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HomeMy WebLinkAboutBuilding Permit #386 - 425 GREAT POND ROAD 11/9/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION NORTH f . 9 Permit NO: cJ Date Received 4 O �9SSwCNUS�tg Date Issued- -® IMPORTANT: Applicant must complete all Items on this page LOCATION o�, �j 6zal l Q ` Print , PROPERTY OWNERAE-LL C Print MAP NO.: A PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building VOne family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No. of units: hRepair,replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving relocation ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORM Identification Please Type or Print Clearly) OWNER: Name: _'S 60 Phone: o / Address: L '25 Cz14" Pay)d ad. CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: 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 COST BASED ON$125.00 PER S.F. Total Project Cost :$ IMa , 000 x12.00=FEE:$ Check No.: Receipt No.: C� Page 1 of 4 Location v No. '3 Date v� N°RTS TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ �SSAC"us Et Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # t 19790 _ _ Building Inspector TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 0< "°pTM 0 Permit NO: Date Received Date Issued: a, "+,Tso'•�`�g ,SSCHUstt IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNER Print Print MAP NO.: PARCEL: ZONING DISTRICT: ------ TYPE-AND-USE-OF-BUILDING --HISTORIC DISTRICT_._ YES _❑ ------. -------__. TYPE OF IMPROVEMENT PROPOSED USE – - --- Residential Non- Residential ❑New Building 0 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) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: 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 COST BASED�ON$125.00 PER S.F. T— Project Cost :$ FEE:$ Check No.: Receipt No.: Page W4 4 Building Department The followingis a list of the required forms to be filled out for the q 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 TYPE OF SEWERAGE DISPOS,�L Swimming Pools ❑ ,�/,( Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contractin with unregistered ntractors do not have access to the guaranty fund Signature of Agent/Owner ignature of contractor i Plans Submitted ElPlans Waived Certi Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM - -DATE REJECTED DATE�PPROVED -�— - PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS P 'FIRE DEPARTMENT -Temp Dumpster on site yes no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decisi:n: Comments Water& Sewer Connection/Signature& Date Driveway Permit i 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 i II Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORMOS Created JMC.Jan.2006 --- ------- T IAORTH Andover own of 0 0 3 No. A C% L,A 0 over, Mass., • C "I MEWICK ADRATED OA-rE P"' % E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.......A.A&0.�......... ...S.Z*AD.......................................... BUILDING INSPECTOR ... ..... ........ Foundation N 0% .73%11111.0101W. 1111111:111PW.... ....... Rough has permission to a ...................................... buildings on .. ... .......J11i Ail xv;7, IF 4 Chimney to be occupied as 4......... .0-oft- PI-6 ........................................................................ ...... on accepting this permit shall in every respect conform to the terms of the application an *Roil 'ie in Final provided that the arson 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 PERMIT EXPIRES IN V6 ELECTRICAL INSPECTOR /Vf-00 ELEC UNLESS CONSTRU ON Rough V-Q .............. ........ 00NWWANrft Service ................. .. .... ............... ...................................... ......... BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 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. 425 Great Pond Rd. Basement Current Configuration Existina double-huna windows x3 Existing d— casarn.nt&tsting 299 in 155 in — 265.25 in window I \ Y'A0 n Exist 11 d walls Existin stud walls 116.25 in Existing brick wall U and fireplam 151 in SOUTH 201 in EAST WEST Existbut stud walls NORTH 92 in 193.5 in 0 F-—-land —74.5 in— hot wate This area to remain as-is Current configuration: El-fricall W.1 existing stud walls (formerly paneled) cement floor A V concrete exterior walls all-around except entire south wall which has framed wall above ground (land slopes downward towards south of house) (formerly furred and paneled) - no ceiling (formerly suspended) - obsolete lighting and outlets - partially plumbed for baseboard water heat 425 Great Pond Rd. Basement Proposed Renovations i Yt.!itTL aw V. •t s. ti Existin stud warts %�,: . Existing mud walls L� 912 sq. ft. across four rooms SOUTH �- ---- _ --- EAST WEST C5 Existing stud walls NORTH i. OF—ceand hot Ater This area to remain as-is Renovations: ElegdWlpanel ;V. - four rooms total -, - new stud walls (shown in bold) Drylock, rigid foam, vapor barrier, D J r, 2x4 construction including press. treated, insulation W�LL5 441) OE drywall (on new and existing walls) T2i ��� - replacement windows (optional) NIN/V �S� 2 E - suspended ceiling - lighting and outlets (Juba) - baseboard water heat (Salemme) 2����5 — /Q6r'P - finish carpentry - paint �tORty Of,�No•�1�C h , A Town of North Andover Building Department 400 Osgood Street 'SSACHUS�` North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE !I - JOB 1 JOB LOCATION �J (7y-e a Number / Street Addressss� Section of Town GL � "HOMEOWNER ,SMGS z ko Ve- Number Home Phone /� Work Phone PRESENT MAILING ADDRESS �`m° ao-n ,? City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six 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 109.1.1) DEFINITION OF HOMEWOWNER: 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 to six family dwelling, attached or detached structures ac- cessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit.(Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance 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 No.Andover Building Department minimum inspection procedures nd requi ments and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control.