HomeMy WebLinkAboutBuilding Permit #454 - 136 CASTLEMERE PLACE 2/24/2008 a
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BUILDING PERMIT 0.* t,�o #6A
TOWN OF NORTH ANDOVER °�
o
APPLICATION FOR PLAN EXAMINATION
Permit NOV Date Received
Ss US Date Issued: `0
IMPORTANT: 'Applicant must complete all items on this page
LOCATION A 4 CAS I L n
�� t-.
PROPERTY OWNER , -
'`!Print
MAP NO: PARCEL Z_ONiNG DISTRICT: HistoricDistrictyes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
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 PREFORMED:
C:4-
Identification
Identification Please Type r Print Clearly)
OWNER: Name:�c i X /� !•(, Phi �J
Address:
(,I-T\D IL ��
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$100000 OF THE TOTAL ESTIMATED COS-TT BASED ON$125.00 PER S.F.
Total Project Cost: $ "-Zr FEE: $ J
0
Check No.: / Receipt No.: 071?5
NOTE: Persons contrac ing wjt4 unregistered ntractors do not have access to the guaranty fund
_igna#tare ofAgent/0 _ n of contractor
Locatior/',
No. Date
MORT� TOWN OF NORTH ANDOVER
3? � 04
10. S
Certificate of Occupancy $
�+s"•n°•t<� Building/Frame Permit Fee $
s�CHus
Foundation Permit Fee $
Other Permit Fee $ `
TOTAL $
Check #
21 859
Building Inspector
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
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on o2 Signature
COMMENTSapt
y
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 Main Street
Fire Department signature/date
COMMENTS
4
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
❑ 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
❑ 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
❑ 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 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
Dor.INSPECTIONAL SERVICES DEPARTMENI':BPFORM07
Revised 2.2008
x.10 RTH
Town oc
O Andover
No.
o dover, Mass., D O
T 0 LAKE A, T
COCHICHEWICK
ORA TED PPa` �5
BOARD OF HEALTH
Food/Kitchen
PERMIT . D Septic System
610 �� L v� BUILDING INSPECTOR
THIS CERTIFIES THAT........... ............................................. ................................................................. Foundation
has permission to erect ......................................)uildings on C �P ............./ .................................................................)04 Rough
Y �
to be occupied as......... �1�� • Chimney
.... ....................... ..... ......................... .............................................................................................
provided that the person accepting this p rmlt shall in every respect 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
(30mow PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO STARTS Rough
................... .......... ............... ...................... ...................................... Service
BUIL ING INSPECTOR
Final
Occupancy Permit Required to Occupy wilding GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove F Rough
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.
t µoRTM TOWN OF NORTH ANDOVER
474• I• 'I
o:•, o OFFICE OF
L
BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
North Andover, Massachusetts 01845
Gerald A.Brawn Telephone(978)688-9545
Inspector of Buildings -. Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please otic
DATE:
JOB LOCATION: C�
Number Street Address maps
HOMEOWNER j -
Nam Home Dhow Work Phone
PRESENT MAILING ADDRESST*
C� 5
City Town State Zip Code
The current exemption for"homeowneit"was edeanded to include Owner-okccup ed d%zili:.gs to two umts 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 awns a parcel of land on which he/she asides or intends to reside,on which there is,or is intended
to be,a one or two family structures. A person who constructs mora 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 requires and that he/she will comply with said procedures and
HON EOW HERS SIGNA
APPROVAL OF BUILDING OFFICIAL.
Revised 10.2005
Form Homeowama F-mmoon
BOARD OF 1PPE:US 698-9541 NC ' 5
CC), .ERS n�'F
�ti_\ .gR 9.3c1 TiE.�11'1i 6gR-95 i0 PLANINING(,M9535
V �
C4 S TL ESI ERE PLA CE
327.9'
L=31.4'
33
BRICK STAIRS
® ` (TYPICAL)
(� BRICK STAIRS
(TYPICAL)
.mss--- 72'
#136
Q O
LOT a OA , CASTLEMERE PL.
Iff
M A=54,579 S.f.
w
W w
Qj BRICK PATIO
m W/AWNING 44' 49'
I 286.5' 3o'
ti
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SEE DEED BK.6790 PG.8
SEE PLAN 9459
I cunry THAT THE PRIDWELLING LOCATIONPLANTHEHORIZONTAL SETS CKARY REOUIREMENTS OFSTRUCTUREOWN THE LOCALCONFOTO
APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED.
e' A� (�0, (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER
CLIENTo LINDA ���/(/G� RESTRICTIONS SUCH AS COVENANTS WETLANDS EASEMENTS
ORDERS OF CONDITIONS,ETC.) THIS DRAWING SHALL NOT BE USED
BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED
ABOVE.EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN
& SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED
THIS CERTIFICATION IS MADE AND LIMITED PROPERTY OF CHRISTIANSEN & SERGI INC. AND ANY
TO THE ABOVE CLIENT. UNAUTHORIZED USE IS PROHIBITED.CHRIST/ANSEN & SERGI TAKES
NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS
DRAWING OR ANY INFORMATION CONTAINED HEREON.
LOCATION: 136 CASTLEMERE A. NO.ANDOVER,MA. ��� 11
MIC EL
ss
O G
DATE: IV 12107 SCALE.-l !=50'!=3®' m
m
C RIST lA l VSE(V SERGI PROFESS ONAL ENGINEERS
SURVEYORSLANDq i 1SS10�P�
160SUMMER Sr. HAaVEERHILiLL MA. 01830 TEL. 978-373-0310 SURVIF'�
@2005 BY CHRISTIANSEN & SERGI INC.
DWG.NO.:07065002
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