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Home My WebLink AboutBuilding Permit #719 - 145 CRICKET LANE 5/9/2006 p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,ssACNU•��4 Permit NO: j Date Received: Date Issued: IMPORTANT: Applicant must complete all items on this age LOCATIONT� +G�Ce (—C��1C� ar . } Di► f, YVI�— f£s Print y PROPERTY OWNER �(.e`a�-t V� Y)^\k Vr_Sk\j a Sc> !O lG Y1 Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Resident al Non- Residential New Building 1-10ne family C Addition 71 Two or more family D Industrial Alteration No. of units: epair, replacement Assessory Bldg il Commercial F-- Demolition Moving(relocation) _Other Ej Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED cki h i�ec.v C,r I c- --t ar. ress f-vO'' A Vc4«-lei ,� c e- Identification Please�Ty`pie or Print Clearly) OWNER: Name: U.s,n *- �'r.&kL -SO 10 eyl(-), 1 Phone Address: 14L Cc t,C-k-p—t "vie- No r+k "0 0-0'r CONTRACTOR Name: ry\\& O t M &LILT t Phone: (�-3�q"6'x777 Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT.'F,NGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BL'LDL\'G ER NIT: l 00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON.SI25.00 PF.R S.F: Total Project Cost :$ x10.00=-FEE:$ (,gS Check No.:3/7 Receipt No.: �� Location S C t ►c Lvt t- Lt- No. Date � r NORTH TOWN OF NORTH ANDOVER �?O:t • o ' ,ti0 R O 9 Certificate of Occupancy $ cMus CHU Building/Frame Permit Fee $ s� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f Check # 3n 119160 Building Inspector TYPE OF SEW'ARGE DISPOSAL _ Tanning/Massage/Body Art L., Swimming Pools Public Sewer _ Tobacco Sales Food Packaging-Sales - Well --jPermanent Dumpster on Site l Private(septic tank,etc. -j Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to tine guarantyfiend 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 Permit ❑ 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: 4 � Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection signature&date Temp Dumpster on site yes_ no Fire Department signature,date_ Building Permit Approved and (slued by: Page 3 of 4 I Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided i 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) Paste 3 ul'i Doc:INSPEC'f�ONAL SER\.ICES APAR I-ALNT`BPFORMO� Crca,cd.i�IC_tan 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 j Photo Copy Of H.I.C. And/Or C.S.L. Licenses :1 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) ❑ 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 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 I Doc:INSPECTIONAL SERVICES DEMRTIIENT:nPFOR`1115 I 11,ute 4 ol'•l �.10RTH Town ofq 4Andover w - No. VO CS =_ A E dover, Mass., COCMICNE WICK ��• 0RATED O? 5 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......I.... ........CCU&. T.......Ufft............................. ............. ........... Foundation has permission to erect. ...................................... buildings on....�S-*W%{... a = .•....�4�OVA Rough to be occupied as........ Q. �. !�i.lb�.� ldI. -R.�� Chimney provided that the person accepti this per shall in ev respect conform tot :604i. of thapplication 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 / PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T TS Rough ko< ................ ....... ............... ...... ........................................ Service B 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. µoRTH TOWN OF NORTH ANDOVER o; OFFICE OF BUILDING DEPARTMENT 400 Osgood Street •9q��1io0•pP``^(5fi North Andover, Massachusetts 01845 9SSACHU5�{ Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 0 JOB LOCATION: / Y S GlT 1'c-k GCI P,e— kktA f, MA-0 S L/ Number Street Address Map/Lot HOMEOWNER 6L[Sct 0 (56�D /Y 0 0 1-7 -6�'6--6 q 3.3 Name Home Phone Work Phone PRESENT MAILING ADDRESS Cr 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. 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. HOMEOWNERS SIGNATURE ¢ .t APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Hometmners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 C INVOICE i Malcolm Gurley Blifl.DFR OF DFSI•G-INTR HONES (603) 329-5777 104 Stage Rd Pager (603) 564-6864 Hampstead, NH 03841 Job. etr` - �-ac�c � Date, �G_�_ 4G Bill to: t- Address. / �S DESCRIPTION OF WORK AND MATERIALS s e I 7/0 w.. /`Jti� '�C♦ '�"J r Ili f TC O TERMS STARTING DATE: TOTAL COST OF JOB DEPOSIT RECEIVED Total Due BALANCE DUE UPON COMPLETION Thank You Town of North Andover & pORTH Building Department �,? g� `a o 27 Charles Street t North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 � O coc«c«iwc« 1• 4 ��SSAO.1lJ`��t�y C APPLICATION FOR CERTIE'ICATE OF OCCUPANCY/INSPECTION ADDRESS 1 C LOT NUMBER SUBDIVISION vel AL W C d2 DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE($25.)DOLLARS WILL BE CHARGED 11' TIRESTP.TUC, RE DOES NOT 3� T iLL A DT ICABI E CODES. SIGNATURE OFFICIAL USE ONLY ROUTING 2�✓ `� 1 �� CONSERVATION DATE PLANNING /'/ DATE 6 k Nis rALL-E� D.P.W. -WATER METER m#3 4 -10-,z;,/ DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE W AUTHORIZATION