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Home My WebLink AboutBuilding Permit #507 - 11 ROSEDALE AVENUE 1/27/2006 O, NORTH 1 p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,SgACHUSE� Permit NO: 150-7 Date Received:/J7—62 Date Issued: 1A7- 210 IMPORTANT: Applicant must complete all items on this page LOCATION lA Print PROPERTY OWNER QV be IP� Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building E One family ❑ Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition 11Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED r� FLU( v- �Uo t7J ' 11✓uYl<v�`t �ti� ��rnP �� c� Identification Please Type or Print Clearly) A OWNER: Name: Ut L,-OIS 7i '61 �ewk Phone: [ Ol C2 Signature Address: 1 C1 OVCC - A/l 4 O N 0 CONTRACTOR Name: m Phone: Address: S C( ym e— Supervisor's Construction License: 01V `PC'�(wt�-�' �� Exp. Date: D Home Improvement License: E/V �/ " Exp. Date: ARCHITECT/ENGINEER "1O1,J wQvsU"-" Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMI I$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. u Total Project Cost :$ [U xI0.00=FEE:$�+ � 120 Check No.: Recei t No.�A 9 p TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools Public Sewer _ Well Tobacco Sales J Food Packaging/Sales C _ Permanent Dumpster on Site L_; Private(septic tank,etc. r l NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of Contractor _ Plans Submitted Pl 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 4, ecial 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 Conservation Decision: Comments Water& Sewer connection signature&date Temp Dumpster on site yes no Fire Department signature/date Building Permit Approved and Issued by: Building Setback (ft.) /A- Front Yard Side Yar 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.: NOTE'S and DATA—(Por department use) Doc:INSPLCIIONAL SLRVICL:S D[_PAR1'MI_:N'r:l3PI-0RM0" Creamed AIC Jan 2006 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 ❑ 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 DEPARTMEN'rMFORN105 Location r r M No. Date Ole MORTq TOWN OF NORTH ANDOVER 41 Certificate of Occupancy $ �'�s'••'°•E<� Building/Frame Permit Fee $ AC NUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ fl f Check # �a9 Building InspeCtoe ` NORTIy Town of Andover O No. 44"00 * - _ L A E dover, Mass., ,7 ' �- COCMICKEwICK A0RATED `s BOARD OF HEALTH PERMIT T DFood/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ...l.................a.. . .. ...................... :..............................I.................. ............... Foundation has permission to erect............ ......... buildin n ..� ........ . ....7ection, Rough to be occupied as �............. Chimney .... ..... .. .............. ... ............................... ........................provided that the person accepting permit shall in every respect conform ms of the application on file in Final this office, and to the provisions of a Codes and By-Laws relating to the InAlteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR I� Rough . . .............:.................................. - ;.��..,:e;.........,:..................,;... Service i a' BUILDING INSPE -TOR----- 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 Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner f Street No. SEE REVERSE SIDE Smoke Det. t 35r4 t a or kou+ P,61-sked �itd F(oor 41 Rose-4ale, Aveilue- Doo Aker n GeN=RAL NOTES• 7T~ .,. .rel •C �.� —ftm..,.,,,, ' :0 7T L• a�(� C u i!GR'rI,PS LT 7� ROOF CONs % Nee 'LaW-LOG!EXCEED P YZ!M OF IIfRGN TO txCltD PLWI CYT 01 RAITtL1 7,L{ 7.•O CRAITIRa•Y•OC.NJ1.01 ] t COLLAR TINS•37.O.0 t 0^^�J R 00 M . 7.f Cll mcM +GISTS•M- IC -1 J 6 7))•oP.A LT PLTW000 SI.MGLES OM If.IMMO.W. K.—a* - �C rr M Yr awAT K ..MG AI -- N() ��.V*w D 1�'� I !I WEATMEN a..LLD AT RAPT9R TLS 1 VALL8Ta 2AY6/RAc4 nal- DRIP!OG! 1.,PML OLOCOMG SYO-IASCtwI O L31rr•Mf MD.IAaCtA YO sonrt a.r I I ~ CO.Ac lxT,! .ALT QooAJ COMT.LOYYff LMT )O•nT OMITI • EXTIcRlOR A 1 RTIgJCT10N. � � � 7.. ROOD STUD!•W. A.O Vr pi.O.C.,MTTvtc FOR LOUAu EMO 4 MAR!!R L�y�pyo 7.. MOLE TOP PLATE 1 V�a 1 W LYlAn7.. 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