HomeMy WebLinkAboutBuilding Permit #216 - 18 ENFIELD STREET 9/21/2006 ' L
jl TOWN OF NORTH ANDOVER NORTH
APPLICATION FOR PLAN EXAMINATION ° �t%6D 06 quo
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Permit NO: Date Received
Date Issued: — - �9SSACHU`�����
IMPORTANT: Applicant must complete all items on this page
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LOCATION
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PROPERTY OWNER � rv �
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MAP NO.: ;6—PARCEL:A5 ZONING DISTRICT: I
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
' TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building ❑One family
❑Addition Nrwo or more family ❑Industrial
❑Alteration No. of units: Z
4Repair, replacement ❑Assessory Bldg ❑Commercial
❑ Demolition
❑Moving(relocation) ❑ Other ❑ Others:
❑Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
` b o r
Identification Please Type or Print Clearly)
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OWNER: Name: Phone: R Wy
VIAL �`�
Address:
r fM1� Phone: `lk "-7-T W 7
CONTRACTOR Name: OYY��r�t�n �
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING ERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ FEES
Check No.: / Receipt No.:
Page I of 4
k
Location
No. ! - Date
^Th TOWN OF NORTH ANDOVER
F 9
+ ; : Certificate of Occupancy $
Building/Frame Permit Fee $
,GNUS
Foundation Permit Fee $
G Other Permit Fee $
TOTAL $
Check #
19602
Building Inspector
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TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
❑ Permanent Dumpster on Site ❑
Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracts g with unregistered contractors do not have access to thVstaped
fund
Signature of Agent/ !-----Signature of contract
Plans Submitted ❑ Plans Waived ❑
Certified Plot Plan ❑ Plans ❑
THEFOLLOWING 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:
i Zoning Decision/receipt submitted yes
i Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connection/Signature&Date
Driveway Permit
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Building Setback (ft.)
Front Yard Side Yard
Rear Yard
Re uired Provided
Required Provides Re uired
/ q Provided
j 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
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Page 3 of 4
Doc:INSPECTIONAL SERVICES DEPARTMENT-BPFORM05
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
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
i
New Construction (Single and Two Family)
i
❑ 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
applicant must then get this recorded at the Registry of Deeds.
Board of Appeals that the appeal period is over. The
One copy and proof of recording must be submitted with the building application
Doc:INSPECTIONAL SERVICES DEPARTMENTMITORM05
Page 4 of 4
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µORTN a TOWN OF NORTH ANDOVER
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�a g °� OFFICE OF
° BUILDING DEPARTMENT
* i 1600 Osgood Street Building 20, Suite 2-64
Arm� ,g North Andover, Massachusetts 01845
4SSACHUS£S
Gerald A.Brown Telephone(978)688-9545
Inspector of Buildings Fax (978)688-9542
HOMEOWNER LICENSE EXEMPTION
Please print
DATE: q7Q0-- ,9(0
0000,
JOB LOCATION: C7�0 Eo�� OP6
Number Street Address Map/Lot
HOMEOWNER RU Ii(' V%AL q?, -- q 1 `'S Y 9
Name Home Phone Work Phone
PRESENT MAILING ADDRESS
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 requir ents and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIA
Revised 10.2005
Fonn Homeowners Exemption
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-
9535
NORTFf
Town of RAndover
No.
-__- A E dover, Mass.,9 •
COCHICHEWICK
%A0RATED P? �5
S ti BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
��� BUILDING INSPECTOR
THIS CERTIFIES THAT... .. O411.N.. ................................. ... ........................................
"""""" """"""' Foundation
. ..... ... ..
has permission to erect.6.7 buildings on .� ...� ..... � �ir.L ......•.•. .�.......•. Rough
to be occupied as...07 ....If �Aii
...... ...... . 4o...r.Q&paction,
........................................................
Chimney
provided that the person accepting this permit in every respect confore terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the 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 CONSTRU ST400096LDINC
S Rough
:. . Service
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 BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDESmoke Det.