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Home My WebLink AboutBuilding Permit #395 - 31 MAPLE AVENUE 11/13/2006 Y L TOWN OF NORTH ANDOVER V►ORTH APPLICATION FOR PLAN EXAMINATION 0 '-fl-.o 06 gti O L Permit NO: Date Received Date Issued: 11-13 'O 40 "A*so t SACHUS� IMPORTANT: Applicant must complete all items on this page LOCATION 0OiF�! i Print PROPERTY OWNER rCln r1,q, dtl yZ I Print 'i MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family ❑Addition iS 4wo or more family ❑ Industrial "Iteration No. of units: "epair, replacement ❑ Assessory Bldg ❑Commercial demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: 4iu7'f/an)y (—'AT��/�m� Phone: 97g'697'�5�� Address:_ 1AYL {k,� f i iGL� �1`'�-,4 C7 Supervisor's Construction License: CS �$/,� Exp. Date: 2L5�08 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. - FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED CQ§_T BASED ON$125.00 PER S.F. Total Project Cost O Q FEE:$ , W Check No.: 1-2k) Receipt No.: 1?7 99 Page I of 4 TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ To Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. Permanent Dumpster on Site ❑ F1 i Electric Meter location to + project I NOTE: Persons contracting wit/: unregistered contractors do not have access to theuarcrn / g tyfund Signature of Agent/Owner I`Caw-,- �. `L- 1—C �w Signature of contractor ;/ Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM PLANNING & DEVELOPMENT DATE REJECTED DATE APPROVED ❑ F1 COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS HEALTH F1DATE REJECTED DATE APPROVED � ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes ,0 no +� Fire Department signature/date { COMMENTS ZoningBoard of Appeals: Variance,lance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: ', ` IComments Water& Sewer Connection/Si nature& Date Drivewa Permit Building Setback(ft.) Front Yard Side Yard Rear Yard ProviRe Required ded 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 i i I Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 1 Created JMC.Jan.2006 f 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 y aulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) { ❑ Building Permit Application i ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit - ❑- Two Sets-of Build-ing Plans (One-To-Be-Returued)-to-Include-Sprinkler Plan And— Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report I 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 DEPARTMENT:BPFORM05 I Page 4 of 4 NGRTN 0 0 4 over No. = A dover, Mass., 2COCMICMEWICK ORATED PPS` �5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............a............... ............................•.................................... ......................... ............. .. . . Foundation 4 has permission to erect........................................ buildin on .. ........... .................... ......... Rough to be occupied asp Chimney ........... ............................ ... .... ............ .................................................................................... provided that theperson a pting 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 CONSTRUCTIO START Rough .............. ....... ... Service .. .. .. ....................... .......... ........ BUILDING INS 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. - - - f -l'' tom__ 22;.- 0" 2 -0" int€TA L '(G5 i _ i ",Wzp - f € �ur✓la 4 o ff' za F-x151/nl Pog 4V4-/,, ` I�,��G£® ES7/ uG pfd w� " Ga6Y�yZ._ nt !G Wf�c2 51 / t� .. h LL 's c�D. F31 +� F�- nio Lx A.,/e.4. 73 f, G 4,-NV ?'off w�� c,mE ruC�7't iwlav �Gk�f%!�/C? TN' a LEtpG f3� .« � u,�IZD cac.► • KA �LS C.AG4 ? w {/�ZGaGf3a�7S Y��SPa� •�aa5'r$ �vll�ti /-��Il�. .SOrSfiy,*j�..�`rA.�So,t� �Gfi7JSal�f$ - > r j /rrt ISJI/4. Tag .x-�CT 'fo ilu7Z> Jc c aT A t a D G,� wig ®' YiivlS,il�j� /ars f iG /k'b # -7;5D PIOL L SII 33 31 i .l f I _ 1 v.. _ . � - r EL r ■ ■ ■ ■ ■ ■ ■ ■ a ■ ■ ■ ■ ■ ■ � � 1 • ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ • ■ ■■■ ■ eo ■ ■ ■ ■ ■ ■ ■ ■ ■ r' , ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ��" ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ r ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ 1 ■ n ■ ■ ■ ■ ■ ■ ■ ■ r ■ ■ ■ ■ ■ r -- � '-a _ I I E 1 I r y - ` - TIS , n =�.� ............. ` !R as f Is f i i i f F F i i!R U �i!f/F i F i F f i F ■!f■i/■i i/i iii.i _ r i/....../../ p v ■!!i.F i!i i F i■i i! � .. __ �. R i R i i !R f!i i i R f i i i i f f f - /./i/i i i//// _ R i i!F i i i f i i F i i F i � ( R F/f!i F i/F +i i!R iii i f F i i i i!i i !/i i i!F i R i i ' _ ■:{-R�(E_F..!_!.'i F.#t_!_i,R_i' -. 7 f so f so so l I YLf "r" TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT •�� ' 1600 Osgood Street Building 20, Suite 2-64 North Andover, U`' Massachusetts 01345 "�CH Gerald A. Brown Inspector of Buildings Telephone(978)688-9545 Fax (97,S)6,S8-P542 HO.NIEOWNER L[CENSE E`CEkIPTION Pleasc print DATE: JOB LOCATION: 3 Number Street Address Map/Lot/� ap/Lot HOMEOWNER_NER 1''n4. t 7�F ��%LS 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.;.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 considered a homeowner. in a two-year period shall not be The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other \pplicable codes, by-laws,rules and regulations. The undersigned certifies that he•"she understands the Town of North Andovcr Building Department minimum inspection procedures and requirements and that heAhe will comply with said procedures and requirements. HOMEOWNERS SIGNATURE \PPROV,\1.OF RULDING OFFICIAL � rm Hnnxvn'rrn'r=F:,.rml�linn Location 33 No. 3 �5U Date ZZ-13-01- '40074 3-U1HO"TM TOWN OF NORTH ANDOVER 3? � •BOOL f 9 s ; ; Certificate of Occupancy $ �' b''•'°•'<� Building/Frame Permit Fee $ �sswcNust Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # C' d 19799 Building Inspector Location 3.3 -2 No. Date ZZ-13-OL �ORTh TOWN OF NORTH ANDOVER 3? i • SOL f41 T Certificate of Occupancy $ 't., •tt�' Building/Frame Permit Fee $ cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # 1 21 19799 Building Inspector