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Home My WebLink AboutBuilding Permit #552 - 172-174 WATER STREET 2/27/2006 O, NORtH q TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAIMINATION } 9SS4CMUStt Permit NO: .S Sa- Date Received: Date Issued: 2- IMPORTANT: IMPORTANT: Applicant must complete all items on this page LOCATION 1,;7.7 -l✓� �� 's Print PROPERTY OWNER. �*� Print MAP NO.: PARCEL: y�—ZONING DISTRICT: i TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED—USE USE Residential Non- Residential New Building r Oncefamily Addition two or more family L Industrial Alaration Noof units: epair, replacement C Assessory Bldg C= Commercial Demolition Moving(relocation) Other C Others: w Foundation only DESCRIPTION OF WORK TO BE PREFORMED e W ;,5 el 1=1 rs o? lit�G� s ,ijdentjiffcqtjPie, sAVDe or Print Clearlyl OWNER: Name: Phone: l�S tiipatur Address:y ?Ac�-- CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Flume Improvement License: Exp. Date: f :%RCIJITECT. FNCtINFF'.R Name: Phone: I ,Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.-510.00 PER 51000.00 OF THE TOTAL ESTLVA TED COST BASED ON .5125.00 PER S.F. Total Project Cost :S. � xI0.00 =FEE:S 22,7 Check No. 1� a.(„ `t 6 Receipt No.: I } r' TYPE OF' SE\k ARGE DISPOSAL Swimming Pools Tanning/ lassage-Body Art j Public Sewer - I j Tobacco Sales - Food Packaging,;Sales 1 Well Permanent Dempster on Site Private(septic tank, etc. NOTE: Persons contracting with whr,gi.le erl co ractors rlo not have access to the guaranty fund Sionaturt of Agent/Owner Signature of Contractor Plans Submitted ❑ Plans Waived J �Cetrtilied Plot Plan ❑ Stamped Plans ` •THE FOLLOWING SECTIONS FOR OFFICE USE ONLY~ INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT lJ ❑Water Shed Special Permit i Site Plan Special Permit y ❑ Other COMMENTS DATE, REJECTED DATE APPROVED CONSERVATION ❑ L� COMMENTS__ — DATE REJECTED DATE APPROVED HEALTH n ' COMMENTS - Zonim, Board of Appeals: variance, Petition No: Zoning Decision.`receipt submitted yes__ + Plannin, Board Decision: Conservation Decision:--------Coln ment ----------.---_—__-- _--- \ ater& Sc«er connection signature&date -- - ---- --- Temp Dempster on site ycs/no--- Fire Department si,nature.'date a BUllding pej.jjlit approved and Issued by: , i Building Setback ft. Front Yard Side Yard Rear Yard Required Provided Req uircd Provides Kequired Provided i — DIMENSION Mimber of Stories: Total square feet of floor area, based on Fxterior dimensions. j Total land area, sq. ft.: i i NOTES and DATA—U-or department use) � 1 I i I i i I 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 i • Building Permit Application ❑ Debris Removal Form ❑ Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Form U o Surveyed Plot Plan ❑ Debris Removal Fonn ❑ 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) o Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Pennit Application ❑ Form U ❑ 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 0 Mass check Energy Compliance Report In all cases if a %ariance 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:I\SPE("I TIONAL SERV WES DEPARTML%'r:RPF0R\W5 Location Z 7 No. Date NORT1y TOWN OF NORTH ANDOVER - F 9 i Certificate of Occupancy $ + �'�s •t<�' Building/Frame Permit Fee $ "us Foundation Permit Fee $ y Other Permit Fee $ - 1 TOTAL $ Check # 18996 .i.0/ klIftro Building I sn pector �,,,, TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION:7a 1? Number Street Address Map/Lot HOMEOWNER6 Name. Home Phone Work Phone PRESENT MAILING ADDRESS �e,,-' /02 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 To Noah Andover Building Department minimum inspection procedures and requiremeMs and t t he/she, com 'ith said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption tA®RT H own of 4Andover No. - ,o o dover, Mass.,_ COC HIC HEWICK V AORATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 1' BUILDING INSPECTOR THIS CERTIFIES THAT..... *r�C.....1/,..... ..�.�.. . ............................................... ....... .................... .. Foundation has permission to �INOY ` 1r f....................... buildings on.....�.7.�..........t..7.�......�1�!. ... .......�....... Rough Chimney to be occupied as..7.0A a e...............................................................................:........................................................ y provided that the person cepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes andB -Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. Gj ��I PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS . ' ., Rough ....: Service . ....................... .............. ....... DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a ConspicuousPlaceon the Premises — Do -Not Remove Final No Lathing or Dry Wall To Be Done FIRE Until Inspected and Approved by the Building Inspector. Burner DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det.