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HomeMy WebLinkAboutBuilding Permit #218 - 490 SHARPNERS POND ROAD 9/22/2006 TOWN OF NORTH ANDAR N ORT M f 9 APP OR PLAN EXAMINATION ? o FO- p Permit NO: a� Date Received 4 e ZACH Date Issued: -Z b �9SSUS���y IMPORTANT: Applicant must complete all items on this page LOCATION �jd <���- �S �O/V C) Print PROPERTY OWNER �� t1V7' Print MAPNO.: IOS-1) PARCEL: ZONING DISTRICT: - TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building XJ One family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED z aC-P(1/T_CC_ &'x1sT7NG ISXL/2-, Identification Please Type or Print Cie y) OWNER: Name: ���� ��i�T Phone: 8 (0 3b 9 Address: '4 10 SW797-1P1\1&12:s porio P-0• CONTRACTOR Name: Phone: x Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULD/NG PE /T:$12.00 PER$1000.00 OF THE TOTAL EST/MATED O T BASED ON$125.00 PER S.F. Total Project Cost :$ �'� FEES —�_ Check No.: 1 (o2S Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL -Swimm nlPools ❑ ❑ Tanning/Massage/Body Art.�� g Public Sewer Tobacco Sales ❑ `y [Iod Well �� ;Packaging/Sales U.: Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Plans Submitted ❑ ans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS TE REJECTED DATE APPROVED CONSERVATIO I _ q '� ` A(L4_2r0b COMMENTS Q d� c D REJECTED DATE APPROVED f HEALTH C r COMMENT - Q Zoning Board o s. Varianc fon No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes—no— Fire Department signature/date I 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.: NOTES and DATA—(For department use) 1 �G• �j-C-C L � ''�' �� X Z I 44 I r Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created IMC.Jan.2006 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 � I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 I I Pave 4 of 4 Location / �1 Date Na 1 f K ~ -� TOWN OF NORTH ANDOVER / > % . . . E % Cemfc/e of Occupancy $ . � Building/Frame $ «_S g .. . , Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /\ Chck * �� � § . ] 9604 \ / � Building s e @ �ORT1y Town of And 0 TO No. a f dover, Mass., •22- Oeo COCMICMEWICK ^ 7�ADRATED '9S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System W BUILDING INSPECTOR THISCERTIFIES THAT.... .. 4�............ ....�.�......................................................................................... Foundation has permission to erect........ buildings on ...# . ..... Rough to be occupied as.A�.. !x....f3. -YZ........P"x..• Chimney Provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final ?6 41W PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ST TS Rough ......... . ........... ............ Service BUILDING y CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. {d•.a.v p? '� more,SEE SUISOIVI SION PLAN OY FRANK C.GEL/NAS fASSOC., /NC.,NORTH ANDOVER,NTA SS.,DATED APRIL E./98/. F F'h�tis / C'-I"1. •\ TRUST LE REALTY TIO ANDREW CIRCZ LOT LOT' •° u / �� / D •E� 77' • i 8 / �°6 yoo5�.a° 1r•. Q3 rDi '� IE. SOLeI. 