HomeMy WebLinkAboutBuilding Permit #26 - 24 GILMAN LANE 7/13/2007 BUILDING PERMITc� -10RTli q
TOWN OF NORTH ANDOVERt``D
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APPLICATION FOR PLAN EXAMINATION
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Permit NO: �/ Date Received -1,-",� A7fD
Date Issued:
I O �SSACHUs��
IMPORTANT: Applicant must complete all items on this page
LOCATION " C.
P 'n �
PROPERTY OW + elry C--�' S
O Print
MAP NO: L67.A PARCEL0153 ZONING DISTRICT: IQ Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg 6h Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WOR TO BE PREFORME
IFD:
Identification Please Type or Print Clearly)
OWNER: Name: _ I�f ru J e, -a Phone: q7�-aS-F-o 3 a/
Address: 14 C'.12 b . S"
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER
Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.Q0 PER S.F.
Total Project Cost: $_ e / 7. 0 FEE: $
Check No.: 1 k- o Receipt No.: a O 3
NOTE: Persons contracting with unregistere contractors do not have access to the guaranty fund
�jg_nature of A ent/Owne ?.
_ �_J__ _� ,Signature of contractor ,
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public SewerTanning/MassageBody Art Swimming Pools
Well Tobacco Sales Food Packa&1 VS;16
Private(septic tank,etc. Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
DA REJECTED DATE APPROVED
CONSERVATIO '� U
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH Qv Old
COMMENT
�AAJ�A Y a."e�jk'Z=2 L a 4,1 a j4 z2z z On,I L-Z�4 ) ��C
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/signature&Date Driveway Permit
Located at 384 Osgood Street
FIRE DEPARTMENT'-Temp Dumpster on site yes no
Located at 124 Mairr Sheet, ►"` `: ,
Fire Department signature/date
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— For department use)
i
❑ Notified for pickup - Date
I
Doc.Building Permit Revised 2007
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
❑ 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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified 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)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In all cases if a variance ors special permit was required the Town Clerks P P e ks office must stamp the decision from the Boar
that thea appeal P d of Appeals
pp 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:BPFORM07
Revised 2.2007
II
*ONTO# TOWN OF NORTH ANDOVER
°� ,`•' , �� OFFICE OF
BUILDING DEPARTMENT
�e # 1600 Osgood Street Building 20, Suite 2-36
North Andover Massachusetts 01845
Gerald A Brown Telephone(978)688-9545
Fax (978)688-9542
Inspector of Buil .dings
HOMEOWNER LICENSE EXEMPTION
pierce 9fim
DATE: °7 /1. zd
r7-7
JOB LOCATION: Ln
Number Street Address WOW
HOMEOWNER C�is -o?S�6 3
��k� 17
Nanfe Home Phone Work Phone
PRESENT MAILING ADDRESS G7 .
a ,
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 flection 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 hetshe 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
Revised 10.2005
Form Homeowtkrs Exemption
BOARD OF:WPEALS 688-9541 COVSERV 1"rio N. 688-9530 HE_u TH 688-9540 PL.L`VI\G 688-9535
8 x'72' asslc,pine siding,peak rpof
Pine white gray shingles with optlonel,
gable+r~jlts'and ramp>.
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s'wall,xE,axm rwall,xEI�Im Why Smart Siding? Why Pine?
