HomeMy WebLinkAboutBuilding Permit #474 - 39 BRIGHTWOOD AVENUE 12/19/2006TO 4"
APPLICATION PLAN ON 0t No oT ;''ti
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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
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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