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Home My WebLink AboutBuilding Permit #465 - 45 BUCKLIN ROAD 12/15/2006TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIONO NORT1y 4 <��" �•;;�o cp Permit NO: Date Received i Off+ LKweiiiw[•,�1. # Date Issued: '0 �'� '""*�� •'� �� Ss�cHuse IMPORTANT: Applicant must complete all items on this pane LOCATION lA ck t\ 4 J 0 r� h Print PROPERTY OWNER � G�►'1 I' nn l GvIC. —�,t P.l Print MAP NO.: PARCEL: TYPE AND USE OF BUILDING ZONING DISTRICT: UNTORIC DF4ZT1D1r('T V1u c ri TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ,One family ❑ Addition ❑ Two or more'family ❑ Industrial )(Alteration No. of units: ❑ Assessory Bldg ❑ Repair, replacement ❑ Commercial ❑ Demolition ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: Oo na�I%h t' wk Z e2 Phone: Address: q 13 b CONTRACTOR Name: D(AV% �. MUOY\E Address: Cp 41922 ( Aslhdc, 03060 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 $125.00 PER S.F. Total Project Cost :$ $ 1010'72-100 FEE:$__ Check No.:�/ Receipt No.: Page Iof4 Location No. _ Date O:°ITh TOWN OF NORTH ANDOVER �tNo�,.ti.0 O L 1. A 9 � C Certificate of Occupancyy cS sA�HUs t�' Building/Frame Permit Fee $ 13 ( Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i .9877 : Building Inspector TYPE OF SEWERAGE DISPOSAL �_ Tanning/Massage/Body Art ❑ Swimming g Pools 11 Public Sewer Well F]Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ Permanent Dumpster on Site ❑ Private (septic tank, etc. Electric Meter location to project 1N0'1'h:. Persons contract,'ng witp unregistere contractors do not have access to the guaranty fund Signature of Agent/Own Signature of contractor Plans Submitted ❑ PI'and Waived ❑ Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED PLANNING & DEVELOPMENT ❑ COMMENTS Q DATE APPROVED DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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: Conservation Decision: Comments Comments Water Water & Sewer Connection/Signature & Date Driveway Permit In— 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.: 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 m m m m N m F, C2 y d C .c y �■■� n Z y 06 d _• CO) a� �o o c CD CD`2 0 rF Q QSCD co CD C O y. �. CD CL. C2 CO) �■ O C I CD CA O Z cD � O CD CDD cn n O V I 0 ? "Ro Or 2 &; 2.m o CO) o d =so C2 a40 n q R ..► Ci Mm �-c r -4 RL al s T wawa m O •O/ O y N � IE m m Zs OO C L! ce �c y CL ?: O.a : C W � d �CD m y N � O m Ce N 0 ..0 clo _ 1 'C O O O O H CD 0 0 0 dos o� CL's: n� o � C O i1 O O ~" :' R �,y -p ^�- O OCG � . 0 m b FOL ;;vz k � � �. n � � W oo C � 1i7 G a WOE• (�� ►'+ M CA �• cp 'rJ pO tea+ 9, 0 omq 0 9 A Zl TOWN OF NORTH .ANDOVER OFFICE OF BUILDING DEPART.N,IENT 1600 Osgood Street Building 20, Suite 2-64 '`n' �+cHus try North ,kndover, Massachusetts 01345 Gerald X Brown Inspector of Buildings ise „r;,u Telephone (9'-5) 68,9_95. Fax 19?�ijti;ig-9i.).. HOMEOWNER LICENSE EXE;%IPTION DATE: rbece.6- I5' 7,00 6 JOB LOCATION: q ID Number Street ;lddress HOIti1E0WNER ��n h rk )g' 9 78 Name Home Phone PRESENT MAILING ADDRESS 115- gutk (L� p No H- n Avjwer k - 11Y1 own NIS State Map; Lot Work Phone �S Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner nets as supervisor). .State Building (Code Section 108.3.5.1) or less and DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which t be, a one or two f imily structures. A person who constructs more that one home in considered a homeowner. there is, or is intended to a two-year period shall not be The undersigned "homeowner" assumes responsibility for compliances with the State Building Code an +pplicable codes, by-laws. rules and regulations. d other The undersigned "homeowner" certifies that lie, A understands the Town of North ,lndovcr Building minimum inspection procedures and requirements and that he, will comply with said procedures and HOMEOWNERS '' I1QNATLRE ____4U ZI 15/0(, APPROV,\I. OF RC'IL.Dl\IG OFFICI,kL --- -- I rnt H nnar n,'r. f-,.:.cl---- David A. Maloney P.O. BOX 7822 Nashua NH 03060 STATEMENT Basement Finish Mark & Nancy Ziel 45 Buckland N.Andover MA 12/14/06 • Framed w/metal studs every 16" . Door openings & kneewalls wrapped & capped w/2x4 wood studs. • Insulated w/friction fit 3 'h" thermal batts on all outside walls. • 'h" drywall hung & finished ready for paint. • Doors & trim to match existing. • All walls & trim primed & two coated. • Suspended ceiling hung w/2x2 lay in tiles. TOTAL materials & labor = $ 10,072.00 To be paid 1/3 after frame, 1/3 after drywall , 1/3 upon completion.