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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 0 t ( � O + Permit NO: Date Received Date Issued: — - �9SSACHU`����� IMPORTANT: Applicant must complete all items on this page y � low- LOCATION + P • t , + PROPERTY OWNER � rv � Print 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) t � 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 I 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 i i 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 I I I 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 I µORTN a TOWN OF NORTH ANDOVER tD QpI L �6, �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.