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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! 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