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HomeMy WebLinkAboutBuilding Permit #157 - 517 JOHNSON STREET 8/29/2006 i TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION a��i�ac �6;�+0 0 A Permit NO: /,5-'7 Date Received Date Issued: �9 rSACHU`����y IMPORTANT: Applicant must complete all items on this page LOCATION ��1 - ,�� PROPERTY OWNER / Print MAP NO.: 5dd!PARCEL: S ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential C New Building N"One family ❑ Addition ❑ Two or more family L7 Industrial tA�lteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial E Demolition E Moving(relocation) ❑ Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED !Xt mcg®tr Z.,in ISA TA C Ned rAl r' -►a.i°�r3M Identification Please Type or Print Clearly) OWNER: Name: `/r V I K) 1-+,/� He �d� Phone: (21 7S9 S Z Address: S 1 -7 014 6� 'J>Qkl ST EL�-1 n q-7 597q yloS �/ CONTRACTOR Name: (� C—U l m A ii e iqdN Phone: Co I'1 ��- Address: Supervisor's Construction License: bG � Exp. Date: V?/.2b/0T- Home Improvement License: /1/5 03/ Exp. Date: 6110 012 ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$40"05&0 x12.00=FEE:$ Check No.: �—/ Receipt No.:_ Z Page lof4 I TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ 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 guarantyfund r Signature of Agent/Owner / Signature of contractor Plans Submitted ❑ Plans Waived ❑ ~Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM i DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection/Sianature&Date Driveway Permit Temp Dumpster on site yes no_ Fire Department signature/date Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Re uired 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) Page 3 of 4 Doc:INSPECTIONAL SL RVICLS DUARTMENT:I3PLORM05 O ealed.].MC.,Ian'006 _._ r Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. f 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) �r ❑ 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 In 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 Doc:INSPECTIONAL SERVICES DEPARTMENTMFORN105 Pnu 4 44 Location ✓�� 7 �t No. I,S'Z f Date Ia S/o �aRTM TOWN OF NORTH ANDOVER O#, aao ,a,hC + ; , Certificate of Occupancy $ Building/Frame Permit Fee $ � swCHus e Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ggll 19527 ' Buii)#1 g Inspector Remodel exsisting Bath kitchen I rr FAMILY and bedroom. I E UP 14'3 X � 24'5 BEDROOM Walk In closet o FLI 0 H BATH F ss 2'a KITCHEN - O i -82 _ 15'11 O� 6'2 UP PD a S ORAGE Kevin Aheron ,_j Window Seat BEDROOM ENTRY ---- 517 Johnson ST 3'8 North Andover, UP MA 01845 .... .. :. 2u. :. Q UP LIVING AREA 1999 sq ft µORTH N TOWN OF NORTH ANDOVER 0* OFFICE OF ° BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 North Andover Massachusetts 01845 �SSACHU5ES Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: ll JOB LOCATION: 7 JCXNhI IU ! :E INPIII�o,Z f� Number Street Address 94ap/Lot HOMEOWNER &11n1 ^1E 0a' 617 733 Name Home Phone Work Phone PRESENT MAILING ADDRESS S AUS 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 APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Fonn Homeowners Exemption BOARD OF APPEALS 683-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 ,(yORTH Town of No. f �,o -= LA dover, Mass., �' Q COCMICMEWICK AoRATE0 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... ..... ..rrer�.....44ee-o-ov. ...........................:. :. •.• Foundation has permission to erect........................................ buildings on ........� �..7........ �,�►.s�/>~.Sf. Rough to be occupied as.. .........it... 6# f • Chimney thprovided that the ers accepting this permit shall in eve00� &r'm to the e f o e application on file in Final is 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 �Q PERMIT EXPIRES IN 6 M014THS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough Service BUILDING 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.