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HomeMy WebLinkAboutBuilding Permit #368 - 53 HEPATICA DRIVE 11/6/2006 TOWN OF NORTH ANDOVER i APPLICATION FOR PLAN EXAMINATION O NORTH 676 OL O t Permit NO: 2-P Date Received - Ob + ': y c«.nc..c...cw �• nD PPh Date Issued: Aq �9SSACHUS�� IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNERa 4%C , c - Print MAP NO.: 167 3 PARCEL: 14 1'7' ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ " TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ew Building ne t❑Addition ❑Twoore family ❑Industrial❑Alteration o. s: ❑Repair,replace nt ❑ s ss Bldg ❑ Commercial ❑Demolition ! ❑Moving(relocatio ) ❑ Other El Others: ❑Foundation only DESCRIPTION F W TO BE PREFORMED Identification Please Type or Print Clearly) Y) OWNER: Name: i ey- 1.i me o G Phone:`li ` ft 316,3 Address: t S', 8 t o eW A-k r. S'4'• Mz>9 4t. %.v�eg, MA. c�c.c. 5 a8-3�8.4�30 CONTRACTOR Name: r C Phone: Address: l09 �L� V•LL 4&-,-, L it, IV D R4�.4.1yCe i'wl Supervisor's Construction License: 7 .30 2-- Exp. Date: I*L 14 Home Improvement License: y� Exp. Date: ARCHITECT/ENGINEER©3y1L: fw�iPG YAJt��fec, Name: Phone:?*/-o`IgG I&(o7 Address:,,101 CVJ4VJ r w ki It Reg. No. FEE SCHEDULE:'BULD/NG PERMIT.U2.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ o54 0, FEE:$ li Check No.: Receipt No.: 7? 2 Page 1 of 4 i TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well F1ElPermanent 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/Ow Signature of contra or �' Plans Submitted r1ansaive ElCertified Plot Plan. St ped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ 3 6 COMMENTS mix ate( XDATE R JECTED DATE APPROVED CONSERVATIO ❑ -Q. I N00 2M�tl. COMMENTS • . DATE REJECTED DATE APPROVED HEALTH. ❑ ❑ 4 COMMENTS e FIRE DEPARTMENT "Temp Dumpster on site yes ` y X • no Fire Department,signature/date COMMENTS } Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments' Water& Sewer Connection/Signature&Dafe Driveway Permit Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided O ± 'l a' '/-PO't l 5D' So ' Dimension Number of Stories:A (50e, Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.:koiS%2t ap�&&P,hwl, 10 f4L Gec4 784 85*0 sl NOTES and DATA— For department use) -Gc e Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTM ENT:BPFORM05 Created JMC.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 R "Addition Or Decks I ❑ 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) i 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 F NORTH . 0 0 _: t RAndover No. 3 eo �. o dover, Mass., Q - LAKE COCMICMEWICK V x,95 RATED PQp� �C� E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System .� BUILDING INSPECTOR THIS CERTIFIES THATY i 0 3 ���� / Foundation has permission to erect...................................... buildings on .saC..!*.�....:.��rte►.. ... 1 ...�,�. Rough to be occupied as/ �/..,,$',r. .. /0...... .....- Il � .I. ....................... Chimney provided that the person accepting t ermit shall in every resp conform to the terms of the application on file in Final this office, and to the provisions of t odes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andov PLUMBING INSPECTOR VIOLATION of the Zoning or Building a ions Voids this Permit. Rough Final E S IN 6 MONTHS ELECTRICAL INSPECTOR CONSTRUCTI STARTS Rough .. .... .. ...................... Service BUILDING CTOR Final Occjic PermitRequired to Occupy Building GAS INSPECTOR Rough Display in auous _Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Ap-proved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,.ADDRESS, AND PERMIT(COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat,elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations '/"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 22x30 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. of required glazing shall be openable. Bedrooms required min.20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging, clean joints, 8"solid @ combust. DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupying structure. is NORTIy Town of Andover 3Ge - _ _ _ - -- - - - - - - y i - _ over; Mass., IC - A G DL T O LAKE COCMMEwICKJ. 7,9S RATED P Pa` �C7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 4r4f0000' 4 BUILDING INSPECTOR THIS CERTIFIES THAT .�..WM........ """"""": Foundation has permission to erect...................................... buildings on . ..../.......� . .../�1. ...�, ....... Rough to be occupied as/.WW..,,,�'j�.I�/ ...... �• fit I.