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Home My WebLink AboutBuilding Permit #455 - 224 SUMMER STREET 12/7/2006 1 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION cf NORTh 0 P etmit NO: Date Received APPROVED Off D Date Issued: �ssc►+ustt IMPORTANT: Applicant must com Tete all items on this page LOCATION SCD I Print PROPERTY OWNER n'1 Ghn Print MAP NO.: PARCEL: �� ZONING DISTRICT: --- T-WE-AND-USE-OF-BUIL_DING- ----_._HISTORIC_DISTRICT.__.YES_❑_________________ TYPE OF IMPROVEMENT PROPOSED USE - Residential Non- Residential ❑New Building ❑One family � ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition I� } ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation onl DESCRIPTION OF WORK TO BE PREFORMED I(D x I Z moo r SV eY- Identificat' ion Please Type or Print Clearly) g OWNER: Name: Va r-n Phone: Address: CONTRACTOR Name: e6s_- W �Lw�-t-�.r� N Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: I Address: Reg. No. FEE SCHEDULE:BULDING_4ERMIT.$12.00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON,$125.00 PER S.F. Total Project Cost :$ `� 0rA49 . S FEE:$ Check No.: 1 Receipt No.: Page I of 4 F PE OF SEWERAGE DISPOSAL Swimming Pools ElTanning/Massage/Body Art ❑blic Sewer Tobacco Sales Food Packaging/Sales El❑ ❑ Well ❑ ElPermanent Dumpster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 -- -----DA-TE-RESECTED-------DATE APPROVED-- - -- PLANNING & DEVELOPMENT ❑ ❑ COMMENTS TE REJECTED DATE APPROVED i 1 CONSERVATI COMMENTS DATE REJECTED DA PPROVED HEALTH ❑ ❑ l;� .L 7/,> COMMENTS S �,L ® � = v_ d'�i" �j ' r -- -- DEPARTMENT -Tem on site yes n FIRE DEP P Dum ster P � Fire Department signature/date i COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Driveway Permit Water& Sewer Connection/Signature& Date 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 I i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan1006 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 7; ❑ 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) 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 a Page 4 of 4 Location C>10' 7 • vM No. �� Date ,►a"T� TOWN OF NORTH ANDOVER F P Certificate of Occupancy S SACMUSEt� Building/Frame Permit Fee $ 'x Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19864 �. Building Inspector TOANM of - No. _ C% A K E dover, Mass.,�� • 0 COCNICNEWICK N' ADRATED 0`Pp` �y BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... .. ./ ........... . k.J,5�.................................................................................... �. Foundation has permission to erect........................................ buildings on .% ..�.........�� KIrt�.. ........ Rough tobe occu pled as tak..fl..16. ... ' .. ................................................................................................... Chimney provided that the person accepting 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 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TAR Rough fil...... ...... ......... .................. 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 Until Inspected and Approved by the Building Inspector. Bum FIRE DEPARTMENT E er Street No. SEE REVERSE SIDE Smoke Det. CART/F/ED PLOT 10L,4 N LOCATED /N /vo27:H...,4 !Y.!sa.Y�.� SCALE•• P=40 0 - C�2/S7'/,4N.SEN E'N,G//1/EE2/NGS/NC //4 KEii/OZ,4 ,AVE., "11,672A//LL; M (N�� ,a / v y I W EX IST. F N D . CO i � M f w �S L d 4� L o T 3A, t 4 w i N j N I�DP.O ZMPROvEMSNr u GIL ES 1 `r E ASEM E I IT yI r"O. I,+972 � �� L = IIS •3� - �AV�-- S u M E-R- sT Ei CL/ENT• O R C3 s i(E A G7' R v 5 7' ... .. .. .... ... .... .... ... ... .. . ..... . ...... .... ... . / CECT/FY 7#' .4 7- TWE O1,cF5ET5 . ,511OWN AeE FOR TI-//5 LOT BUAL DANS 511O-f/N ON T11/S ZONING DETER RI 4 TION /S !Y a%/N { PL 4N CONIcOOW5 TO T11E ONLY ,4ND MF NOT TO BE ,4 FLOOD ZON/NG BY-LAWS OF 711E U5ED TO E5743L/5,1 FPO - 9.4Z,4ICO TO,W N 0FNok7,Y,AND o vb;e- Pc-eTY L/NES. ZONE. i „ HT,1 TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT `tF 1600 Osgood Street Building?0, Suite 2-64 North;Wover, Massachusetts 01345 Gerald A. Brown ["Spector of Buildings Telephone(978)688-9545 a% - - 4 I. ,4 hR8-9i � HO�I _ EOWNER LICENSE EXEMPTION Fax P!Casc III-int - DATE: 11 13 Q (p JOB LOCATION: S� Number Street Address Map/Lot HOMEOWNER I ro a� Na . me Home Phone Work o i PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two unit s 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 WNER 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 s considered a homeowner. r hall not be 'The undersigned"homeowner"assumes responsibility for compliances with the State Buildin Co 1 applicable codes, by-laws, rules and regulations, g de and other The undersigned"homemAner"certifies that he,'she understands the Town of North Andover Building Department artment minimum inspection procedures and requirements and that heishe will comp(v with said procedures and requirements. 110MEOWNERS SIGNATURE APPROV/W.OF RUILDING OFFICIAL I rm Hninw'cnrr.; E.�.ny'licn J 000 W0 POST WOODWORKING, INC. Dealer: �WIo 163 Kingston Road,Danville,NH 03819 Date: I Ir ti .1%2 Poft (866) PWI-SHED - info@postwoodworking.com SOM Where did you FIRST hear about us? , ❑ Radio LJ TV Ll Newspaper ❑Website Ll Yellow Pages LI Referral ❑ Dinfler ❑ Other DELIVERTO MAILING ADDRESS TELEPHONE NUMBERS WORK: (�l`� ^� S HOME: CEL4"'7r? (C, 7 > j Size Ro!fe Siding Roof Color Amount S ❑ edar y d CVinyl C3 Brow C3 Gambrel T- Color: ❑Bl y t LlT-111 a a A C D E SPECIAL i ❑ I�� I� ❑ ❑ ❑ ❑ LEFT END RIGHT END Qty Item Options Cost Amount 4-Panel Steel Single Door (29") 100.00 e 4-Panel Steel Double Door (60") 150.00 Pressure Treated Single Ramp (29") 50.00 Pressure Treated Double Ramp (60") 75.00 FRONT Pressure Treated 7' Ramp (84") 100.00 i Aluminum Single Hung Window (includes screen, grill, window box and shutters) 65.00 Storage Loft (4' wide) ❑ 6' —$60 ❑8' —$80 ❑ 10' —$100 ❑ 12' —$120 f 5' Roll Up Door (avail. in 8', 10', 12') End Wall Only 309.00 BACK ; 7 Roll Up Door (avail. in 10', 12 ) End Wall Only 369.00 Solar Light 119.00 4' Shelf Kit (customer installed) 20.00 Cupola 150.00 Other Other 30 Other FLOOR Subtotal PERMITS ARE THE CUSTOMER'S RESPONSIBILITY. NOTES Tax ALL BUILDINGS SHIPPED AS SHOWN IN " Total BROCHURE UNLESS OTHERWISE SPECIFIED. �. Deposit INDICATE POSITION OF YOUR SELECTED OPTIONS AS YOU WOULD LIKE TO Balance HAVE THEM INSTALLED. Delivery Charge II ler Signature I Balance DueFinancine i Available Customer Signatures a ;� 1