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Home My WebLink AboutBuilding Permit #Exception - 105 CARLTON LANE 5/1/2018 (11) TOWN OF NORTH ANDOVER %40RTH APPLICATION FOR PLAN EXAMINATION of,t�■� 6;'tio 0 1 Permit NO: Date Received Date Issued: 2J SSq�NUSE IMPORTANT: Applicant must complete all items on this page LOCATION fI ' OYI Lha A-4('40y Print PROPERTY OWNER /yI�`<iL1A Gn 1k'.`h 116,2,6d u P-;n Print MAP NO.:W. CPA ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building �One family Industrial ❑Two or more family `' Addition Y Alteration No.of units: ry g ❑Assesso Bldg �Commercial Repair, replacement Demolition Moving(relocation) ❑Other G Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED A Identification Please Type or Print Clearly) OWNER: Name: /YI�'�� X,,? Phone: F"!2 Address:_ /b /,o CONTRACTOR Name: INi`A,4� A/a,5oza,- Phone: f79 Address: 9, sf;.o ��n� Q � y �•, /X� 0/�`I y Supervisor's Construction License:_ ,` S'�� Exp. Date: 2�l 7 f fLEio Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: .'address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOT-IL ESTIMATED COST BED ON$125.00 PER S.F. Total Project Cost :$ ��` KOD x12.00—FEE:$ 74 Check No.: Receipt No.: Page Iol'3 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 a 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 ❑ Photo Copy of H.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 j 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 INSPEC IONAILSERVICE,DE:PARTNIENTaEPPOR%1115 TYPE OF SEWERAGE DISPOSAL Tanning/Massage,Body Art ❑ Swimming Pools _ Public Sewer Tobacco Sales Food Packaging/Sales Well _ . _ — Permanent Dumpster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent Own Signature of contractor 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 ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS 4 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision'receipt submitted yes Planning Board Decision: Continents Conservation Decision: Conunents Water&Sewer connection/Shmature&Date Driveway Permit Teinp Dumpster on site yes—no— Fire Department signature/date i I Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Re uired Provides Re uired 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) Page 3 n t 4 111 1:INSPL("IION.NLSLIM T:SDFPAR'IML_NFBITORM05 Location /0,C64 /Z-74-0 M Aly. No. Date PQ g/-0,6 f MOR,M TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ Building/Frame Permit Fee $ s,kMusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ® 1 19521 161ng Inspector c NpRTry '9 Town of And Alt 6A o dower, Mass., COC MIC ME WICK y�. ATEO pP�\ BOARD OF HEALTH Food PER /Kitchen M. IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... �...... ..�.. 4........ �1 .. '................ ......................................... Foundation has permission to erect........................................ buildings on ... r...... *^!!,.......................... Rough to be occupied as....... ......Q,,,,,.j!..f r.>,...r........,5- ......... ... ......0�. ...... Chimney Q�� Ch' e provided that the persdRaccepting this permit shall in every respec confor to the terms o�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 00-01001PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS ARTS Rough ....................... ................. ..... ............................... Service BL DING INSPECTOR i 11 � 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 pry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. � At. Td. 4 P •C - i=l. t.4# PLAN - Or An Wang&Micha num Bardile No 03}61064: Address: 105 Carlton Lane Case No C : North Andover State MA L :'t71845 i Lender:Access National Mo a e" 9 Indicated Dooms Are;Representative`'Oniy And Are Not To Scale Master Bath Bath Close Bedroom Master Bedroorri Bedroom::` Second,Floor Bedroom 40.0` 77 . ...� � 14.0' Wood•Dec`It i 55.0' 12 0' `Q Dining Room _ • „ Breakfast Fartltty Area - ' K'�fchen" Room A—^ ,e Recreation Room► 1 f2 ,' • 17 at First Floor. Study i4 Foyer: Living Room: 17.0' o 24 0' 44 0' Sketch by Apex lU Windowwe'"' Y VTg ,� �1�1 .y �_y �� '°.f :" Comte; 13s�crlpti+la, ".� k Is t` GI.A: Fixst Floor 2152.00 2152 90: lis t Skobs $aaond Fl ^ oor 1080.00 1'080.09 24 0 .x. 25.0 600 00 0,';:g 5'1.0,r. 2?. 12S4.A0 , - .: .. �..L! 40 160:00 w' 8.0 14.0 .112.00 Second Floor' '27 0 is dO,A' 1080.00 :_ ,,. _ ,.. cs-...'rew.. ,..t'; '"�r. tpy'm9 o-•�.. ,. r e,:,et e N MasterEV . tBedf00n1 Bedroom Second Floor Bedroom . . 14.T. Wood t)pck 55 0` 12 0' Uning Boom Breakfast amply - Area k Room itchen' r Lo to Recreation Room First Floor 1/2 a Stutly. :Poyer Llving Room k c 17 T" o 40.0' Sketch by Apex] Windows rli�� YY�R�� 1W11s1��n{N4Y - -.. 0. CiLlkt' First PI dot 2i5Zz00'` 2152.00* Eirst 83oor'.; Li►2 Saaond:-.r1'oor" 1080.00' 1080.00 24:0 '. 25.0 640.00 7.0 :1254.00 4:D.:x 40.D :. i$0.00 - 8.0- k . .14.D 112.00: 40:0 1080.00 s k a = a 1 r TOTAL QvABLE`;, (rounded) '232 6 Areas Total(rounded) ` ;. 3232 1 f KORTp TOWN OF NORTH ANDOVER 9 OFFICE OF BUILDING DEPARTMENT ° 1600 Osgood Street Building 20, Suite 2-64 North Andover,Massachusetts 01845 4SS�cNuSEs Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: V)s lvol JOB LOCATION: /z9 L ,o-�f� Z_ Number Street Address Map/Lot HOMEOWNER /1/7/"r47 ��/�jg Ll in Name Home Phone Work Phone PRESENT MAILING ADDRESS /moo h L' la 1-21 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 i v APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homtowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9.540 PLANNING 688- 9535 - r N _ e. on I o` ' f ` Alf MA • � �� :'7 ter• .•.;� . b _ � �� (�.�':��- p 59. 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