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Home My WebLink AboutBuilding Permit #343 - 142 REA STREET 10/20/2006 TOWN OF NORTH ANDOVER NORTty APPLICATION FOR PLAN EXAMINATION 0 4-COLD 06.4 2 Permit NO: J Date Received 0 Date Issued ,- cHus°� IMPORTANT: Applicant must complete all items on this page LOCATION `1/4jy 2 Az y �•�—�� Print PROPERTY OWNER '::57 � Print MAP NO.:409C91. d PARCEL: 061D ZONING DISTRICT: i TYPE AND USE OF BUILDING HISTORIC DISTRICT YES G TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No.of units: Repair, replacement ❑ Assessory Bldg ❑ Commercial emolition Moving(relocation) ❑Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED o✓Oi_ 411 (J T fo a L-4 Identification Please Type or Print Clearly) OWNER: Name: Phone:��eP- v-'��' 6FXeF Address: CONTRACTOR Name: /3��V/y �d/ /`�'/�c/"�✓ZS itl��.��.�1Phone:��-��/ Address: /L5?-5? O��l''��/�✓P��_��i✓��'%� �� Supervisor's Construction License: p. Date: Home Improvement License: Exp. Date: _ ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•512.00 PER$1000.00 OF THE TOTAL ESTIMATED COST,VSED ON 5125.00 PER S.F. Total Project Cost S FEES �,3d Check No.: 7 � Receipt No.: / Page IoF4 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools Public Sewer J Well 7 Tobacco Sales 1 Food Packaging/Sales L Permanent Dumpster on Site �� Private(septic tank,etc. J Electric Meter location to project NOTE: Persons contrac 'ng wi nr i red cont ctors do not have access to the guantyfund KSignahtre of Agent/Owne Signature of contract 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 ❑ ❑ COMMENTS TE REJECTED DATE APPROVED CONSERVATION COMMENTS WY' �t2 1 t? CUIA t Q� a , DATE REJECTED DATE APPR VED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date A 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 Re uired 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,,r'4 Doc:INSPECTIONAL SERVICES I)EPARTMENT:BPFoRM05 C rated JAIC Jan 2006 it 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 a 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 o Workers Comp Affidavit a 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) o Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) a Building Permit Application a Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses" a Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) a Copy of Contract a 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 DEPARTNIENT:BPFOR9I05 Page 4 of 4 Location/16' No. 13 J - Date NORTIy TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ PL Check # 19744 Building Inspector NORTH .- � '...I., Town of over 0 10 No. 3 ,3 C, A E 0 over, Mass.,/0 2w L COCHICHEWIC 0 C ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.....le fie.................. Foundation has permission to erect ....... buildings on... ty, ......Aft w....... Rough so ff &.0 . ... .... how................ ..................................... Chimney to be occupied as.... ...... . .....Ah provided that the person accepting this permit shall In every'resp m to the terms of 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 PERMIT EXPIRES aINCONTHS ELECTRICAL INSPECTOR UNLESS CONSIR ST S Rough T.J� .................t..... ......................... ............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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. TOWN OF NORTH ANDOVER OFFICE OF " 1 BUILDING DEPARTMENT ` 1600 Osgood Street Building 20, Suite 2-64 �;,•"', ',t` North.\-ndover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings Telephone(978)688-9545 Fax (978) 688-9542 HOMEOWNER LICENSE EYEIVIPTION Mc;,sc print DATE: JOB LOCATION: Number Street Address ti'lap/Lot HOMEOWNER-------------------------- 4�6cS�/ Name Home Phone Work Phone PRESENT MAILING ADDRESS Z �, :2__' 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 Quilling Code and other applicable codes, by-laws. rules and regulations. The undersigned"homeowner"certifies that he,'she understands the To vn of North Andover Building Department minimum inspection procedures and r uircments that he requirements. comply with said procedures and IJONIEOWNERS SIGN,A FURE APPROViu.OF RCILDING oFFICLAL__ C-F1�f-r i+l-.:i;. !)•:i! - ,� - `I- ...�fl�l� ..•4_ -1,) LiF.\L-1-H•. ,.-.:ti) 1,1 •xl - SEWER MAINS TELEPHONE WATER MAINS 978-683-6791 STORM ROADS DRAINAGE Ramey Contractors - Engineers, Inc. FAX# 978-689-8492 EQUIPMENT RENTAL 33 OAK KNOLL ROAD TANK REMOVAL METHUEN, MASSACHUSETTS 01844 PAVING October 17,2006 PROPOSAL Mr. Leo A. Martin 978-688-6848 JOB: FILL IN POOL 142 Rea Street North Andover, MA 01845 We hereby submit our estimate for the following work: FILL IN - IN-GROUND SWIMMING POOL TOTAL PROPOSAL $1,000.00 ONE THOUSAND ---------- AND ----------NO/100 ----------DOLLARS *PLEASE NOTE: If ledge, old foundations, cobble stones, concrete road base, contamin ated soil or conflicting utilities are found to be impeding the contract work, all removal of obstructions or additional fittings and labor will be billed as Extra Work. 7 AUTHORIZE SIGNAT�"'L"G� SIGNATURED DATE: ! U /" DATE: NOTE: This proposal may be withdrawn by us if not accepted within 30 days. I