HomeMy WebLinkAboutBuilding Permit #527 - 48 LINDEN AVENUE 2/8/2006� pORTh ,
a TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
SSAcHuse�
Permit NO: Date Received:, �
Date Issued: 2
IMP
ORTANT: Applicant must complete all items on this page LOCATION wC i
--_---
PROPERTY OWNER �/n44clCPrint/ �Ac"4
Print
MAP NO.:t/ ARCEL: Dd /f ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT vFc n
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential.
D New Building
D Addition
gyration
_ne family
C Two or more family
No. of units:
❑ Industrial
D Commercial
L Repair, replacement
F-4- �emorkion
C Assessory Bldg
r Moving(relocation)
D Other
D Others:
1::,---__-1Foundation onl
DESC;K1P 1 ION OF WORK TO BE PREFORMED
vow �
� C/c/,-cc
-W-17
Address: y
���' e Signature
.� ��
;:5-sevlf I
--- --- -- ---
CONTRACTOR Name: l 257X-4 Phone: 97Y --L SY4�
Address: `i ���i� /6r
Supervisor's Construction License:6416 5-XK Exp. Date:
Home Improvement License: /ZossY Exp. Date: 11 ' ZG - Cl
ARCHITECT/FN GIN FFR Name: Phone:
Address:
No
FEE SCHEDULE: BULDLYG PERMIT: $10.00 PER $100200 OF THE TOTAL ESTIMATED COST BASED ON
$125.00 PER S.F.
Total Project Cost :$ y00c,o x I 0.00=FEE:$
Z/0-0
Check No.: Receipt No.: /?f6
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
❑ Debris Removal Fonn
❑ 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
❑ Form U
❑ Surveyed Plot Plan
❑ Debris Removal Form
❑ 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
❑ Form U
❑ 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 Hydraulil
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 DEPARTMEti rMFORN105
TYPE OF SEWARGE DISPOSAL
-
Tann ing/M assagei Body Art _
Swimmin-* Pools ❑
Public Sewer
Tobacco Sales
Food Packaging/Sales -:
Well (__;
_
Permanent Dumpster on Site i._;
Private (septic tank, etc. !...�
NOTE: Persons contracting with unregistered cont t Yor.v do trot have access to the guarantti+ fiord
, • 1
Signature of Agent/Ovvne Signature,of Contractor
Plans Submitted ❑ Plans Waived ❑ Certified PlotTlan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
DATE REJECTED
❑ -- ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
DATE APPROVED
t. DATE REJECTED DATE APPROVED
` ;CONSERVATION • .. ❑. • • . , , ❑
ti
COMMENTS
DATE REJECTED DATE,,APPROVED
e,
HEALTH_.. -- - - - - - ._.. ❑ .❑ `
COMMENTS
# • Zoning Board,of Appeals: Variance, Petition No
Zoning, Decision/receipt submitted yes
Plannina, Board Decision:
Conservation Decision:
Water & Sewer connection signature & date
Comments.
Comments
Temp Dumpster on site yes—no— Fire Department signature, -date
Building Permit Approved and Issued by:
L -
Building Setback (ft.)
Front Yard
Side Yard
Rear Yard
Required
Provided
Required
Provides
Required
Provided
DIMENSION
Number of Stories:_
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
NOTES and DATA — (For department use)
L
Doc: INSPECTIONAL ZONAL SI RVICES DEPAR'1'MI.NI'131T )RM015
'remcd AIC Jan._00(,
Location ydr' .4 «+ der -,,/ A
No. % Date 6 z
Check # a;Z I t?
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ 4164
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ </& a
18969 1,111f7
(Building Inspector
Gerald A. Brown
Inspector of Buildings
Please print
DATE: Z- 7-a(.
TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
400 Osgood Street
North Andover, Massachusetts 01845
HOMEOWNER LICENSE EXEMPTION
Telephone (978) 688-9545
Fax (978)688-9542
JOB LOCATION: & AVA k7 /Iyr
Number Street Address Map/Lot
HOMEOWNER 67all(,e/ S/Ue, I? 7&V- 4 M •,SY6Y
Name Home Phone Work Phone
PRESENT MAILING ADDRESS e --
City Town State 21D Code
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. _-lop , 10,
HOMEOWNERS SIGNA'
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Forth Homeowners Exemption
03/23/2006 16;01
1V�R,D�C
r.,.�m vinitm .,tee
Member Data
Desor7ptlon: fd1 A
®dd1 BilMortlor altic floor
1,Lla,d Loa
11"oad:100°Ya
Non-standard Loads
Type
RepbcementUnlform (PIP)
9786635962
'W[WEIII
$cpovallons
48 Unden Ave
N.Anduva,MA
Member Type: Seam
Applkatlon: Floor
lateral eredng; CoMtrnlous
i3uir Code Other
Mnlsture Condi on: Dry
DefleccWn Criteria: L�0 lye, L/240 tatel
mvLL
1 Me ber Weight 8.1 plf
Deck Connection; Wed
Actual
Rename: KY—Si
Capaoly
TMb.
Uve Oeild
eapin End VYIdth
start end s fft
84
Ir p.Op- 15' 4.00"
140
,16 Is 40
ts4o
Bearings and Reactions
Irwo Mldmum
Er Jw W211 3w 1.WI 172W 10430 89611 1720
2 141o.7s Wdi 350" 1,50" 17M 104311 GM 17291!
Design spans
'1411a.7s,
Produet 76F Ae 1 OW41 Vn 2 Nr
Design aasune contimmo hftrsl bracing !or 130th Chords.
Aikmaw stfeae Design
Actual
altewabk
Capaoly
Location
wading
podl" Monrard
6437.W
10549.1
61%
27%
7.45
01'
TOW bed 10076
Tq*l bgd 100%
Shear
Max Readlen
1545A
I?" Al
5542.*
SMI
25%
We
it
7.45
Dead (cad
Total bad 100%
LL nstledlon
.3 7
4986
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TiAm IneA 1nm
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PAGE 02
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