HomeMy WebLinkAboutBuilding Permit #73 - 59 ELM STREET 7/30/2008BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION 'y'
�i /
Permit NO: Date Received'c��' D `""""
t ' ��SSAc►+us 5
Date Issued: O' X
IMPORTANT: Applicant must compleitet all items on this page
LOCATION' + )8vlP 1 '
PROPE2TYOWNER r.
MAP NO: PARCEL: ZOI NG D- STRRfCT. Historic Distdot�- es o
Machine Shoe :Villacsp ` nn
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Alteration
No. of units: a_
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
Septic Well
- Fl�sodplairt, .l�t[ands
�Natershdrlistrici
/ utbUKIF i 1UN Ur VVORK- TO BE PREFORMED:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PER/MIT:`�12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
�"
Total Project Cost: FEE: ��
S S
Check No.: 10S9 Receipt No.: a
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
S�gnature,of Ag—_t/Owner Signature of contractor
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning/Massage/Body Art
Swimming Pools ,
Well
Tobacco Sales
Food Packaging"/S*!es,
Private (septic tank, etc.
Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water $ Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osqood Street
FIRE DEPARTMENT Temp DumpSter on site des no.
Located at 1.24Main StrerW
Fare Department siture/date
COMMENTS
Location S EAn— g
No. �i 3 Date
NORTq TOWN OF NORTH ANDOVER
Of •t �•c ,,1•C s'Z7
Certificate of Occupancy $
SS'••°°''<�'
Building/Frame /Frame Permit Fee $ 0
,aMus9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # a/ 3
2 , :.0
D
Building Inspector
:# auogd
:uos.lad 1ae;uoO
aa4j0 '9
.1opadsul Iulgtunld •S io;aadsul leaia;aal3 •V 3paI3 umo,l,p4!3 •£ ;uaw:pudad 2ulpling •Z q;lea}{3o paeog •9
:(auo apap) f;laogjnV tulnssl
# asuaa17piwrad
:UMO f, .10 41:)
7v7a�Yfo u,no; jo ,Q7a d'q paia7duioo aq o; lvajv slgl u7 ai!jm ;ou oQ •rfjuo asn 1zgoiffo
Waiaoa pun anq q aeogv paP7noad mtgjvwjofu7 ayl 1vq; dil fiad fo sagj7nuad pun su yeagz d'p'un d ik.7 fq'vjaq op I
uollEo uan afeianoo aoutinsul lod HICI agldo SUOIJEOilsanul
do oo!jdo ay; o1 popxunuod aq ,CEw luawolEls sigldo Xdoo a let l pasInpE ag •io;eloin aq;;suIe2e X'ep e 00.0SZ$ o; do jo
au!y e pue 212CINO Mom dols Edo uuod ay; u► sailleuod limo Sr Ilam se `luowuosudwl =X-auo io/pue 00'00S`l$ of do guy
edo satlleuad leuiwuodo uoillsodwi aq; o; peal ueo ZS I 'o 'IOW do dSZ uollooS .lopun polinb;)l se a2E.[an03 amoos o; aanl!Ed
•(a;ep uol;ealdxa puu lagwnu ,Collod aq; 2utmoys) aged uopelepap Sailod uol;esuadwoa �saaallom ay;;o fdoa a yae;;d
