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HomeMy WebLinkAboutBuilding Permit #363 - 107 WAVERLY ROAD 11/6/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: n_ w Date Received Ale f110 Date Issued: 6 a J MPORTANT: Applicant must complete all items on this page LOCATION _ U" t PROPERTY OWNER cy,M , tint Print p t MAP NO: PARCEL: ' ZONING DISTRICT: "1 Historic District yes o Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew uilding One family I�Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain. Wetlands Watershed District -Water/Sewer DESCRIPTION OF WORK TO BE�ERFORIVIED:l\Si('Vc� 2 ' X �$l� a��� IQ� � Stn �Q �or Identification Please Type or Print Clearly) r OWNER: Name: t��t a m h ;N\ Phone:Cnt Address: 07 �,►� �� , ©�{1� �l��D� T CONTRACTOR Name: Phone: Address: Supervisor's Construction License: exp. Date Home Improvement License: Exp. Date: ARCHITECT/ENGINEER l�brq W or S Phone: 00� 410 "SN Address: 3( �4v\y\fooWDVU_ Mme- 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: $ I 000t_10 FEE: $ Check No.: /�a g Receipt No.: 6 ®'L/ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund r i nature of A ent/O ner Signature ©f contractor �g g Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools 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 int% (,J1I7?eTX& C� DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS G'(/ CONSERVATION Reviewed on Signature U V ' COMMENTS 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 MainStreet Fire Department signatureldate -- - 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 td - 1;-( J- O� lvtd o/ ❑ 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 ❑ BuildingPermit 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 ori spec al permit was required the Town Clerks office must Stam the decision from the Board p 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: Doc.Building Permit Revised 2008 Location D 7 No. 3 3 Date T1y TOWN OF NORTH ANDOVER F w P + , Certificate of Occupancy $ GNUI Building/Frame Permit Fee $ 1ASE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ,�2 226U4 Building Inspector F µoRTH TOWN OF NORTH ANDOVER 0� OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 q c•cbim:a. �. '� . "An North Andover,Massachusetts 01845 SACHUSE Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: 0 JOB LOCATION: O� ' Number. Street Address Map/Lot I30MEOWNER 1 l'� Akj 81 3 3� Name Home Phone Work Phone PRESENT MAILING ADDRESS O City Tov,n 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 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 FRANK S GII.ES DATES: HOFMAss JULY 25, 2003 SCOTT L. GILES ZONING DISTRICT R4 o� REVISIONS: FRANK S. GILES N NOVENMER 15,2003 GI y OCTOBER 29, 2003 SURVEYING o stio�'P SCALE: V= 20' 50 DEERMEADOW ROAD PATRIOT STREET qroo� o' 20' 40' NO. ANDOVER, MA 01845 1 IRON o suRv� I PIPE FOUND TEL: (978) 683-2645 CTOBER 29, 2003 e-mail: FrankGilesSurvey@attbi.net v + x 205•' NSEE''S' PARCEL 22 202 66 1" IRON PARCEL 20 PIN FOUND 6' _ 14' 14' rt `t L•� L 16' w N LL�� Z r., L.LL__L"LL-LL Q W O 406LLioSk Q L o F+ N �` �.I_LL _ - LL I_.LL L ,yy Z _L I_'_L "yL� L L_i_ PARCEL 27 ��s18 'L L i_L.:_i._ - 22' 0 8F o o DECK d 99� PARCEL 23 � 12,833 S.F. N oa p o PARCEL 26 �' ° PLOT PLAN OF LAND 0.295 Acres W 0 LOCATION 2 0 1" IRON I 107 WAVERLY ROAD PIPE FOUND CN NORTH ANDOVER, MA. S 86°44'34" E PREPARED FOR 78.00' ! WILLIAM FAHEY PARCEL 24 SUBJECT PROPERTY MAP 14.PARCEL 23 107 WAVERLEY ROAD AREA=0.26 DEED Bk. 3128.PAGE 96 (PAST:) C:\CLIENTS\FABEY BILL\CERTPLOT.DRG