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HomeMy WebLinkAboutBuilding Permit #474 - 39 BRIGHTWOOD AVENUE 12/19/2006TO 4" APPLICATION PLAN ON 0t No oT ;''ti 'A �[ �j H Permit NO: t_ AF'P?® 'Deceived Date Issued: �ss�cNus�� IMPORTANT: Applicant must complete all items on this page LOCATION 3 //6�17111-600-26 AA,-_ Print PROPERTYOWNER 1�0i4/J Print MAP NO.: 0 (!/ PARCEL: �'�'� ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )< Addition ❑ Alteration KOne family 0 Two or more family No. of units: ❑ Industrial ❑ Repair, replacement ❑ Demolition 0 Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE1 PREFORMED cr c>sed k ou=1 iloil — D-er PlQtls Identification Please Type or Print Clearly) OWNER: Name: ,I O Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. 3 --4-3 9 FEE SCHEDULE. BOLDING PERM/T. 512.00 PER $1000.00 OF THE TOTAL ESTIMATED JCOST BASED ON $125.00 PER S.F. Total Project Cost :$ S 15:10 FEES Q Check No.: �� Receipt No.: 0 Page I of 4 Location No. y7 Date � TOWN OF NORTH ANDOVER S Certificate of Occupancy $ ',b'•••° •'<� Building/Frame /Frame Permit Fees$ �ss._....�E 9 Foundation Permit Fee $ Other Permit Fee -$- TOTAL $ Check # I 198,018 ��.5------- Building Inspector TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer COMMENTS CONSERVATION Tobacco Sales ❑- Food Packaging/Sales ❑ Well Permanent Dumpster on Site ❑ 'Electric Private (septic tank, etc. Meter location to. ❑ ❑ COMMENTS project NOTE: Persons contract' g wit un istere contractors do not have access to the guaranty fund Signature of Agent/Owner '2gk Signature of contractor Plans Submitted ,X�Ians Waived ❑ Certified Plot Plan M Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM FIRE DEPARTMENT - Temp Dumpster on site yes no z Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION E REJECTED DATE APPROVED COMMENTS�`d(S DATE REJECTED DATE APPROVED t' HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no z Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit Building Setback (ft.) Front Yard Side Yard Rear Yard- Re uired 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 6 o Page 3 of 4 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC. Jan3006 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 Page 4 of 4 v �[v %i I v ✓ 5UpP012T COLUMN PVC 1?AILING FIpSr FLOOP PLAN NF -W 5TAI1'5 TO PIN15H GPA F- Pl?OPF-f'TY LINF- NEW ISN WIN K5 IIIIIIIIIIIIIIIIIilllllllllllllllll IIIIIIIIilllllllllllllillllllllllll IIIIIIIIIIIIIIIIII11111111111111111 Illlillllllllllllllllllllllllllllll IIIIIIIIIIIIIilllllllllllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIilllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIillilllllllllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIilillllllllllllllllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIillllll IIIIIIIIIIIIIIIIIIIIillllllllllllll Illilllllllllllllllllllllllllllllll I 1 I IIIIIIIIIIIIIIIIIIIIIIIIIII Iilllllllllllllllllllllll illllllllllllllllllllll I.I.I.I.I.I.I.I.I.I.I s z � X I I I I I I I I I► 1 1 1 1 1►►► I►► I I �� �z V� I Ilil ► 1 1 1 1 1 1 1 I I I I► 1 1 1 1 1 1 ►►1111IIIIIII I I I I I I Z � � I�IIIII�I�III�III�I�I�IIIII�I�I�IIII � IiIII►IIIIIIIIIII►I►Iilllllllll►IIII � III►►►III►II►iIII►IIIIIIIIIIII►11111 i l I,I,I,I,I.I.I.I.I.I.I.I.I.I.I.I.I.I. l l l l l l l l l l l l l l l i s z a 7:5 0 o ��z C y o w a ►'i'I'I'I'I'I ►'►'1'1'1'1'1 i�l�l�l�l�l�l 1111111111111 11111►1111111 ► 1 1 1 1 1 1 I�I�I�I�I�I�I iillllllillll Ilillll►11111 1 1 1 1 1 1 1 I�I�I�I�I�I�I III►►11►11111 1111111111111 111111111►►11 1 1 1 1 1 1► Illl►11111111 Iiill►1111111 i11i1►111►111111111111111►111111111 I►Ill►Iilllllllillilll►►►1111111111 111►►11111111111111►II►111111►►1111 Illlllllllillllllllllllllllllllllll 111111►11111►1111111111111111111III 1111►1111111►1111111111111111111111 Illi►1111111►1111111111111111111►11 