500S .LOT' Lot g 8m vv v SH.4RP2YE R•S 'A k /,{L _t«.mss• o• ..�'g� l�'i "` F / s` L 8• � / OT 9 �•IZ,�{ v 8 D o; LOT'G m Altii�B1 LOT'2 b 1 LOT'/2 •'q j ^' dP I b v InjO•, 301•z LOT'Z 6-� +Q p O' ^ H2 io 00' �• 4 r a� _J*e:t T,S-w 9 � I �' !v Ip/ I� �� ;`'•D 2 LOT /O Rl« R ! J c♦�y �n p �yti �vE � 2 3 LOT&7 ov, :� ce�LE-Ice 'a o rt ! 9 0 4° b b '•� moo. w4,yz zS L V p9. „ LOT'S >; o * � \f'S°°�/�.•� /p �. Ypo 5/�E� kN ALT£RNATP 2 h h N /y `! \4• N p�.L OO. `�(� L or'13 x�gQI, "T ': ROUTE(IN PAR{) 2 Z ? \ `�` s•� 2/3. �y00 � OR EA SEMENT"a `ro �S. ��%�.� L•{ {IJ� r 9• I J.00' POLE /(17 A0,11) so �•. a+{.2 { _ ciiof��4�w swwlREe GUY WIRE V „ 1 �b \f'i I� �iy � f h e I •I •I Mh BASEMENT^C�'\ \y �q Y $s�.�9 V V V leg I I " Z . :NRMON DRIVEWAY I� �� � I LI I SL Ory 'PoG 1 1./a Po[E -- ELECTR/C UTIL/T/ES p\ 666 L•O I o I so'WIDE TTP/CAL 5 I, I I -A �'t 2 `I o LOT'/l \ . 1 LOT'S 1 ,4 `I 4 I , • ' OMMOFOOR/VEWAY ^ " I' I lb c N 3 0 4,� ELECTRIC A .V / e I I 50•W/OE TYPICAL fV / a I i �n 2 � n j e Ei o- y D 2 . V a 0 11 4 1 /G` r CERT/FY THAT THE PROPGRTYLINES p^ /l .SHOWN ARG THE LINES dNOINB 6X/SnN6 OWNERSHIP$AND THE LINES OF BrREE TS IT P ANO SYS 3NOWNARE THOSE OF R/BL/C a V 05 U ? •1 O e p AND PRIVATE ,AMO 5 ANp WAYS..LFOR Es HE AN NAW /N FOR 5 II 9 S AtlU3 Q D NO L ES /F �P S 4 2 O v v DIR NEW OF EXISTING OWNERSH/P OR N'�2 7 �� +�� � MR NEW WAYS ARE SHOWN. ' CHAP 9490,AcTS of/966 /�0 A/OVEMBEQ o / Q Q a sctiE�v1 J BITE REG.LAND 3 'aU ti/ ^^/ v `o V \I V• 1� . 1 /5000 O,r�.w>•� DOr I V 1 :ISO 00 /50.00'• - !� ISO Co i10D0 I� /som'-• • I '. /500 -/50.00 /95000• S SL'44'GO"IV `RJG E'K -LOCUS MAP- SO ro •` ' • N E R S R O A P O N C� (vue rlc-/so •v/DE) L7 /ro SCALE O /CERTIFY THAT THIS PLAN -3 f' FPAnro T•:,..,,a C. ^/�, d e.^� A+G4 In//• , LD /N CONFORMANCE WITH THA AULRS ANO I .REGULATIONS pF THE RF_GISTE« OF OF_ED !t•X839.�B" 44 34' 90 OO• NOVEHCEIC G/9B7 w_ °p No oTh 14, TOWN OF NORTH ANDOVER ° OFFICE OF ° .... _. .., BUILDING DEPARTMENT h - p 1600 Osgood Street Building 20, Suite 2-64 °A�Tlo'pP.� y North Andover Massachusetts 01 < 845 4SSACHUSEt Gerald A.Brown Telephone(978) 688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 3— 8—OG JOB LOCATION: l 5 � V S r Number Street Address Map/Lot HOMEOWNER J-bbi-e Dt�0ljJ 7 - 66'2- 6 3G f L 03 666 '5160 Name Home Phone Work Phone PRESENT MAILING ADDRESS D S SS `%)Uti If) 90- 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. HOMEOWNERS SIGNATURE L� APPROVAL OF BUILDING OFFICIAL l Revised 10.2005 Form Hoiwmwners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 `�- A h',t 1 i,A;y_.:. •i' i .i n� � ,, `�✓��t� �.,f J "`p .. "F �a..l � � ,,.✓- '. yp ECT!C'3 N ^- :STONE E PL.A H P'AD W SH A. 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