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Home My WebLink AboutBuilding Permit #138 - 300 PLEASANT STREET 8/21/2006 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION of,t�•' 61'►'0 / O A Permit No: 13K Date Received—e, �` -A to Date Issued: ��' SSAC NUS�� IMPORTANT: \pplicant must complete� all items on this page LOCATION 2a D eel, /7- /Yo /-�iv�JOr�� / ,004- Print PROPERTY OWNER Print � MAP NO.: lb PARCFL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building /One family Addition = Two or more family - Industrial I= Alteration No. of units: vRepair, replacement Assessory Bldg Commercial Demolition !- Moving(relocation) L Other Others: Foundation onl DESCRIPTION OF WORK TO BE PREFORMED _ Identification Please Type or Print Clearly) OWNER: Name:J� /�5' Q't//-�G'QUi'��ij/f ilds�srv�. � Phone: 9!�-�r�-asp! Address:,---1P6 /„��9 � f.�/ /�i✓ � CONTRACTOR Name: / s e m Phone•4GZ 3��/`i X099 ,address: 0��l�, ✓ Supervisor's Construction License: Exp. Date: Mollie Impro,,cinctit License: Exp. Dale: .1RCl-IITECT. ENGINEER Name: Phone: ,".ddress: Reg. No. FEE SCHEDULE:BGLDING PERMIT.510.00 PER 51200.00 OF THE TOT,9L EST131ATED C'OS'T BAS D OA SS125.00 PER S.F. Total Project Cost :S 1T004 x12.00==FEE:S IqLl '-- Check No.: & j� Receipt No.: Puce Iot t TYPE OF SEWERAGE DISPOSAL Tanning Massage;'Body Art _ Swimming Pools Public Sewer e/ _ — Tobacco Sales — Food Packaain(;Sales Well Permanent Dumpster on Site Private(septic tank,etc. Electric Nleter location to project :NOTE: Persons Contracting with unregistered contractors(Io not have access to the guarani{'fun(! Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan L Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION '❑ ❑ CONINIENTS DATE REJECTED DATE APPROVED HEALTH ❑ '❑ CONINIENTS Zoning Board of Appeals: Variance. Petition No: L.unin_ Decision:receipt submitted 3 vs Planning Board Decision: Comments ConserN,ation Decision: Continents i '\ater& Sewer connection,Sil!nature& Date DrivewayPermit Temp Dumpster on site yes,. no_ Fire Department signature,date i f Building Setback (ft.) Front Yard Side Yard Rear Yard Required Proxided Required Provides Required Provided. J_ Dimension Number or stories: p? Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: Zg �ga NOTES and DA rA—1 For departMC(It LISC) 1':t,,,c 3(if I :;cc]1 I+C I SLI, ICL.i I)F PAR'OA LN I t till 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 Cornp 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 a 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 zi Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) zi 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:INSPEA HONAL SER\R'Et;DEPARTNIIiV'f;11PF0R\105 i i � ,. t of I Location'2' Q �' '�"'✓� ''^ No. Date �ORT� TOWN OF NORTH ANDOVER # s + : , Certificate of Occupancy $ 'ss,cMustBuilding/Frame Permit Fee $ /4/6/ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 9506 Building Inspector NDRTM Town of over No. .. . o o dover, Mass., LA COCMICMEWICK 7�A0RATEO 7 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • THIS CERTIFIES THAT........ t. ' . .. .....� �!•W**.............R. .. ..f.�....V.!�44�0 BUILDING INSPECTOR .................... Foundation has permission to erect........................................ buil 'ngs or13a T.....5. .. Rough It to be occupied as. � �.�./M......... ... ...........r✓.. ..... ..r.. ............................................................... 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 lql WOW PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TRU P ,T RTS_ Rough Service BUILDING INS CTOR 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. %AORTH IOWN OUNORTH ANDOVER OFFICE OF ° p BUILDING DEPARTMENT * 400 Osgood Street North Andover, Massachusetts 01845 sSACHU5fc Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE:•2. JOB LOCATION: Number Street Address Map/Lot .r HOMEOWNER ✓ G�f /yam itos/�/�/ 1� �o�oZ/S /� Name Home Phone Work Phon 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. IIOMEOWNERS SIGN RE APPROVAL OF BU DING FICIAL Revised 10.2005 Form Honwowners Exemption BOARD OF APPEALS 685-9541 CONSERVATION 688-9530 HEALTH u88-9540 PLANNING >r8- 9535