Loading...
HomeMy WebLinkAboutBuilding Permit #341 - 266 GRANVILLE LANE 10/30/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o* ".O DT a qti O Permit NO: Date Received () ' d (7 4 i 4, Arno P Date Issued: '� �9SSACHUS�� � IMPORTANT: Applicant must complete all items on this page LOCATION_2- 6-t� /L) IJ I L L) L A �� A) g- Jin` , L� �� L PROPERTY OWNER V MAP NO.: OGPrint PARCEL: �`� ZONING DISTRICT: /� � TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential D New Building ❑One family ❑ 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 PREFORNTP *� Identification Please Type or Print Clearly) OWNER: Name: /7�A-) �' �� ji(� f (�L 1 S Phone: g y 9 —O Address: b 6r-MILN J L—L L /L Dy Z fA A//4 , &91 CONTRACTOR Name: c 1aL Phone: Address: �.� ( N Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: :address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$11.00 PER$1000.00 OF THE TOT.9L EST/MATED COST BASED ON$125.00 PER S.F. Total Project Cost :$_,500 66 Q FEE:$ 6) � Check No.: f Receipt No.: 9 Page W4 Location&6 � 6(v" ' No. Date MaRTM TOWN OF NORTH ANDOVER 3?Oftt`•o •,hO O + i Certificate of Occupancy $ JACMUStt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 6144 19742 �--- Building Inspector TYPE OF SEWERAGE DISPOSALSwimming Pools El Art E] Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons co ac ' g wi h unregi red c r ctors do not have access to the t fin Signature of Agent/Owner Signature of contract r Plans Submitted Pl s W tved ❑ Certified Plot Plan ❑ Stamped Plan ❑ E FOLLOWING 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 F1 ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes noy Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer con nection/Si!nature& Date Driveway Permit 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) Pa-e 3 of d Doc:INSPECTIONAL SERVICES DEPARTMENTBPFORM05 Created 1KIC.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 C- 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 DEPARTNIENT:BPFORN105 Page 4 of 4 ,F +1ffT" TOWN OF NORTH ANDOVER , Y OFFICE OF '* BUILDING DEPARTMENT k Y 1600 Osgood Street Building 20, Suite 2-64 40 ��t�y North Andover, Massachusetts 01 345 +cHU5 Gerald A. Brown Telephone 9? Inspector of Buildings p 1. 8)h88-9545 HOMEOWNER LICENSE EXEMPTION Fax (97,S)688-9542 Please print DATE: 1 © ( 6 JOB LOCATION: 6 G CS{Q U I L L 4 1 6 Number Street address t`- �T/ — Map/Lot HOMEOWNER J 0 y ^ � L L( c_(117 Name � Home Phone Work Phone PRESENT MAILING ADDRESS 5 4. /j C 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 procedur d requirem n s and that she�will requirements. -th said procedures and HOMEOWINERS SIGNATURE r APPROV,\L OF BUILDING OFFI AL Rcvised In.loo5 — 1 orm Honionyncis E.ecniption NORTH Town of 2 L Over No. �O - L A E over, Mass.,.�G COCMICKE WICK A. 7q ADRATED C2 `s BOARD OF HEALTH Food/Kitchen PERMIT T Septic System ,� AA 1 t THIS CERTIFIES THAT......... rl.......&JABUILDING INSPECTOR.......... .......................................................................................... Foundation has permission to erect........................................ buildings on�� �i►&.......&w.M1A�w0cow.......11� Rough to be occupied as.... Chimney � .r... . .....* ..... .s d... ............................................................... provided that the apsoficept ­­ thisrmit shailevery respect conform the terms of the application on file mthis office, and to the provisioof the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 3o =saw Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU STARTS Rough . ... .. ...... . .. .......... Service BUILDING IN TOR 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 SIDE Smoke Det.