Illi►11111111111II►1111111111111111 11►i►111111111►IIII11111►111111111► ►111111111II►11111►1111111►ill►1111 Illlillllillillll►Illllilllllllllll Illlillllllliilllllllllllllilllllll Illllllll111111111111illlllilllilll Illllillllillllllllllllillllllllill Illllllllilllllllillllllllillllllll Illllllililllllllllllllllllllllllll Illililllllillliillilllllililllllll Illlllllllillliillllllllill I i I 1111Ilillllllllllllilllll I►ll►111111i11111111►1► I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Illllllllllllllllllilillllillllilll lihillillllllllllllillllllllllilll Illlllillllllllllllllllllllllllllll liIllillllllllllilllllllllillllllil Illllilllilllliliilllllilillllillli Iillllllillllllilllililllllililllll 1�1�111111111111111�111111111111111 Illlllllllllllllllllllilllllillilll I I I I I I I I I I I I I I I I I I az I 19 ON O s � Z it RIZ sz sl- - �O �z = az I 19 ON O s � Z it 1 11 I O <z 1 Q _ o O zdOO --L 0 o o� s 1 11 I O <z 1 Q �ZZ O zdOO --L 30MIN I I/■UM It■UM I :Hon; I//UM It N: El I■■t/■■I It■ttttl It//girl Q O --L 30MIN I I/■UM It■UM I :Hon; I//UM It N: El I■■t/■■I It■ttttl It//girl KIM t x�OO N U OOOO On zO�Z ZZ ZZ 0 X v� j0 O� t _ M O 0 � sz �z 0 J _ O v<< 0 0 �O �z 0 J O z • 43 2 n x w � w as -r .� w cs: v G U w x w ►� o w G ir. x a a w o w � C w" a a x m o 04 � w � �� A cA z � cn v o cn uu am CIS A o CIS C L N O = f�.1 i..3 O c a 0 =ts :tea Cos LE � o m c� C.2o ♦1�• ` 3 of mi E m c O m3 t 3� y _ m � dJ C m p to = C m93 0 :gy� CLC.) m d,mm cc t t o c 0 c a TL 00 mor cma m Z o ;oa o c x m CL._o ♦' $ m m GO t W c •- F:. Go at U r ���� g _ to cm s H .� SaI. 0 CD O CD • � L CD CL Z O y � c O pm ca 'ca E m m Z W � 3.0 CD c d cma c o = c ev M3 •O cm C Z CD CL ci V2 O C _ c H U) W W U) a 468.40' TO HIGHLAND LOT 63 MAP #66 PARCEL#24 TOOMEY EXIST. BLDG. LOT 44 EXIST. HSE. FND. PLAN OF LAND IN NORTH ANDOVER, MASS. OWNED BY MAUREEN WEIR SCALE. I"=20' DATE. 11/5)2003 11/20/2005 0. 20' 40' 60' Scott L. Giles R. P. L. S. Frank. S. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. VIEW m LOT 64 PLAN #0358 N. E. R. D. DEED BOOK 4648 PAGE 296 SEE ASSESSORS MAP #66 PARCEL #25 TOTAL AREA = 7650 S.F. LOT 43 PLAN #0358 EXIST. N.E.R.D. GAR. AVENUE EXIST. HSE. FND. LOT 65 EXIST. BLDG. EXIST. BLDG. MAP #67 PARCEL#14 JURKEWI C EST. bulk head 10' LOT 42 co w cn � ^' EXIST. HSE. FND. #39 10' 460' TO CHADWICK STREET 45.00' BRIGHTWOOD AVENUE THE ZONING DIST. IS R-4. THE PROPERTY LINES SHOWN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, AND THE LINES OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. THIS IS TO CERTIFY THAT I HAVE CONFORMED WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS IN PREPARING THIS PLAN TOWN OF NORTH ANDOVER OFFICE OF 71 BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 �cr+ur,h North, Wover, Massachusetts 01 845 Gerald A. Brown [nspectcr of Buildings u!c We nein[ DATE:l3 L lee Q(D Telephone (978) 6188-95• HOMEOWNER LICENSE EXEMPTION Fax (978) 6,SS-954 JOB LOCATION:Number Ll�� DAv 6. Street Address -- — o A-,— i,v �i2 ti•Iap/Lot — EiO;ti1EOW'NER Name Home Phone Work Phone PRESENT MAILING ADDRESS SAM iz City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less an c allow such homeowners u engage an individual for hire who does not Sectipossess a (►cense, provided that the owner acts as supervisor). .State B►lding (Code on 108.3.5.1) d 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 F►mily structures. A person who constructs more that one home in a two-year y r 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 Tcwn of North Andovcr Building Department minimum inspection procedures and requirements and that he•'she will comply with said procedures and requirements. p FiO�IEOW_\ERS SIGNATURE__ \PPROk-m. OF R['II.DING OFFICLQ r�., r.�•J iu �nt,s � • rm H�nnur�.mrr:• F, ��.cptir.n