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Home My WebLink AboutBuilding Permit #520 - 105 HIGH STREET 2/6/2006 L f NOpTN O ti�ao y'�tio rt p TOWN OF NORTH-ANDOVER ,r•' APPLICATION FOR PLAN EXAMINATION SA US { Permit NO: Date Received: —3—NoDate Issued: ►+� x IMPORTANT: Applicant must complete all items on this page LOCATION T Al. tjk OIFS16S Print PROPERTY OWNER SANI/ y Tj m,,CmoS3 &!&O&ZffL;0002Q Print MAP NO.:_QVV 3 PARCEL: it ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family ❑ Addition ❑Two or more family ❑ Industrial VAIteration gk5 T No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED FiNI sTwAIf-1-S e,r. SEm w, Identi kation Please Type or Print Clearly) 9 OWNER: Name: Phone: - Signature Address: 104 HLGLi &T &InglN AA U6-9N- OI9Y,5 CONTRACTOR Name: Aep talk P7 r7-Pl Phone: J7 f.-4-Z—o;?3q I Address: p < c> pervisor's Construction License: , Exp. Date: 962 ment License: 3 Z g Z Exp. Date: 2- ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. -V 906.01) $,�f Total Project Cost : O? x10.00=FEE:$ Check No.: eceipt No.: C TYPE OF SEWARGE DISPOSAL Swimmin- Pools Public Sewer Tanning/Massage/Body Art ❑ b Tobacco Sales J Food Packaging/Sales Cl Well ❑ ❑ Private(septic tank,etc. Permanent Dumpster on Site ❑ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of'Agent/OwnerSignature ofContractor v 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 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: Comments i Conservation Decision: Comments Water& Sewer connection signature&d Temp Dumpster on site yes_no_ Fire Department signature/date Building Permit Approved and Issued by: Building Setback (ft.) 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) t Doc:INSPFC"I'IONAI.SERVICI_•S DITARTMLN'I':13111- )RM05 / CmaledAff lin'006 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 ❑ Debris Removal Form ❑ 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 ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ 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 ❑ Form U ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses I ❑ 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:BPPORMU5 Location /9 No. Date AZ4 "GRT" TOWN OF NORTH ANDOVER f L • > ; , Certificate of Occupancy $ �'7S'�••"'�t�' Building/Frame/Frame Permit Fee $ s,k,wst 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Dd Check # 18 .962 Building Inspector A&P HOME IMPROVEMENTS P.O. Box 1912 Salem, NH 03079 978-682-0839 JOB LOCATION: 104 High Street, North Andover, MA 01845 GENERAL AGREEMENT INTERIOR WORD TO BE PERFORMED BASEMENT Framing on the Concrete Walls New Sheet Rock around the walls Install a new Drop Ceiling Install Tiles in Shower Area Install Vanity and Fixtures, Tile Flooring and Door Closet to be installed Carpet flooring to be installed A.&P.Nome inp ent P.- Rox 19 r CbST Mt�TERI �-- A/QD L-�-� Q®00 �� a s' � 3i t j I l t\� a VV JN-7172 sNJI �J VO 1/Z r J ��ze �airvnwncuea�i a��ac/u�ae�ta Board of Building Regulations and Standards License or registration valid for individul use only. M F HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 132982 Board of Building Regulations and Standards Expiration ,4/24/2005 One Ashburton Place Rin 1301 r Boston,Ma.02108 A AND P HOME IMPROUEMENT`I K ARDIAN PYETRI > r 11 LANCE LOT CT SALEM, NH 0307.9 -- rP , Administrator Not v ali ithout signature l ba"vreyi'F1';" TOWN OF NORTH ANDOVER OFFICE OF A ,` BUILDING DEPARTMENT i t, 400 Osgood Street +, g North Andover, Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: Z f 0(; JOB LOCATION: (0 Number Street Address Map/Lot HOMEOWNER S'A-A AY J 6tAI cC l g-�S$-(`�1� _ . �1'Z.� 'k92-.30 Name. Home Phone Work Phone PRESENT MAELING ADDRESS 104 1-0GU Aj. Aw b6o-R--- HA- OL94-S- 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 Revised 10.2005 Form Homeowners Exemption