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Home My WebLink AboutBuilding Permit #733 - 105 LEANNE DRIVE 6/11/2008 RTF� BUILDING PERMIT Of NOOO TOWN OF NORTH ANDOVER o? APPLICATION FOR PLAN EXAMINATION Permit NO: :233 Date Received Arno /� ��SSACH�1`�� Date Issued: 61 " IMPORTANT: Applicant must complete all items on this page LOCATION. (C)s txA-Wyke- � Print PROPERTY OWNER tN ;A q-w" Prin MAP NO )I.'� PARCEL: N6 ZONING DISTRICT: Historic District yes no Machine Shap Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Ri w Building One family Additio �� vlol Two or more family Industrial ration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: p 2, X tta` cs a --k CZa-�l &('I-- Identificatio,{� Please Type or Print Clearly) OWNER: Name: `Sco� �rnavh Phone: Address: �0� ��+� '�"Nk CONTRACTOR Name: <3&-& Phone: 2 Let-�'` Address: Supervisor's Construction License: CJ Exp. Date: og Horne Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 30 Check No.: 7 Receipt No.: o'� 10,120 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund signature of Agent/Owner Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerSwimming Pools Tanning/MassageBody Art Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS t HEALTH,. Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified 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) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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:BPFORM07 Revised 2.2008 Location Zos- le Z/� ,,,e No. Date MORTh TOWN OF NORTH ANDOVER Of i•`.c ,•,yC F 9 • i ; : Certificate of Occupancy $ cHusEtA Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 7� 2 , ,-. 3 0 Building Inspector µ°RTM TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT } •+` 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 1ss�c��t f: Gerald A Brown ` Telephone(978)688-9545 InspecVr of Buildings -. Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Plea=pci DATE: 4Mk ' JOB LOCATION: Ids Leb-YIL'`e ?J1 Number Street Address Map/Lot HOMEOWNER W Seo-As C�-t� 25161nK 18 2�tco Y59- Name Home Phone work Phone PRESENT MAILING ADDRESS 1�-C'=ut (k-(" kit"A'avu 0 i is City Town . State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two omits or less and to allm such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code lection 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 rgWrements and that he/she will comply with said procedures and HOMEOWNERS SIGNATURE I A APPROVAL OF BUILDING OFFICIAL I Revised 10.2005 Foran Homwwnms Dwmpdon is BOARD OF APPEALS 689-9541 CONSERV-vr[1N 699-9530 HEALTH 08.9540 PL.L\N1NG 688-9535 ay�.rct, Sort/ i Jvv i i -eye Cz) sy lb KPS - Board of B04 to I" a� Uilding Regulatiods ani naar Construction Supervisor License License: CS 1869 Expiration: 8/4/2009 Restriction: 00 Tr# 22718 JOHN F BONA 23 HALF LOVETT ST BEVERLY, MA 01915 �c C-Mlissioner NORTH T I It own of Andover V- *M No. dover, Mass., 0 LA COCHICNEWICK ORATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........II .......... ........... ............................ k CVW ............................................. Foundation has permission to erect........................................ buildings on .......... 615.. Lv- ...... ....... Rough . ............0 4 Chimney to be occupied as.... .... ........... .... ... . .... p9nr. : n.!!! L, a . ........ provided that the person acce5ing this permit shall in every respect conform to the terms oft'h-e-,*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 PERMITEMPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONS STARTS Rough C T% Service Mr��ECi6i Final Occupancy Permit Required t® 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.