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Home My WebLink AboutBuilding Permit #045 - 1537 TURNPIKE STREET 7/27/2006 TOWN OF NORTH ANDOVER NORTIi APPLICATION FOR PLAN EXAMINATION of�t�90 06 +, O o 41 Permit NO: 0� Date Received -7- 271Z 7 Date Issued: 7 "ssgc►+us�`�y IMPORTANT: Applicant must complete all items on this page LOCATION 3-32 1 e— n PROPERTY OWNER Print MAP NO.: 107, 6 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 HI] 11Moving(relocation) Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED 80 04 ar-21"\ &L Identification Please Type or Print Clearly) OWNER: Name: 4 d'4, S7 - Phone: Address: 3-3 7 CONTRACTOR Name: �52 Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ /,5ZO0 x12.00=FEE:$ �d Check No.: Receipt No.: Page I of 4 I TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ 11 Tobacco Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Saps Well F1 � Permanent Dumpster on Site ❑ ` Private(septic tank,etc. ' Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund 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 ❑ ❑ i COMMENTS DATE REJECTED. DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Sianature&Date Drivewav Permit Temp Dumpster on site yes_no Fire Department signature/date Building Setback(ft.) Front Yard Side Yard Rear Yard Required 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 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created IMC.Jan.2006 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 j a, 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 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 ' Pave 4 of 4 Location LE / iP L No. Date 7-27 c i MORTh TOWN OF NORTH ANDOVER ��, � •SOL Certificate of Occupancy $ s' NUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ ;t Other Permit Fee Y'Qg $ TOTAL $ 00 ` Check # /P 1982 ' Building Inspector NORTH Town of t . 19Andover No. d s' LA over, Mass., 7. 27` +Qi_ COCHICKEWICK AoRATED `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... t....CrANX.T. ..Wler...................................................... Foundation has permission to Mw! 1'• r g b 'lid' s on...I. :. ..... �t.M.. �. !f..... ....t........ Rough to be Occupied as.& `�.. /.� ... � ..1..N. Chimney ............................................................................... Ch' provided that the perso cceptmg this per shall m eve resp conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By- ws r lating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. I0 a PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this I'ermd. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START Rough ............................................ .........1�. -a .. ....... 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 Until Inspected and Approved by the Building Inspector. Burner DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. v� t%ORTk TOWN OF NORTH ANDOVER eo 4a`" °oma OFFICE OF ti , �` BUILDING DEPARTMENT + 1600 Osgood Street Building 20, Suite 2-64 North Andover,Massachusetts 01845 �SSACHUS�t Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 7- 2--7- c7 JOB LOCATION: 3:7 ItAc, 57 Number Street A dress Map/Lot HOMEOWNER 1�rn-e St J 97e 859-260� Name Home Phone Work Phone PRESENT MAILING ADDRESS c 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 APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Foran Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535