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Home My WebLink AboutBuilding Permit #723 - 145 OLD CART WAY 5/12/2006 TOV4'N OF NORTH ANDOVER APPLICATION FOR PLAN EXANUNATION 3 CH 2 Date Received: 2 6 Permit NO: Date Issued: UNIPORTANT: Applicant must complete all items on this page Ik LOCATION - Print PROPERTY OWNER I Prin � 11,1P NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential New Building One family Addition Two or more family Industrial Alteration No. of units- Alteration Repair, replacement Assessory Bldg lic Demolition Others: Moving(relocation) =Other = Foundation onl DE;CRIPTION OF WORK TO BE PREFORMED (L,,-haw. Identification Please Type or Print Clearly) OWNER: Name: l G L L -Z Phone• l9 S .lddress: I - __--. - CONTRACTOR Mame: I _ .Address: z Supcmisor's Construction License:_ Exp. Date: Home Improvement License: Exp. Date: �RC'HITECT EN -[NEER Name: Phcne: Address: Reg. No. FEE.SC HEM LE:BULDIAG PERYIT:510.30 PER 31,700.00 OF THE TOT IL ESTI.IATED COS,'-MASED OA 5125.o PER 1 Total Project Cost :$_-^. rii��t�®O x 1 U.UU=FEE: �d d— C'I,c;ck No.: lv Receipt No.: n TYPE OF SEWARGE DISPOSAL Tanning'%Iassage Body.art SH imming Pools _ (; Public Sewer _ - Tobacco Sales �w XJ Well _ __ Food Packaging Sales — Permanent Dumpster on Site _ PriNate(septic tank.etc. _ Electric Meter location to project NOTE: Persons contracting with nregistered contractors do not have access to the guarantyv fund 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 G Site Plan Special Permit El Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ 0 COMMENTS DATE REJEC'T'ED DATE APPROVED { HEALTH iJ J _ ~ CO,'vTI,IENTS Zoning Board of Appeals: Variance. Petition No: Zoning Decision!recci t submitted .. p - -s 11!anning Board Decision: Cunscr%;Uicn Ducieion: S n,�(,r connection-ILnatta'c uatc temp Dumpster rn site yep no vire Department si r.natur_date 5 Building Permit Appruscd and Issued by: Building Setback ( Front Yard Side Yard Rear Ward Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. V. li NOTES and DATA—(For department use) I I II I I c I'I_CF c^.,`.I_',f_ ICI:S.:1:1'.lFl"'-.IL - EPI I.:'A(, 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 Addition Or Decks ❑ Building P ldin 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 Hydrae Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) a Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit One To Be Returned) to Include Sprinkler Plan And ❑ Two Sets of Building Plans ( 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 `nc:I\tiPF.C'1'N)\.tl,til?R\'i('G:i pF',P lR'I'\IF.\'t:z31'IOR`t115 Location �S (old G+4t— wM No. : l Date �o NaRTM TOWN OF NORTH ANDOVER f � 9 r. Certificate of Occupancy $ E Building/Frame Permit Fee $ �d A- .2 CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ " Check # 19192 Building Inspector The Commonwealth of Massachusetts Department of Fire Services Office of the State. Fire Marshal P.O.Box 1025 State Road,.Stow,MA 01775 I. PERMIT Date: North :� An do er v Permit-Np (City of Town) (If Applicable) Dig Safe Number In accordance with the provisions of M.G.L.1 4 8 Chapter_as provided in section 5?7 (:MR 34 Start Date This Permit is granted to: Full name ofperson,Firm or Corporation Permission to locate dumpster for cons truction/re:novation/demolition of building. Comments: dumpster must be 25 ' from structure if unable to place with required R" ""':clearance dum.pster must be covered with plywood or tarp end of work day at (Give location by street and no.,or descnibe in s h er as to provied adequate identification of location) Fee Paid$ 50.00w� �,/ Fire Chief This Permit will expire2, (S igiia- rc o offrcal gr_ ting permit) Offical granting permit (Title) NQRTH Town of Andover ° No. dover, Mass.,LA Z I� COCMICMEWICK y1. %S RATED PPG C:) BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System :� � BUILDING INSPECTOR THIS CERTIFIES THAT Itc.......... ..... ........... .a'�....'..................................................... Foundation has permission to ere t... ............ buildings on. ".I.L .......�..... ..... .... Rough ....................... . to be occupied as.... ��C/�! ....... . r4.. . Chimney provided that the pe son accepting this permit shall in every respect conform o 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 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRLJCTI ELECTRICAL INSPECTOR Is Rough . .. ...... ... .. Service BUILDING INSPECTOR 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. NORT"q TOWN OF NORTH ANDOVER a°oma OFFICE OF P . p BUILDING DEPARTMENT *� 400 Osgood Street North Andover, Massachusetts 01845 4Ss CHU`�ti{ Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: l¢� Cod 1 Number Street Address Map/Lot HOMEOWNER 0t e. Mcr-t Gl dt,✓ 1* 77.1 off, 5V 4 a 7 366 Name Home Phone Work Phone PRESENT MAILING ADDRESS 3 � le- 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 j 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 APPROVAL OF BUILDING OFFICIAL RevisLd 10.2005 Fonn HOmLowners Exemption BOARD OF APPEALS 688-9541 _ LS CONSERVATION 698-9530 _ HEALTH 648 9540 PLANNING 684- 9535