The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #311 - 29 MILTON STREET 10/19/2006 TOWN OF NORTH ANDOVER NORTFI APPLICATION FOR PLAN EXAMINATION of t,�•o .1tio * s Permit NO: � Date Received Date Issued: ss�cMust��g IMPORTANT: Applicant must complete all items on this page LOCATION-D:5 0 t)� +- 10\1--e— int \1-- —int '�n PROPERTY OWNER t r t ,JN(\-e)k CD` Co Ai N Print MAP NO.: 3 \ PARCEL: -)- - ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building Vy,Obe 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 PREFORMED –c .2 "V Ls t Identification Please Type or Print Clearly) OWNER: Name: /� / / �p�L '.� Phone: Address: CONTRACTOR Name: Phone: mdress: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.511.00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F. Total Project Cost :$ 0 ."SOO— FEE:$ Check No.: ✓ 02`��O Receipt No.: Z�� 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 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) o 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 t o 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:INSPH TIONAL SERVICES DEPARTMEN'rMFORM05 TYPE OF SEWERAGE DISPOSAL Swimming Pools G Tanning/Massage/Body Art Public Sevyer 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 �� 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 PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no 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 connection/Sienature& Date Driveway Permit Buildin 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.: NOTES and DATA— For department use r I i t i Page 3 oF� D')c:INSPECTIONAL SERVICES DEPARTMENT:13PFORM05 11cated 1MC Jan 2006 �a Location C9 6I M, /7?)t') No. Date MORTq TOWN OF NORTH ANDOVER f � F w 9 • ' Certificate of Occupancy $ s'KHU Building/Frame Permit Fee $ _ r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ cQ Check # J7'" III' 19707 t. Building Inspector NH ORT own of : itAndover 0 ." No. ' y OlA E - dover, Mass., T - I� COCMICHEWICK V %S RATED PPG �5 �i BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System /'J • . BUILDING INSPECTOR THIS CERTIFIES THAT ` v Foundation has permission to erect........................................ buildings on................... ................. Rough to be occupied as Chimney .. . . . . . . . . .. . . . .. .. provided that the per accepting this permit shall every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and -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 CONSTRUCTI T 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 1600 Osgood Street Building 20, Suite 2-64 North,\-ndover, Massachusetts 01845 "A U5 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings HO%. IEOWNFR f [CP-V'qp c-vENIPTION Fax (97.S)6158-9542 (,11ca'se print DATE:_ 10 '7k Ce JOB LOCATION: Number Street Address Map;Lot HOMEOWNER (�nAj l47 .7 Name Home Phone Ork Phone 1'3 c) PRESENT MAILING ADDRESS ',D- �j City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings to two units or less an to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner d 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"homeo�Arier"certifies that lie,'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 APPROVA1.OF BUILDING OFFTCIAL 1-d it)2005