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Home My WebLink AboutBuilding Permit #355 - 13 MAPLE AVENUE 11/2/2006 TOWN OF NORTH ANDOVER r►ORTM APPLICATION FOR PLAN EXAMINATION o� t�.o ,°1ti Permit NO: r d Date Received Date Issued: - "2-'®;; 1SSAC HUgE� IMPORTANT: Applicant must complete all items on this page LOCATION_ I) Ma U-.; Print PROPERTY OWNER��Je-1s Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 419ne family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑Commercial Demolition Moving(relocation) I Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED Ot C C.Q 5 S S' Pad Identification Please Type or Print Clearly) OWNER: Name: `S+6G �J �4�46dp Phone: ° Address: CONTRACTOR Name: phone Address: i LP v',e, yin�1-p.[ �. I Supervisor's Construction License: 1 '�I a(.P l/ Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER 51000.00 OF THE TOT,4L ESTIMATED COST BASED ON 5125.00 PER S.F. Total Project Cost :$_ 160 0 —,;TooFEE:$ -- Check No.: 3,7/ Receipt No.: Page Iof4 � � TYPE OF SEWERAGE DISPOSAL Swimming Pools C Tanning/Massage/Body Art Public Sewer Tobacco Sales Food Packaging/Sales ❑ !J Well Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting wi t unregist7E] Certified actors do not have access to the guaranty fiend Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Pl ns Waived Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM j I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date 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 Building Setback 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 Page 3 of d Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JXIC.Jan-'006 1 Building Department artment , I 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 Addition Or Decks ❑ Building Permit Application ❑ 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) New Construction (Single and Two Family) ❑ BuildingPermit 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 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:BPFORNI05 Page 4 of 4 NORTH Town- of It Andover No. wm�ro y 2-0 � LA E over, Mass.,110 COCHICHEWIC 0'4'ATED WARD OF HEALTH Food/Kitchen PERMIT T D Septic System ! 6 41 ON BUILDING INSPECTOR THIS CERTIFIES THAT I SA��................. ... . ...... ..... ................................................ Foundation has permission to erect........................................ buildings on ...%* . .I .... ........!t ............. .........ji ...................... Rough to be occupied as... .......sul.-erx.....If NPO& Chimney provided that the person accepting this p shall in 9 ery respect confoXi It -wie--r-m---s....of-the---...application.---- ---. ---....o-n—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 Final top 36 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRU S ELECTRICAL INSPECTOR S T Rough ..................... Service .... ...... .. ..... BUILDING SPECTOR 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 Street No. SEE REVERSE SIDE Smoke Det. i IJ fie �orrimoozurP,a� a��¢cfiuve�.a--� _ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROyEMENT CONTRACTOR before the expiration date. If found return to: `�` Board of-Building Regulations and Standards Registration 151960 Expiration 7/18/2008 One Ashburton Pla Rim 1301 r Boston, a.02108 Type Priva#e Corporation EAST COAST RENOVATIONS {a1 JASON WALDO �\NAV-, I/ 16 BEAVER AVE r LYNNFIELD, MA 01940 Deputy Administrator valid without signature � � ✓�ze �amamroouuecz� �,.//j�� _„- BOARD OF BUILDING REGULATIONS I License: CONSTRUCTION SUPERVISOR Number.C$ I � 093866 � B /17/1970 xptres:'09/17/2009 Tr. no: 93866 Restiricted �00 �� ' JASON R WALD"O 16 BEAVER A LYNNFIELD, MA 01940 `" ! ,. ( -- Commissioner MAC's PL-45 Vertical Home Lift&Porch Lift for Wheelchairs& Scooters Page 1 of 1 + Wednesday, November 01,2006 Quick Menu Home Porch Lifts iwacs PL45 Macs PL45 Macs PL72a' Macs PL Ansi ural , d :sem xr Cd�}{tl�tC I s ' i Yawrrx � e��a• 3 pails gn� W!LLit of t O. P mP1a1 -- d --s� Piodarr3 Width Qva d1WK1hcdUft The PL-45 are sturdy enough to lift and lower up to 500 pounds and will accommodate electric wheelchairs and scooters. Running on a gear box and chain, the PL-45 provide a smooth and quiet up and down ride, requiring little maintenance. All mechanics are fully enclosed, yet easy to access through the rear or front of the housing unit. The lifts are completely weatherized and attractively finished in off- white. x ' 2 Locations to Serve You! Creative Mobility Inc. Creative Mobility Inc. 320 Civic Center Drive 6891 Indiana Avenue National City,CA 91950 Riverside,CA 92506 phone:619-474-4072 phone:951-686-3152 fax:619-474.4080 fax: 951-686-1682 Vans For Sale I Used Vans I Mini Vans I Full Size Vans I Van Rentals Para Transport I Wheelchair Lifts I Scooters I Scooter L'tftsDriving Aids I Mobility Rebates I Portable Ramps I Porch Lifts I Directions Our Company I Home Contact Us I Riverside I San Diego (c)Copyright 2004-2005 www.creativemobility.com r r• http://www.creativemobility.com/porchlifts/PL45.htrnl- - 11/1/2006 ,F r" .y TOWN OF NORTH ANDOVER y OFFICE OF Y BUILDING DEPART:XIENT „.kms 1600 Osgood Street Building 20, Suite 2-64 '*AT ' �` North,kndover, Massachusetts 01845 "ACHO�' Gerald A. Brown inspector of Buildings Telephone(97(8)688-9545 Fax (9;8)6,S,,S9;}3 HO'�IEOWNER LICE'N'SE EXEMPTION Pleasc print DATE:_ r� JOB LOCATION: CL Uo 'Number Street;address --- / Map/Lot HOMEOWNER �� } S�61 � Se hg ClG _ Cf 7d 1�� S�1�D Name Home Phone Work Phone PRESENT MAILING ADDRESS �j a 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. I The undersigned"homeovmer"certifies that he,'she understands the Town of North Andovcr Building Department minimum inspection procedures and requirements and that he/she requirements. will comply with said procedures and IIO IEOWN"ERS SIGNATURE APPROVAi-OF RC`1LDiNG OFFICIAL --- .--- r. 1Wd M 2005 � rm Hnmrran�rs L:.rui�•iir•n x.11..1-H•;.„- ' Ail f'C;1 ;�,i .C. ,• Location �� 2tM-e No. <S^ Date D r NORTH TOWN OF NORTH ANDOVER f 1 # Certificate of Occupancy $ �,SSAC MUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 7 r 19757 Building Inspector