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Home My WebLink AboutBuilding Permit #709 - 49 ELMWOOD STREET 5/24/2006TONN'N OF NORTH ANDOVER ,APPLICATION FOR PLAN EXAMINATION Date Received: r [NIP ORT:XNT: Applicant must complete all items on this LOCATION 'nnt PROPERTY OWNER Print MAP NO.: PARCEL: ZONING MTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT TYPE OF IMPROVEMENT PROPOSED USE Residential = New Building One family Addition = Two or more family _- Alteration No. of units: Repair, replacemen Assessory Bldg aulic Demolition Movin (relocation) = Other Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OVVNER: Name: I /qct-i— i��1J�/L--� :kddress: 1 S9 YES ❑ Non- Residential Industrial Commercial Others: CONTRACTOR Name: Phone: address: of SuperN isor's Construction License: nd IIonic Improvement License: Exp. Date: Exp. Late: ,SRC I -II -I'1 -C f EtiCI.NLER \_imc: Phcnc: \ddress: Reg. No. ,2 FEE SCHEDULE: BULDI.1G FER S1900.00 OF THE TOT IL E•STIM. I TED COST BASED 0,1 3125.00 PER .5. I: Total Project CostA,.,_. xlO.0U=FEE: (-'beck No.: Receipt No.: Pa -k: 10, 4 -6 - "e-� - Jel� -"' -� of �,.�� ° w �ssAC MUS! / Permit NO: Date Issued: TONN'N OF NORTH ANDOVER ,APPLICATION FOR PLAN EXAMINATION Date Received: r [NIP ORT:XNT: Applicant must complete all items on this LOCATION 'nnt PROPERTY OWNER Print MAP NO.: PARCEL: ZONING MTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT TYPE OF IMPROVEMENT PROPOSED USE Residential = New Building One family Addition = Two or more family _- Alteration No. of units: Repair, replacemen Assessory Bldg aulic Demolition Movin (relocation) = Other Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OVVNER: Name: I /qct-i— i��1J�/L--� :kddress: 1 S9 YES ❑ Non- Residential Industrial Commercial Others: CONTRACTOR Name: Phone: address: of SuperN isor's Construction License: nd IIonic Improvement License: Exp. Date: Exp. Late: ,SRC I -II -I'1 -C f EtiCI.NLER \_imc: Phcnc: \ddress: Reg. No. ,2 FEE SCHEDULE: BULDI.1G FER S1900.00 OF THE TOT IL E•STIM. I TED COST BASED 0,1 3125.00 PER .5. I: Total Project CostA,.,_. xlO.0U=FEE: (-'beck No.: Receipt No.: Pa -k: 10, 4 -6 - "e-� - Jel� -"' -� Location wad ' c No. D / Date �oRT►. TOWN OF NORTH ANDOVER r°. .. A �a Certificate of Occupancy $ ! IT �+cNu " E Building/Frame Permit Fee $ ss Foundation Permit Fee $- Other Permit Fee $ TOTAL $ 03:5(' Check # 192'12 Building Inspector V TYPE OF SENKARGE DISPOSAL Public Seer Well PriNate (septic tank, etc. TanningAlassage Body .art _ Tobacco Sales Permanent Dempster on Site _ S"imming Pools Food Packa2in; Sales Electric deter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty•J•ur d Signature of A entOstiner ; 1401;-S-Ignature of Contractor Plans Submitted Pigs' Waived Certified Plot Plan Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED PLANNING & DEVELOPMENT []Water Shed Special Permit �J Site Plan Special Permit J Other CONINIENTS DATE APPROVED DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED HEALTI1 CUM-MENTS Zoning Board of,Appeals: % ariance, Petition No: Zoning Decision, receipt submitted � es DATE APPROVED Nammil,y flmrd Deci ;ion:—_—__----- C,.hlscr\:iticn DcLiJon: _— —--_—_collllllcllts — 'V• a%,;r u ),I% Lr :CCnection-l-naturc & uatc ;�ymp Dempster cn site ; es— rttl rite Department si naturr date -- — -- -- — — Building Permit Appro-ved and ISSUtd by: i2i ^ Building Setback (ft.) Front Yard Side Yard Rear Yard Required ProNided Required Provides Required Provided DIMENSION tiumber of Stories: Total land area, sq. ft.: NOTES and DATA — (For department use) Total square feet of floor area, based on Exterior dimensions. CQkK/V-v'� PCT 7-b Vge- r4f Y,� &A"Drn k,., c 3 , r I ' ni- r,F-',.'d- AN% 1(.'f !, A I • 1,f 11 I. 1 1 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 u Workers Comp Affidavit a Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior )&'ork , Addition Or Decks Building Permit Application Surveyed Plot Plan o Workers Comp Affidavit • Photo Copy of H.I.C. And C.S.L. Licenses • Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydr Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) Building Permit Application j Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract j 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 Boar( %ppeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy t proof of recording must be submitted with the building application X41(: `IN)\ \I.'A:R\ U FIS i)b:l' `:R'I'IE,1'al'F�)It`HIS I'.r'� 4 rf I a µORTH TOWN OF NORTH ANDOVER °0 OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 Gerald A. Brown Telephone (978) 688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: �j/��Gt,,W f Y Number Street Address Map/Lot HOMEOWNER H&I&4 U' 1011 ZI&I Name Home Phone Work Phone PRESENT MAILING ADDRESS -, '14IW6 City Town State Zip 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. tel' � HOMEOWNERS SIGNATURE 01/i"/VUYI.P./�iQCWJf►" U APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Fonn Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 s, (U;00 O O z A � y .E a G =0 v � ^ A or. � � r�r A WWW o a w° cn C io w2 U w a' in w W u i0 w w�' w W �' o rA cn cn O z E IE Ma :O A W cc CM c m a- 0 a c N O t O Z 0 J O f ;o �I co E CD L Z p. O H � C I cc C.— CO) CD 'g m m = O� 3� iO c—CJa a- via 0 Cc ca C Z ci h C O — c— c ClCL C A � y .E G =0 N dct 0 0� v �Z a m C: = Fa m 3 CL � ~ COD W 2220 CO -0 — 180:5 ui=.4- •y O C f. CC at �E o �� CD CL= C.3 CJ m 00 a O.O CO2 m� eyv 0 5" F- .. aim E IE Ma :O A W cc CM c m a- 0 a c N O t O Z 0 J O f ;o �I co E CD L Z p. 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