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Home My WebLink AboutBuilding Permit #575 - 27 HEWITT AVENUE 3/15/2006 4 f HOBTM, p TOWN OF NORTH ANDOVER `•� . .=«' APPLICATION FOR PLAN EXAMINATION SSACHU`�E Permit NO: Date Received:d J.�" D Date Issued: `� / Ste" 0-(' IMPORTANT: Applicant must complete all items on this page LOCATION No CV,, Avyt 9c-,,v�(-, PROPERTY OWNER �cQwQ ►q��Q (,In.e,� � �1@� Print NIAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building V'One family u Addition C Two or more family C Industrial Alteration No. of units: X'Repair, replacement' C Assessory Bldg C: Commercial Demolition Movin (relocation) C Other C. Others: ! Foundation only DESCRIPTION OF WORK TO BE PREFORMED Re-!,JOQ to Identification Please Tyne or Print Clearly) OWNER: Name: Phone: ..' nature Address: 1 �- CONTRACTOR Name: Phone: Address: C Supervisor's Construction License: Exp. Date: j - I Home Improvement License:- Exp. Date: I ARCHITECT,ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.510.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON $12.5.00 PER S.F. 0e) Total Project Cost :$ DC�C� xl0.00-=FEE:$.o00 Check No.: ,.� Receipt No.: �`T� { TYPE OF SEWARGE DISPOSAL Tanning/Massage,Body Art Swimming Pools . Public Sewer Tobacco Sales – Well Food PackaginoISales – ` Permanent Dumpster on Site Private(septic tank, etc. NOTE: Persons contracting with unregistered contractors do not have access to the guaran{p•fhuhd Sicnature. of AentiOwner 1 Signature of Contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED I PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appcals: Variance, Petition No: Zoning Decision,'receipt submitted yes— 1'lannirnu, Board Decision: — — Continents. 1 onservation Decision: Comments_ --- — e Water& Sew.er connection sig-nature&date �, � 1/l,.,�, ...3113-0 Temp Dumpster on site yesno_ Fire Department signature/date _-- _ —_ _— Building Permit Approved and Issued by: i Building Setback (ft.) 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.: NOTFIS and DATA—(For department use) I j I I I ' -- -- a 1711 t.II;I'I OI'N::;: ( Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits <y� Building Permit Application Debris Removal Form o 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 f ❑ Building Permit Application ❑ Form U ❑ Surveyed Plot Plan o Debris Removal Form ❑ 'Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) i ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) o Building Permit Application ❑ Form U ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses zi Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydrauli Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Enel-gy 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:I\SPECIIONAL.SERVICES DEPARTMEWMFORM05 .1 Location 0 !-�t° f tie.-, No. Date ' TOWN OF NORTH ANDOVER s • ; . Certificate of Occupancy $ �ss�cwusEt� !3�g/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �Q Check # iS 0 i }f 3 � , l Building inspector F tAORTH Town of _, 4 4Andover o dover, Mass. 3 , COCHICHEWICK yLA �. ADRATED PQP-� �C) `S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System I,� BUILDING INSPECTOR �d THIS CERTIFIES THAT.......... W.me4............ .......I... .. .. ........... .......................................... Foundation has permission to erect �• p uildmgs on�♦ .�'�..... .. ..... ..........................�............ Rough to be occupied as....... •• �i�.NQ � ...�•• •• 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 CONSTRUCTIO STARTS �, 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. �. TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 3. 1 ,R 400 Osgood Street North Andover, Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 .Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: Number Street Address Map/Lot HOMEOWNER 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 requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption