HomeMy WebLinkAboutBuilding Permit #532 - 12-22 Hodges Street 2/10/2006Irw
&ORTH
w Ot s,.•o e,q'O
0c
° 9 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
c .fqh
SS.ACH15E4
Permit NO: `3`� Date Received -le-pb
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION _ Ik G9s
PROPERTY OWNER"-1�
Print
MAP NO.: _J 6__PARCEL:
TVPF ANn 114ZF nF RIT11.n1Nr_
ZONING DISTRICT:
HIRTORIC DISTRICT VF.S ❑
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
J New Building
D Addition
L Alteration
- One family
k, Two or more family
No. of units:
r- Industrial
,X Repair, replacement
11 Demolition
C Assessory Bldg
L Commercial
L=; Moving (relocation)
E Other:
Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
�,.'
CONTRACTOR Name: R "5 c0 �.9 ��✓S J� Phone: 917"S `987�
Address: 1' 6 (§ -T (u & i9l (/ F, .S -r /1/0 , l- fv_pv cl�R : rM P@
Supervisor's Construction License: O�-1 Exp. Date: 101aAefl
Home Improvement License: C I C� Exp. Date: 07
ARCI IITECT; FNGINFFR Name: Phone:
Address:
Reg. No.
FEE SCHEDULE: BULDLNG PERMIT. $10.00 PER $1000.110 OF THE TOTAL ESTLUATED COST BASED ON
.$125.00 PER S. F. U e ..
Total Project Cost Iawn p 0 x10.00 -FEES
Check No.: c30 9,3,3 Receipt No.: 7�4
TYPE OF SEWARGE DISPOSAL
Tanning/1ktassageiBody Art
Swimming Pools _.i
Public Sewer _.
_
Tobacco Sales --
Food Packagin- "Sales
Well
Permanent Dunlpster on Site
Private (septic tank, etc. _..
NOTE: Persohis c•owrac•ling with aaregiWered cowraclors do uol have access to the guarauly fluid
Signature. of Agent/Owner 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 Pen -nit
❑ 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:
Zonin,y Decisionireccipt submitted yes
Planner., Board Decision: _Conlnlents_
Conservation Decision: Conlnlents
Water & Scwer connection signature & date
Ternp Dunlpster on site yes— 'no-- Fire Department signature.'date
Building; I?ertriit`Approved and Issued by: '';
Building Setback (ft.)
Front Yard
Side Yard Rear Yard
Required
Provided
Required Provides Required
Provided
DIMENSION
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
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 Pen -nit 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: I.NSPEC'PION %L SERN'ICES DEPARTMEV'r:BPFOR,1105
i
Location
No. c�.3�- U Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation, Permit Fee $
Other Permit Fee $
TOTAL $
Check # -36 43—
18975
f%`—Building Inspe6 r7
g
W
O
r'
4
c c
m c
c �
CD `
C y
O
C
v V
CL. C
O O
Q
u
av+
C7
A
G
`o 4D
Uw
w
w
w°'
w
w�'
w
w
a4
cn
cn
4
• y R
M: y
ECD�
® yCD
O O
CD
cm
D
CL
� O
CL
m H O C
_
o
`0 m «_.
Fs 0 a O ►o
Nco O 0 CD
CD
ui Go
w.s
• cW.3 m C3 cm
c
H d m O
i A ti O
F- t ZZ CL*-
m
E
May
N
C
O
7S
cm
m
12
Cf
m
0
CD
C
r�
m
t
O
Z
0
O
F.
v
C
71
O
U
4�1
�0
CD
O
0 r
L
0
CD
Z Q
O y
� C
G3 Qm
i O
CD._
h C
rE m m
C3 CD
a.
co
co o
e_cv o a
Q. cmQ
c
Ca
s c
ev
V C9 'p
r� O CD
C Z CD
V y
c C
C G
c
CL
is
uj
0
V/
LLI
U)
W
W
W
U)
c c
m c
c �
CD `
C y
O
C
v V
CL. C
O O
m C
O
`o 4D
EQ
CDJ
r
oa
N
E C
CD 0
C_..
00
'
Qf m
C
h
m O
co
�'
3
cm
_m
P�
CO -0
C
• y R
M: y
ECD�
® yCD
O O
CD
cm
D
CL
� O
CL
m H O C
_
o
`0 m «_.
Fs 0 a O ►o
Nco O 0 CD
CD
ui Go
w.s
• cW.3 m C3 cm
c
H d m O
i A ti O
F- t ZZ CL*-
m
E
May
N
C
O
7S
cm
m
12
Cf
m
0
CD
C
r�
m
t
O
Z
0
O
F.
v
C
71
O
U
4�1
�0
CD
O
0 r
L
0
CD
Z Q
O y
� C
G3 Qm
i O
CD._
h C
rE m m
C3 CD
a.
co
co o
e_cv o a
Q. cmQ
c
Ca
s c
ev
V C9 'p
r� O CD
C Z CD
V y
c C
C G
c
CL
is
uj
0
V/
LLI
U)
W
W
W
U)
IV
9//6 /JG79ii/91.G47.0/BC/,(.(fi.
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 022988
Birthdate: 10/31/1943
Expires: 10/31/2007 Tr. no: 7373.0
Restricted: 00
JOHN GRASSO
865 TURNPIKE ST
NO ANDOVER, MA 01845
Commissioner
' ,per ✓ize -+°Gml�rnauGeal,�/i G���,aaaaclw.ael�a
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 113130
Expiration: 5/18/2007
Type: Private Corporation
GRASSO CONSTRUCTION CO., INC.
JOHN GRASSO
865 TURNPIKE STS
N. ANDOVER, MA 01845 Administrator
1