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Home My WebLink AboutBuilding Permit #309 - 135 SOUTH BRADFORD STREET 10/19/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION of 00117"p '+� . o 3.t • 0 ►O- p Permit NO: Date Received �" , 61 L oc«««:.�. Date Issuedqrso N #I IMPORTANT: Applicant must complete all items on this page LOCATION S • jam ( 1_ n nt PROPERTY OWNER_ �' tnn.c_S 1v�0 Ila �1 WVVb� Print MAP NO.: i 0-3 PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑Commercial Demolition . Moving(relocation) ❑Other I ❑ Others: Foundation only DESCRIPTION OF,WORK TO BE PREFORMED ¢✓ ✓: ✓ c, 1V 0.t�1 h�ev�/ ST� Identification Please Type or Print Clearly) OWNER: Name: 3'4_VV\e,5. z� WVVy\_A/ Phone: -� �J 3 -3s03 Address: ( 3 S b U�A ST , CONTRACTOR Name: rSP,� — Phone Address: Supervisor's Construction License: Exp. Date: Flome Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: .Address: Reg. No. FEE SCHEDULE:BOLDING PFIRMIT. 512.00 PER 51000.00 OF THE TOTAL ESTIMATED COST B SED ON 5125.00 PER S.F. Total Project Cost :$ U FEES �o Check No.: �ij? Receipt No.: TYPE OF SEWERAGE DISPOSAL Swimming Pools G Tanning/Massage/Body Art ❑ Public Sewer Well 7 Tobacco Sales �� Food Packaging/Sales C Permanent Dumpster on Site i J Private(septic tank,etc. ! Electric Meter location to project NOTE: Persons contracts with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owne Signature of contractor Plans Submitted ❑ ns Waive Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS a FIRE DEPARTMENT - Temp Dumpster on site yes �Ino 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 Require 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-1 Dix::INSPECTIONAL SERVICES DEPARTMENTBPFORM05 Croaied Mc Jan'04)6 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 i 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) ❑ 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 i 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 DEPARTNIEW:BPFORN1113 Page 4 of 4 TOWN OF NORTH ANDOVER OFFICE OF n BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 North Andover, /Massachusetts 01845 A r+us Gerald A. Brown one Tele h97 Inspector of Buildings p l 4)648-9545 Fax (978)684-9542 HOMEOWNER L[CENSE EXEMPTION ------------- Fax print DATE:_ 109 JOB LOCATION: g �1 , 1b3 Number Street Address 131 lvlapfLot HOMEOWNER �av�t�S 1�,t�,�� 3_ Name Home Phone Work Phone PRESENT MAILING ADDRESS A\, City Town a v 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 104.3.5.1) 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. l HOMEOWNERS SIGNATURE ^ .APPROVAL-OF BUILDING OFFICIAL rwv sed l o.2oo5 - — -- Iorni Hollionvners Excmplinn fo, RD OF,1PF1=Ijl.Sr,��:�_)�:{I '(�1N�'11{V,AfIOVi�;,,4; )j3O x;5;5 tlF.�l.-TH •,r,;'- NORTH Town of Andover 9 _ Z' LA E y dover, Mass., /�• / 4. 4 COC MIC HE WICK V A0 ATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.7 � ....... .�il� ........................... ................... Foundation has permission to erect........................................ buildings on ...,,1J.r.....S....... �t .... . ......... Rough to be occupied as.... /'�j� �.�.�.�.. 1.. .:. .. ,��l4.. ......�.../ •t.... . 1.. / . chimney provided that the person accepting this permit shall in every ripect conform to the terms of the 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 Final ID .i PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU STAoilRTS Rough Service BUILD C�'�ISPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. Location S No. Date /0 NORTH TOWN OF NORTH ANDOVER FEW Certificate of Occupancy $ _ • i _ Building/Frame Permit Fee $ s�cMUS R— Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check # 0KA 19705 Building Inspector