SHED MODEL SHED MODEL 6'wall ixElcxn 7'wall wucxn
&SIZE by%4PRICE . PRICE ,: Our pre-primed engineered wood siding gam""'° PRICEPol ,. PRICE Pine siding is North America's most
6x 6' $1239.99 .434 $1,409.99 $39 is tough on everything except your } 6'x 6' $1,359.99 •$37 $1549.99 $38 popular siding.For generations builders
3 6'x 8' $1329.99 $37 $1519.99 ::$38. wallet.The richly textured panels are 3 6'x 8' $1,459.99 $39 $1659.99 $40 have been using pine siding to bring
8'x 8' $1;459.99 $39 $1659.99 440 extraordinarilystrop Y c 8'x 8' $1599.99 `•$40 $1819.99 445` a warm inviting charm to homes and
8'x 10' $1,699.99 $43 $1939.99 `$48 9-specifically 8'x 10' 1789.99 $43` $2,039.99 50
_ 10'x10` $2,089.99 50 $2,379.99 -$57 designed to withstand even the = 10'x10' $2,159.99 LML $2459.99'$63 backyards.Our pine sided shed will
8'x 12' $1959.99 $48z $2,229.99 $57, harshest elements.If you're looking for 8'x.12' $2,089.99 .$50 $2 379.99 $57 answer all your storage needs and
349.99 .$57:`1$2.679.99 $613 attractive durability at a value price we 8'x 14' $2,399.99 (:$63 $2,679.99 $69 flatter your yard for a lifetime.
8'x 16' $2,599.99 $63 $2.959.99 ($75 8'x 16' $2 699.99 x$69' $3,069.99 . 75`
recommend Smart Siding for your
H 10'x 12' $.479.99 $63: $2,829.99 :$69 backyard shed. y 10'x 12' $2,589.99 $63 $2,949.99 75 .North America's most popular
rn 10x14' $2869.99 .$69 $3269.99 '$82 H 10`x14' $2879.99 -$75 $3279.99 82: wood siding
g 10'Xi $3939.99 $75,1 S3,579.99 8 5 10'06' $3,229.99 .:$82i $3,679.99 $88
11 12'x 12' $2,869.99 169' $3,269.99 182'' •Pre-primed surface offers exceptional 0 12'02'12' $2 949.99 ''$75 $3,359.99 $82 .Solid tongue and groove construction
12'x14' $3,269.99 $82: $3,729.99 19 paint adhesion 12'x14' $3,299.99 $82 $3,759.99 $94
12'x16' $3,499.99 $88' $3,989.99 $100 12'x 16' $3,649.99 $88 $4159.99 .$100 •Paint or stairf to match your house
12'x20' $4,439.99 $113: $5,059.99 $105 •Smart Siding is knot free 12'x20' $4,529.99 $113 $5,159.99 $105 .All backed by Sheds USA
8'x 12' $2 059.99 58: $2,329.99 '$57 . .Trim and doors are unfinished pine 8'x 12' $2,189.99 .$50 $2,479.99 $63
8'AIL $2,449.99 $63, $2,779.99 $69`- 8'x14' $2,499.99 `$63 $2,779.99 $69° Lifetime Warranty
8'x 16' $2,699.99 $69 $3,059.99 115' •All backed by Sheds USA B'x 16' $2,799.99 $69 $3,169.99 $75
zz MOT T $2 579.99 $63: $2,929.99 $75. Lifetime.Warranty zz 10'x12' $2,689.99 $63 $3,049.99 $75
u10'x 14' $2 969.99 .$75+'- $3,369.99 .$82 N 10'04'14' $2,979.99 $75' $3,379.99 $82,
cc 10'x 16' $3 239.99 $82 $3 679.99 $94 0 10'x 16' $3,329.99 '$82 $3,779.99 $94
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12'02'12' $2 969.99 75. $3 369.99 182 x 12'02'12' $3 049.99 $75 $3,459.99. $88
ILIA 14' $3 369.99 $82: $3 829.99 $94 12'x 14' $3,399.99 182 $3,659.99 '$94
12'06'16' $3,599.99 388` $4 089.99 $100 12'x 16' $3,749.99 $94 $4,259.99 $107
12'x20' $4,539.99 $113 $5,159.99'.$105 12'x20' $4,629.99 $113,1$5;259.99 :$110
6-Months WOODSIDING QUALITY CONSTRUCTION
Best Shed Warranty
No Payments All 2°x 4"&2°x 6°construction •6'&8 wide-2"x 4"PF joists,
Nqliiierest"Financingl All.construction grade material 16"on center
EveroRe you make a purchase •40"double door with keyed lock entry •10'&12'wide=2 x 6"Pi joists,. ✓ FREE Delivery
of$299ormore'; •'Functional sash windowls►with 16'on center p� §
See Jack.fordetails: FREE window box&shutters •All backed 6y Sheds USA Lifetime Warranty O[ I nsta.l latio n
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CUSTOMER INVOICE Page 1 of 7 NO. 2685-143791
Phone: (978 ) 989-9025 VALIDATION AREA
THE HOME DEPOT 2�i85 Salesperson: ACZ48Y - -
72 PLEASANT VALLEY STREET
METHUEN, MA 01844 (978)989-9025 Reviewer:
2685 00020 50649 05/27/07 - I
SALE 32 ACZ48Y 04:05 PM and services printed below. This becomes an Agreement upon payment
iter validation.
