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Home My WebLink AboutBuilding Permit #112 - 20 LITTLE ROAD 8/14/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION No RT 6 qti 0 Permit NO: I Z, Date Received * e^ Date Issued: S Rareo PrP`�y ® SACHU`��t IMPORTANT: Applicant must complete all items on this page LOCATIONS ��e- /�� Print PROPERTY OWNER,( T/ 7,t//S �E /,�/!/�S' / Print MAP NO.: PARCEL: ;ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential. Non-Residential ❑New Building ❑ One family gg ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: Repair, replacement ❑Assessory Bldg ❑ Commercial ❑Demolition ❑Moving(relocation) ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED I entificatio Please Type or Print Clearly) r OWNER: Name: Phone: Address: CONTRACTOR Name: 41414 ,0 ,/J� 141–e Phone:�--4;�,�- 04e1� AddressL�— �, „� 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$125.00 PER S.F. Total Project Cost :$ x12.00=FEE:$ Check No.: 161,14— Receipt No.: Page 1 of 4 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 o Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan L3 Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o 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 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 i TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ j F1Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ 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 atur of contractor , i Plans Submitted ❑ P s Waived. - Certified,Plot Plan ❑ t Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ []Water Shed Special Permit r ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ i r 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/Siunature&Date Driveway Permit Temp Dumpster on site yesno_ Fire Department signature/dateArD �4Wk ' , 1 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Totals square feet of floor area,based on Exterior dimensions. q Total land area,sq. ft.: NOTES and DATA—(For department use) I I i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created.IMC.Jan.2006 Location,i �1n ' No. Date JUS rr MORTM TOWN OF NORTH ANDOVER 0� ,.•° ,•14.0 # Certificate of Occupancy $ ;�s""^°•Eta' Building/Frame Permit Fee $ ACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # !ow 935 wilding Inspector VAORT a o K : : Andover 0 No. Z - - 0--i-__ _-- o dower, 1Vlass., d o co,:4,M ..r. V 0RATED v 4 BOARD OF HEALTH PERM . IT T D Food/Kitchen Septic System `�``` BUILDING INSPECTOR • THISCERTIFIES THAT................. . .. ........................................�.��.�................ ....................:........................................ Foundation has permission to eract...................:.................... buildings-on . ..... .. .................... Rough to be occupied aS.AM ..�i1.....�0 � �im,,,` MAA, . Chimney !� . . . ...P P P g P ry P PFinal ravided that the arson acce tin this arm hall in eve res act conform to the terms of theado on file 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 6 PERMIT EXPIRES -IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T S Rough .. . .. . .... .. .. . . ............................ Service BUILD ECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises - Rough- 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. SEE REVERSE SIDE Smoke Det. I I I L&S Builders, LLC.- 5 Riverwood LC.5Riverwood Road Kingston, NH 03848 603-642-618' 93,rel/Fax Attichment A August 7, 2006 Mavis Robinson 20 Little Rd. No. Andover, MA 01845 Re: Replacement of Garage Roof. General Conditions: Dumpster for,removal of all roof and garage door frame debris Site Work: N/A t. Concrete/Masonry: N/A Building Structure: Remove existing roof and railing over garage; remove new garage door; remove existing garage door frame;inspect existing walls and structure for any additional rotted wood brother problems exposed only with the removal of roof(if other structural framing or rotted wood needs to be replaced, this is not included in the price and wouldseviewed with customer for approval to proceed) HVAC: N/A Electrical/Telecommunications: N/A Plumbing: N/A Carpentry: Frame garage door,frame"roof with 2°x 8"roof rafters pitched as much as possible; install %Z"CDX plywood; install 2-ply roll roofing; install drip edge; install railing on roof; caulk and paint Doors and Windows: Re-install existing new garage door Flooring: N/A Total Price: $5,520.00 plus any appropriate tax Deposit..... $1,380.00 Completion of roof demo..... $3,588.00 Completion..... $ 552.00 L&B Builders. LLC Date: Owner Date: i i NORTH TOWN OF NORTH ANDOVER 6�°ot OFFICE OF ° - BUILDING DEPARTMENT sol � ► 1600 Osgood Street Building 20, Suite 2-64 p�^ATfD�PPy'(y North Andover, Massachusetts 01845 �SSACHUSEt Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: ( `� �y' 1-52 JOB LOCATION: Number Street Address Map/Lot e HOMEOWNER , ame '--HAaePhone 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 requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL _61mm__f� Revised 10.2005 Form Honiwwnels Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 n '47 I , Y -7 I �'' I.J.