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HomeMy WebLinkAboutBuilding Permit #786-11 - 45 COLGATE DRIVE 5/23/2011TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �6 Date Received Date Issued* ORTANT: Applicant must complete all items on this pane LOCATION "4,a1+T-e Dr -t U6- A/ OZ7P- ��R, /A)4' 410 y5 Print _ PROPERTY OWNER 6 f 16-4 IN U Print MAP NO: 66_PARCEL:_ QO l ( ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial Alteration &C No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ; �"'�d ''x�` '� ' Septic `r0>FWellp�Floodpvla�n, '�✓- !., iL 3. � '�.-._ i�OWetlands `5"4 '� ''s' -tJ Pie ,,�watershed�District, Y ,q_Water/ewer ., AxAir _ ...__ T)RSCRIPTION OF WORK TO BE PERFORMED: Identification Please Type orPrint CIearly) OWNER: Name: x-- d .7tn �Z/3,, A a J Address:5� CONTRACTOR Name: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone:, Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $92.00 P9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ 3= ©® FEE: $ // 7.0 a Check No.: /lL/� Receipt No.:_ 7 2 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location No. 7 Date NORTH TOWN OF NORTH ANDOVER O�tt�•o ,•'�y.0 - _ L Certificate of Occupancy $ ' J cMus `� Building/Frame Permit Fee $ // Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # // y� ` 24 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ [well PE OF SEWERAGE DISPOSAL (' lic Sewer ❑ Tanning/Massage/BodyArt ❑ Swimming Pools ❑ } ❑Tobacco Sales ❑ Food Packaging/Sales ❑ate (septic tank, etc. D Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS EALTH OMMENTS Reviewed on F] Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comm Conservation Decision: Comments Weer & Sewer Connectio11/Signature &Date Driveway Permit �y DPW TOWn Engineer: Signature: FIRE DEPARTMENTLocated384 Osgood Street -Temp Dumpster. on site yes no Located at 124 Main Street Fixe Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq, ft.: 7 - ELECTRICAL: -- ELECTRICAL: Movement of Meter location, mast or service droprequires Electrical Inspector Yes No q approval of DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$1o0-$1000 fine 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified 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) o Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals AL the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording ist be submitted with the building application Doc: Doc.Building Permit Revised 2008mi n W W oq v u \W p w � � aQi U A G � cd p O .0 G O w p iI. U. w O w cn � G iw pG o w � G ii w. a- w G :J co CO Q o Ei cn ui R 2 lzv P4 a W U) W N 19 W LLI 19 W 0 o � `• a O C rr77- •C C : A `f 0 =Cc Cn C2 �L O _ C �•. m on O I O cm N m H C C `° :EH W O ID U rcm A Z m h m � rV/J) mo m P.,, H C C3 aZ O CL c H0 •C O CLO C COD r CO h m y... _ W ��r•O� . C � oc •E c=, o •c, O LU C.3 m O ® C COD a CA m9 O� v y •� = CL •_-. m R 2 lzv P4 a W U) W N 19 W LLI 19 W 0 Gerald A. Brown Inspector of Buildings Please print DATE: TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION JOB LOCATION: Number A 7e D 2 i UG= Street Address Telephone (978) 688-9545 Fax (978)688-9542 Map/Lot IJOMEOWNER JifeJ2ky eER /n! O 97 - 12 ?0 -0,/6 j 9 N '$a 5''98 1 Name Home Phone Work Phone PRESENT MAILING ADDRESS- .A/09-77-4 DDRESS ./1/02T7-4 AN7�054 /n,+ Q l City Town 5+�+w . Zip Cede 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 family structures. A person who constructs more that one home in a two-year 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 Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and ; requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 68$-9535 06/08/2009 06:33 9784697046 EK SURVEY PAGE 01/01 MORTGAGE rLoT PLAN E K SURVEY INC ♦ HAVERHILL, MA Phone W&A69-190 ♦ FaX 878-489-7046 MORTGAGOR_ 9Clue DEED REF. 9 WqT PG. ADDRESS OF PRINCIPLE BUILDING PLAN REF, 49 woo IR. DATE OF INSPECTION N e pAItKJM, dn4 SCALE: 1'= t(p r 7.70 ` M� 9 � M i i ^ t {� Lot' ro tz Gat i C0&0*4 Certification to:�li(rt-MAgA4L � ca. ?' RUDEL This Mortgage Plot Plan was prepared specifically for No, 36W H The approximate Iooatlon of the principle etructurels mortgaga purposes only an4 It Ia not Intended or represented ' COMMI with the local zoning bylaws in affect when to be a property line or land survey. This plan is not to be used ' .9fCti1i Jai constructed and/ or is exempt from vlolatiorl enforcement to astablieh any of the property lines for any purpose. No 'r/Ogt� ��t)s action under Mass $.L. Title VII, Chap, 40A, Sec. 7. responsibility is extended to the land owner or occupant. The principle structure on this plan is not This is a tape survey based on the location of survey markers located within a special flood hazard area as scaled from of others. This plan Is not to be used for building permits or any FIRM Mop 4 ZSoo9P • **02C such use. Date 0012/93 Prepared for. A46rW'k 4" " File No.-;*-. /40V Job No. 2 $ t