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Home My WebLink AboutBuilding Permit #502 - 159 PRESCOTT STREET 1/10/2007 L� TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION °f.*f•` 0,61 F p . Permit NO: Date Received' O' er.Zirlt.s� 4 T Too oo Date Issued: /0 ' s�cMus�� IMPORTANT:Applicant must complete all items on this page LOCATION �2 SC 077 �t'e j not PROPERTY OWNER ✓ /l IC44W r% Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Resid ntial Non- Residential ❑New Building a family ❑ Addition ❑Two or more family ❑ Industrial �eration No.of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving relocation 0 Other ❑ Others: ❑ Foundation only DESC:I7ON OF WORK TO B �P��E PREFO� �RMED ctd� ('Oo n1S Identification Please Type or Print Clearly) OWNER: Name: ►orf\) R� Phone: Address: / 1 Yr�scd- S-r,-�� , ��Gi YL�S - CONTRACTOR Name: �G«i c� C� Phone: Address: �� C��N� l� ti^'� k- Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE.BOLDING PERMIT. x12.00 PER 81000.00 OF THE TOTAL ESTIMATED COST BASED ON 3125.00 PER SF. Total Project Cost :$ o��UC� i FEES Check No.: Receipt No.: Page I of 4 I TYPE OF SEWERAGE DISPOSAL Public Sewer Swimming ❑ Tanning/Massage/Body Art ❑ g Pools Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contractin with unregiste ed 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 ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT -Temp Dumpster on site yes no Fire Department signature/date 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 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 I i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT: Created JMC.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 ❑ 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 f Hydraulic Calculations (If Applicable) r ❑ 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 1 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORMOS I 1 Page 4 of 4 f I Location No. 56 r)-- Date NORT1y TOWN OF NORTH ANDOVER 0 a Certificate of Occupancy $ ys',•°''tom 9 Buildin /Frame Permit Fee $ _ v s�cNuse r' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19928 Building Inspector TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT ;�. .. 1600 Osgood Street Building 20, Suite 2-64 forth,Xndover, Massachusetts 01845 Gerald X Brown Inspector of Buildings Telephone(978)68,3-95-- Fax S4-95-Fax (97.1)688-954 DATE: z JO Z2�b JOB LOCATION: Number Street;Address Map/Lot `— HO,NIEOWNER r/ri ff(fq1,pv1J _ —�'� � Z----�-�� Home Phone Work Phone Name PRESENT MAILING ADDRESS /tj> 9 0. �fYee N. &J- QLa 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 u 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 Persons)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 y 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 Andovcr Building Department minimum inspection procedures and requirements and that he.'s will comply with said procedures and requirements. p HOMEOWNERS 'SIGNATLRE APPROV.w.OF RUIVDING()FFICLkL � an Hnntor.tt,.r•Ic,. �.r.piir:n NORTH Town of :. Lo _ _ dover, Mass.,A. d COCHICHEWICK y1. ADRA 7E D BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System * BUILDING INSPECTOR THIS CERTIFIES THAT......: ..�.41!�.......... ......`! .r1!!^ (................ Foundation has permission to erect........................................ buildings on '�................ Rough 1. . .,. ....... . ........ T . . to be occupled as........a....co(00K.T..t...' ..... ��Q�!^........�r..�.1 A...&...................................... Chimney provided that the arson accepting this permit shallin eve respect conform to the terms of the application on file in P P P g P nl P PP 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 MOM PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRUTS 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. 11 SEE REVERSE SIDE Smoke Det.