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Home My WebLink AboutBuilding Permit #498 - 104 MARTIN AVENUE 1/10/2007 TOWN OF NORTH ANDOVER NORTh APPLICATION FOR PLAN EXAMINATION ott,�•o �•;'�c #- 'A 9 Permit NO: Date Received +� 40 Date Issued: SACMUS IMPORTANT: Applicant must complete all items on this page LOCATION I O I' 1 A C i 1V �V'f_ PROPERTY OWNER ��'��' )_Print 5A1�un�t0r � Print MAP NO.: PARCEL: d ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building 4 One family ❑ Addition ❑Two or more family ❑ Industrial KAlteration No.of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED ! 01-1y 3J b le)ruli co; 11-1:: Identification Please Type or Print Clearly) OWNER: Name: Ny\ -,�, )—%,S!1 Phone: 979,, 610 U 6 7t Address: 1 U 1� IM�r��N fl4'*- Nur4\ Andau Pr ` Ai- a i CONTRACTOR Name: 46'r-le Owtr,l1 Phone: Address: s Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 4c m p 0%,J,, —'-N Name: Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F. Total Project Cost :$ �QgQ FEES 7� Check No.: 19� JReceipt No.: Page I of 4 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit H.I.C. ❑ Photo Copy of .I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:WOWS 1 Page 4 of 4 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer L`7 Well Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ ElPermanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to project 0 4,dt VV,, 3,0��'� 59►�y NOTE: Persons contracting with unregistered contr4ctors dog,nhave access to lite guarantyfund Signature of Agent/Owner Signature of contractor ALA, - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT -Temp Dumpster on site yes no Fire Department signature/date � "" /'� ^y Z COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit Building Setback Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use l S r it Page 3 of 4 Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORMU5 Created JMC.Jan.2006 Location No. Date i e �aRTM TOWN OF NORTH ANDOVER N? • • C9 ' Certificate of Occupancy $ CHU Building/Frame/Frame Permit Fee $ s�cNust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #)M 19924 v Building Inspector NORTH 7, it Town of Andover 0 100 No. L.� gWI F. .W- dover, Mass., 0 LAKE COC HICHEWICK 7,9 00ATE 0 ilk BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System .....P to Lw 14%jr,+&,.000, BUILDING INSPECTOR THISCERTIFIES THAT ... ................................................................................................ ...... ...... Foundation has permission to erect........................................ buildings on to q M1 +%,...h...... ... ...................... Rough to be.occupled as...Ad.4.......131cd.......111 ew W-04dJOW&0 ......at......Dtirrn ...... ....a.IJ4.1 ... � himney 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 'Z� PERMIT EXPIRES IN 6 MONTH R ELECTRICAL INSPEC'TOR , T UNLESS CONS S7 WWWW Rough Service ...... ...... ................................................................................. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FIRE DEPARTMENT Street No. SEE REVERSE SIDE_ Smoke Det. j r r,. 4 - - Y � ";Kr" TOWN OF NORTH ANDOVER '. OFFICE OF J r BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 North ` +cr+u`p ,kndover, Massachusetts 01345 Gerald A. Brown Inspector of Buildings Telephone l9?S)688-9545 HOMEOW'y1ER LICENSE EXENIPTION Fax (978)68-9-9542 P!CzC print DATE: �� 0-1 JOB LOCATION: � !J4 �P�•;N a a �- G -7 Number Street Address 1 1� !�Iap,'Lot HOMEOWNER ?��k � �t�S� 1�1�un�� 9�� ,g Q6-�� 4�p -730 Name Home Phone 73S� Work Phone PRESENT MAILING ADDRESS 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. HOME01��iERS S[GN:1 fL'RE —.C04 ___ APPROV,M.OF BUILDING OFFICIAL Rc% ,,,d ui 2005 — -- — --- � rm Hnna�",n.�rs I"�,rin�-lir,n HF. 11 � S 3 kr w t.r t �ry II►tlj�t} I'{ �� It i k{ Iltl j�► jl Ii , I � t I ( . � , ��'�ll (�rll, i( Ihtt,��j,ji,l til t t k �I�('ILt.Itl, li Ij �II(IIIC�Ik Ili(.j (tt�(�illllli(F�ti�tt(l1�ltl1�+l( � I(i tl I li I j Proposed Floor Plan W/Dormer 7.9- 23'-7 8'4" —,�--OZ-8" -3'-3 112" 33'_2" I •. j Bath ` South Bedroom OM East Bedroom 8'-3" 4•_1" 0 I. o� North Bedroom I' I �7[ F 16 '7 UP _• idR x+0"7 38 8.. &�� a �� Q4"l )7(v I� c /�� FP-7C(rev 1ro6) OZ 10,25 CJCC��ak et., 94&d.. 0,-"776- APPLICATION 775APPLICATION FOR CERTIFICATE OF COMPLIANCE . FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS 7lM.G L.,`CH/APTER 148, SECTIONS 26F,.26F1/s 1)W7 City or Town rl RC1/�V Date: / f Application-is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by Massachusetts General Law,Chapter 148,.Sections 26F, 26F%and 527 CMR 31, et seq. NOTE:SUBMIT APPLICATION TO LOCAL FIRE DEPARTMENT HEADQUARTERS �j V7S Location of Property �/� oar 7D� 'IVbb Owner of Property Number of Dwelling Units / Signature of Applicant Inspectionfresting completed on: By: I r . Fee:(M.G.L.Chapter 148 Sec. 10A) Fire Chief Note:Any certificate issued in accordance with provisions of M.G.L Chapter 148,Sections 26F,26F'/2 expires sixty(60) days after issdance by head of the Fire Department FIRE DEPARTMENTS COPY ! � V�2e (QG�7�i�'LQ�yGG�L�G d CJI�LQd6G��1'G'Ca1P.�1�1 FP4(rev.1/06) �0' ✓c ox 1025, (A& Rom! C%w, Qgaad:. 07775 CERTIFICATE OF COMPLIANCE M.G.L. CHAPTER 148, SECTIONS 26F;26F1/2 City or Town �Z/�` � Date: L — This Certifies that the property located at FS 1 has been equipped with approved smoke detectors, and carbon m noxide alarms and was found to be in compliance with Massachusetts General Law, Chapter 148 Sections 26F,26FY2 and 527 CMR 31,et seq. Inspection resting completed on: By: / Inspector Fee Paid: `� Head of Fire Department:- Note: epartment:Note:This certificate expires sixty (60)days after date of issue. SELLER'S COPY Page 1 of 1 -� � � •�'.` � �� %fit It jc f !{ it �a Alf , a p r eve. l' It http://www.beforethearchitect-com/images-draftings/Valley-Rafter%20Method.JPG 1/9/2007 Existing Floor Plan r- -- - - - - - ---- 23'-7 6'-3" 3'-3 1/2" 33'-2 V L Bath y East Bedroom " West Bedroom E� I; -- —- Closet - -- �+ T3RK 10"T 36'7`