61.50 Home Phone '
a�, ,,,�1 HERYL & GEORGE (978) 258-0321 f }- F
�1,Q� Work Phone (978) 258-0321
27 Company Name
���, ® Job Description
SHED
5 County ESSEX
CUSTOMER AGREEMENT # 143791 QUOTE is valid for this date: 0512712007
RECALL AMOUNT 3187.03
SALES TAX 159.35
TOTAL $3346.38
XXXXXXXXXXXx6795 HOME DEPOT 3346.38 YM �#1O
HANDISE AND SERVICE SUMMARY We ser a the r ght to limit the quantities of
AUTH CODE 027222/9202464 TA merc�iancYise sola to customers
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05 27/2007 ............:.:::::.
2685 20 50649 / qi:.S.Cl�i.f�Tlt�.€� .. <:>: ..::::::::::.:.::::::::::::::::. ::::::. ::::::. :::::............:.....................
THE HOME DEPOT RESERVES THE RIGHT TO 00 1 EA Y 50.01 50.01
LIMIT / DENY RETURNS. PLEASE SEE THE
RETURN POLICY
SIGN N
IN STORES FOR
DETAILS. P 10
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1.00 EA Y 53,029.99 $3,029.99
CREATE THE ULTIMATE BACKYARD. YOU CAN,
AT OUR OUTDOOR LIVING EVENT. VISIT THE HOOSE 1 (NOTE - 6'WIDE SHEDS ' IC 1.001 EA I Y 50.01 50.01
HOME DEPOT FROM APRIL 23 - MAY 13
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OUIRED - CHOOSE 1.00EA Y $0.01 $0.01
ENTER FOR A CHANCE SPECIAL P O LL SIZES/ 1.00 EA Y $49.00 $49.00
TO WIN A $,5 . 000 �� 1.00 EA Y $29.00 $29.00
HOME DEPOT GIFT
CARD E 1.00 EA Y $79.00 $79.00
S/0-25 MILES 1.00 EA Y $0.01 $0.01
Your Opinion; Counts: Complete CQNTINUED: NEXTPAGE
the brief survey about your store visit
and enter foo a chance to win at:
wu�.+.homedepotopinion.com
? PARTICIPE EN UN Ao
Paae 1 of 7 NO. 2685-143791 Customer Conv (9801) 0100236373
FORTH
t
Town of ._,. Andover
No.
y 0— o dover, Mass.,
T
0 , L- LAKE
coCHICMEWICK
S�S RATED P Pa\ CC5
E BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
THIS CERTIFIES THAT
BUILDING INSPECTOR
!/�o S
......................... .... ............................................................................... Foundation
has permission to erect........................................ buildings on ....7.............� ....�/../h ............................................. Rough
tobe occupied as.................. ��.�.Y.......... ........................................................................................................ 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
3� PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR.
UNLESS CONSTRUCTI S Rough
............... .. ...................................... :::. 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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.