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HomeMy WebLinkAboutBuilding Permit #144 - 34A UNION STREET 8/24/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 0�"�oT 6 gtio Permit NO: ' Date Received p°RAr/D 0, Date Issued: CHUs�� IMPORTANT: Applicant must complete all items on this page 1 LOCATION /A Un'a ti J c,tVt -f- t 1 Print ( 1 I i PROPERTY OWNER �v�✓L�L t ? .A.4 -1 A_A-(Dk Print 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 ❑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 Identification Please Type or Print Clearly) Q OWNER: Name: -Rxw( )4V1A-el Phone: 61-If-7v7S- 3?73 Address: �� Uyll CONTRACTOR Name: � � I VLVv _�t Phone: Address: S` /.I- LLV", Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG PERM T:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ o© `00 FEE:$ 3 � Check No.: Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ 11Tanning/Massage/Body Art ❑ Public Sewer Well F1Tobacco Sales ❑ Food Packaging/Sales [I Permanent Dumpster on Site ❑ Private(septic tank,etc. El Permanent Meter location to proj ect NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 ❑ ❑ ❑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 Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes_no Fire Department signature/date 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.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created IMC.Jan2006 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) ❑ 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 DEPARTMENT:BPFORM05 PaoP.4 of 4 Location F. 1,4 ��� 4,-7 S;—No. /T Date NORTH TOWN OF NORTH ANDOVER p:1"40 .6 F � 9 * ; ; Certificate of Occupancy $ s' N�S t� Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ;I,,?1 Building Inspector F µORTH TOWN OF NORTH ANDOVER 12O°RY`co 61,+ OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 p�AATF��pP`45 North Andover, Massachusetts 01845 9SSAcHUSEi 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 5e-�3 i-S6._;�5 Name Home Phone Work Phone PRESENT MAILING ADDRESS 34 q Lk,%-a, -r 1 vOt�h ��r MA 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 familystructures. A person who constructs more that - tone home in a P two-year period shall not be considered e ed 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 irements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATUR APPROVAL OF BUILDING OFFICIAL _( Revised 10.2005 Form HOInwwnels Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 . 1 .34 SU 42EZ' DEED #34 r #32 ASSESSORS MAP#14 PARCEL#34 N/F SANDMAN z r g 1 8 rr �; rr .. r ASSESSORS MAP#14 PARCEL#46 LOT 20 =::; N/F FREEMAN GREENE FARM PLAN + RECORDED AT THE SOUTH ESSEX REGISTRY OF DEEDS ASSESSORS MAP#14 PARCEL#35 + DEED BOOK#3805 PAGE#326 25,080 S.F.+/- ASSESSORS MAI ----------------- ..• ' PARCEL#: EXCLUSIVE USE FOR#32 AND 934 NIF - WITHIN SHADED AREA A . N #32 W. W ASSESSORS MAP#14 SPACE #1 PARCEL#45 , N/F LTTTLE #32 c SPACE #2 a N #34 EXISTING BITUMINOUS ` SPACE #3 I CONC.DRIVE #34 s SPACE #4 #34W SPACE #5 I #34'A' SPACE #6 ` 3'+/- — -- _- — :...::..... . ... ----------- STEPS =- EXCLUSIVE USE FOR 934A :- _ WITHIN SHADED AREA + _ #34 'A' = CHZWEY STEPS ........ EXIST. HSE. l - -" FND. 5x� BULKHEAD DOOR ASSESSORS MAP#14 _ PARCEL#13 ch C" 1 N/F CAHILL _. -------------- ASSESSORS MAP#14 ASSESSORS MAP#14 PARCEL#40 PARCEL#39 N/F CACCIOLA N/F 231 MIDDLESEX TRUST A Z So'. 1 C.•-)/ d J'T zv2w. r F N0RTH own of No. y y _ _ A dover, Mass., • COCHICHEWICK �d ADRA-rED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System * THIS CERTIFIES THAT...............e...., . �. h ` - BUILDING INSPECTOR Foundation has permission to erect........................................ buildings on ..... .....A............Va� .i^........5 � Rough to be occupied as.............r7�....k.re ....... �.�...�............................................ chimney provided that the person accepting this perm 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 (010 aw� PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUC ;Z-T� TS Rough ............ ..... ...... ....... ............................ Service BUILD INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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.