial El Repair, replacement El Assessory Bldg. [I Others: El Demolition El Other riabp,lqqqplalr� Nei, 11 1 01 1J m� i,, i/1 � � ,,r � DESCRIPTION OF WORK TO BE PERFORMED: ,B J i i s- Dcx:� k on C-x ,-51" c-, slrab J Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED cosr BASED ON$125.00 PER S.F. otal Project Cost:, $ FEE: $ Check No.:1,2 L/ Receipt No.: S contracting with u NOTE: Paso n e iste I red contractors do not have access to the guaranty fund tAOR'Tp1 Town of ndover �� ®. /j C2 /Sp ton h� VAIMass`' Nc S V BOARD OF HEALTH Food/Kitchen RMIT T LD Septic System PE k % Iry THIS CERTIFIES THAT BUILDING INSPECTOR ............. .160"""Ame . ....................................... ............................... ... Foundation has permission to erect ........... buildings on .. '. ..... � f��' .............. .............r�.................... .... //�� Qt*.04 .0 rI Rough to be occupied as .. .Ir...... ....... �......�{ar.�........................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 M NTH ELECTRICAL INSPECTOR LESS C® STRCTI® Rough Service ................... .................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. The Commonwealth of Massachusetts F Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 ;t www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/}i lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Please Print Le 'bl Apiplicantlnformation Name(Business/Organization/Individual). Address: -7 3 � ,'�,�c�� C�l��l�`Phone#: !��"1 ��W 7 7�� City/State/Zip•. Are you an employer?Checicthe appropriate box: Type of project(required): employees fiill and/or part-time).' 7. ❑New'eonstruction 1.❑I am a employer with 2.F1 I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling anyAapacity.[No workers'comp.insurance required.] 9. ❑Demolition 3, am a homeowner doing all work myself.[No workers'comp.insurance required.]t 1 uilding addition 4,0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole 12.Q Plumbing repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Ro6f repairs These sub-contractors have employees and have workers'comp.insurance.$ 14.❑Other 6.Q We are a corporation and its.officers have exercised their right of'exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities,have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. X am an employer that is providing workers'compensation insurance for my employees. Below is the policy arzd job site information. Insurance Company Name' Expiration Date: Policy#or Self-ins.Lic.#: City/State/Zip: fob Site Address: olicy declaration page(showing the policy number and expiration date). Attach a copy of the workers' compensation p Failure to secure coverage as required under MGL c. 152,§he form of a STOP WO1RK ORDER and a fine of up to on punishable by a fhib up to $200.00 50.00 a and/or one-year imprisonment,as well as civil penalties m day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby certify under the ains and p nalties of perjury that the information provided above is true and,correct. Date: ®d , Si nature: y Phone#: 7 '3 official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: 04 ar" TOW'OF NORM COVER `iKSY .�:�a • OFIFICE OF y �d--/.1t!-.I) J[:-tP.C3-l.Y..X-t7.L4 N �„II bn -.x600 Dsgoad.Stz-00tBuRding2j 0 •Su�.to2-3 6 • x�p Crcvcni(15 • • 7$Rh o >• North.An dovor,.MassaahusetEq Qx 845 SRS{-1 . Gerald A.Brown Telephona(979)68$9545 Inspeetoz-of$uildiags r Bax (97-8)688-9542 RC-MEO)NNER-LICENSE 13XEMPTION . 1'leaseprinE - DATE: SOB LOCA.TtN., •�Tumbez StxeetAddzess Map)Lot ' • • 1 MMOWN-BR. sbe key 'J 3c-)® �� • - ame. dome Phone 4�ork�hane PRBSENT MAMG.ADDIMSS r�� • . .. • " ALAk MA v Zip codo TAT current e empfion for"homeowners"wase tended fo GlLide awnex occupied&VORings to t vo units ox less and %a allow suchoxneo„rensto engage an?tdi�ladual.forh%re who does nofpossess alice3ise,pxovidedthatthe owner acts as supezvlsar). Su�te30ding (Code Section xO1-hir - DEF. ITZON OYHOMEOVV• R Berson(s)Who gwus aparcel oflan,d on which helshereslaas or intends to zesicle,on which thew is,or is 7nfended to 7ais,a on.e or two family sfractnres. A person who constcticfs zatoze friaf onel�ome in atwo�eazperzod shalt azot be coaxsidered ahomeowner, The undersigned”homeowner"assuzneszesponszbilify ox compliances wzfh the State Buzldzng Code and otT cr .Applicable codes,by-law.;zmlug anal-xegulations. Thamcclanigued."homeDwner'0cuesthat heAheunderstaudstheTown of TorthAadoverBuildingDefiarEzneazt j71Y"imum inspeefion procedures and x-equiremenfs anti thathelshe wiff comply with;said procedures and xequireznents, .HOMEOWN'BR.S SIGNATDRE _ APPROVAL OE JBTT.CC.DMG Op'.EZCT.AL Reyisecl7.2009 • • 1~oxm�SozneavnersBxeznpiian ' 30ARDOFAPPBA7 -688-9541 OONISEUa).WN580-9530 BEALTR688-95}0 PLANN)NO688-953a Belt courses, fins, columns, leaders, sills,pilasters, lintels and ornamental features may project not more than one foot, and cornices and gutters not more than two feet, over a required front yard. MW X7.32—Projections into Side Yards Uncovered porches, Balconies, open fire escapes, chimneys and flues all may project into a required side yard not more than one-third of its width and not more than four feet in any case. Belt courses, fins, columns l i44 , ' al features may project not more than one ° kniecs and gutters not ore than two feet oved side yard. IProjections — into Rear Yards Uncovered porches, Balconies, open fire escapes, chimneys and flues all may project to a required rear yard not more than one-third of its width and not more than four feet in any ase. Belt courses, fins, columns, leaders, sills,pilasters, lintels and ornamental features may proj t not more than one foot, and cornices and gutters not more than two feet, over a required rear d. 7.4 Building Heights Maximum heights of buildings and structures shall be as set forth in Table 2.The foregoing limitations of height in feet in the designated zoning districts shall not apply to: 1. Farm buildings on farms of not less than ten (10) acres. 2. Nor shall they apply to chimneys,ventilators, skylights,tanks,bulkheads,penthouses,processing towers, and other accessory structural features usually erected at a height greater than the main roofs of any buildings. 3. Nor to domes,bell towers, or spires of churches or other buildings,provided all features are in no way used for living purposes. 4. And further provided that no such structural feature of any non-manufacturing building shall exceed a height of sixty five (65) feet from the ground. 5. Nor of a manufacturing building a height of eighty five (85) feet from the ground, or pharmaceutical manufacturing silo having a height of one hundred-fifteen(115) feet from the ground. 7.5 Lot Coverage Maximum lot coverage by buildings shall be as forth in Table 2. Lot coverage shall mean the percent of the lot covered by principal and accessory structures. 7.6 Floor Area Ratio Maximum floor area ratio (FAR) shall be as set forth in Table 2.FAR is the ratio between the total amount of building floor area on all usable floors and the area of the lot on which it is located. 7.7 Dwelling Unit Density Maximum dwelling unit density(dwelling units per acre) shall be as set forth in Table.2 7.8 Exceptions 1. The residential lot areas and frontages above required and listed in Table 2 shall not apply in any residence district to any lot of less area or less frontage than above required if such lot be not adjoined by other land of the same owner, available for combination with or use in connection with such lot,provided that the applicant for a building permit on any such lot shall show by citations from the Essex County Registry of Deeds incorporated in or attached to such application that such lot was lawfully laid out and duly recorded by plan or deed prior to January 9, 1957 and 84