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HomeMy WebLinkAboutBuilding Permit #733 - 56 GLENWOOD STREET 5/25/2006o TOWN OF NORTH .kNDOVER e MPLICATION FOR PL kN EXAMINATION c Permit NO: 7� Date Received:��� Date Issued: 66 IMPORTAM:Applicant must complete all items on this page LOCATION ' G�er,���� sj'T Print PROPERTY 0WNER___b v is n L A 0�f Print IMAP NO.: PARCEL: ZONING MiTRICT: uieTnoir niCTRirT VFR n s i lr W 11111% V va %_FA -- a TYPE OF IMPROVEMENT __ _ - -- - - PROPOSED USE Residential Non- Residential New Building .W One family Addition = Two or more family - Industrial Alteration No. of units: = Assessory Bldg Repair, replacement _ Commercial *-Demolition Moving(relocation) -Other Others: = Foundation only DESCRIPTION OF WORK TO BE PREFORNIED � �� �� (Ae"A n-+A�c I Identification Please Type or Print Clearly) OVN'NER: Name: t)6 A n L A nA address: CONTF_-kCTOR dame: As n.6�, Phone: address: Supery isor's Construction License: I ome Improvement License: Exp. Date: Exp. Date: :\RCI II-I'E-C f EINC:I LER Vimc: I'hcne: v,ddress: Reg. No. FEE SCHEDL I_E: U LDIAG PER,111• S10.0 PER ar 000.110 GF THE TUT IL ESTI.t1. I TED COST BASED OA 5125.00 PER S- f. Total Project Cost :$.. __-��� 7, x10.00= FEE:S � ^� (: hcck No.: _Receipt No.: TYPE OF SEW ARGE DISPOSAL Public Seiner Well Private (septic tank, etc. _ TanningAlassa;e Body .art Tobacco Sales Permanent Dempster on Site S"imming Pools -- Food Packaaina Sales Electric Meter location to project MOTE: Persons contracting wil 'unregistered contractors do not have access to the gur►runty�.J'und 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ !! ❑Water Shed Special Permit 1J Site Plan Special Permit Other CONINIENTS CONSERVATION COMMENTS HEALTH C O,%v I -Nv I EN T S DATE REJECTED DATE APPROVED iJ i ] DATE REJECTED DATE A. PPROVED Luning Board of ,Appeals: % ariance. Petition No: Zoning Decision receipt submitted � es Nimning 9 -mrd L?cci.ion; lnnununts Co,oscn,uicn Doci:rion: Cimuncnts So ,cr xrnection J,Inaturc &- date. icrnp DUmpster cn sile ; rs_ no _ Fire Department si! nature gate Building Permit Approxcd and ISSLIcd by: Building Setback (ft.) Front Yard Side Yard Rear Yard Required ProN ided Required Provides Required Provided DIMENSION Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. r— -- Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Poofing, Siding, Interior Rehabilitation Permits Building Permit Application «'orkers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior )kork 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 Hydrai. Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) a Building Permit Application • Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) La 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 Board o appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One cop3 an( proof of recording must be submitted with the building application Nit: 1`'NPI.("1'1111 11. "FRN I('b:'i 01CP'.R'I �IF ' 11114-011,MS µORT" TOWN OF NORTH ANDOVER OFFICE OF 00 "1 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: e C `o I t�_Yl woo � S4 HOMEOWNER Number p P(1AV1r� Name Street Address Home Phone PRESENT MAILING ADDRESS SG City Town Oen wo a 014 State Map/Lot Work Phone 61�Ll 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 Foran Homwwners Exemption BOARD OF APPEALS 688-9541 9535 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-