diZ/a1 S/Xi►O :ssa ppV a1lS qof
:a1E4 uollum&3
:# •oFI 'Sul-dlaS .lo # X0110d
OLuvX ,Cuedwo3 aouelnsul
•uog;vuifofu7
aj7s qof puv rda.yod aqj q Mopg 'saadolduua d'iu rof aouvinsmi uo7gvsuaduioa , sjayjom ffu7P7aojd s7 lvql jad'oldlua uv um /
•uogsuuojui iloilod •dwoo ,slaliom Ilayl puu sloloulluoo-qns ogldo awsu aql 3uimogs hays Isuoilippu uv pagouuu isnw xoq siyl xoogo luy� sloloslluoDt
4ons 2ullvolpul IIAP.pIJP. Mau r l[wgns JSnw SlollpiluoJ poISln02lln UaUI nilp -41 -m nn 4!��nn ��y Ca! t 9in17p�n�n l�nQni rtt c![n llingnC n�.'M S1aUMOBU�01 i
uoilsuuo3wSoi�od uoilssuadwoa ,Slollom rayl $ulmogs mopq uo!.loos aql lno [IU osis low i # xoq goago legl luuogddu Xu V,
.1ag10 []*E I
situdoldoo-1 ❑•ZI
suoll!ppt, io simdoi Swgwnld ❑' I I
suolllppe to smudzi leouloalfl ❑•OI
uoiltppe OuiPling ❑ '6
uolitlowad ❑ '8
fullopowo-d ❑ 'L
uotlon.usuoo marl ❑ •9
:(paainba.l) ;aafo ld 3o adCL
[•pa.nnbo.i aouE.lnsul dwoo
4S101.10M ON] •saa,Coldwa
ou anEg am puE `(I,) I § `ZSI •o
-ION aad uoi}dwaxa3o;gfy
.nal{; pasloiaxa OARq slaolYdo
s1i put, uoilE.lod.loo E On oM ❑
•aouelnsul dwoo �siwilom
anEg s1o;3E.11uoo-qns asaLtL
I •hags pagoEllE a4l uo pa1sII
slolou.quoo-qns 041 pang anEg
1 [polinboi aouvinsul
•dwoo �snjlom Otq] jlas/Wl.
I.iom lle 2utop laumoowog E wE I
[•pa.unbal
aour.insul •dwoo si;r1lom ON]
•,Cl!oedEo ,iuu ul aw iod 2upllom
saaXoldwo ou aneg puE digs
-iauUvd io lolaiidold alos E wE I ❑'Z
*•(owp-wd lo/puu lln3) s;)oXoldwa
I puE 1010UAUOO leloua E wE I ❑ J7 gllm laAoldwa a we I 0.1
:xoq a;eladoadde ay; 3pagO Laagoldwa us noS aid
:# ouoiql Zap
t
diZ/a1uIS/X11D
:sso.zppd
:(Ienpmipul/uol;Eziuu2io/ssouisn8) aumN
s.iagtunid/suntaia;aai3/sao;3ealuo3/slopling :;innpWV aaanansul uoi;esuaduio� ,saa�.zotA
VIP
1A08-SSVW-,HMM Mr t
IIIZO b'Ilt `uolsog
%
;aa.rlS uo;gu7
z1sn�1 009
suo vn ljsaauj fo aa1f.�0 f' ' ;: I.
sluap!ooVlv!jlsnpuj fo luazu;anda(T
suasnyanssnyffo'lllvaMu0ww03 at,,I `�
k�- .
m
m
m
m
cn
v
m
v,
H
c �
CO)CD
CS7 Z CO)
CLO
r
c
� � C
CL y
ato -0
O
O v cD
CD o
cr
CD
CCD O CCD
c CD y�
co
O CO)
I
CD
� v
CO) O
10 Z.
O CD
O
CD
,, F
M
C'1
F
m
ON
O
O —• ca O Q vi
r O. O = co
CL C.2
m n
HF3c.a m
CD
Z co "i O
Sr m a=d y
O 0O OO
O m :
=r 1CD =
OCD
> >� O R 2>4 LOU
O OZyn
W 4 O m
U2 0 Er
T
C m m y
CD Vic»
C d !40
m
O H
� N
H C v Q
dCLI
yO H
VJ
O d Go : ~
CD U)
.•�' �G c
D CD
�°
•-+ � Z
I .
r•► ,p
n
.� H :^
CD
CD
m m
C3..� C
col
� CD
CD ~!
civ
o c� MC�1
M
F
10
cnc
9
Ocp
°
�
:;
H
Ix
110
C
00
G�
9
M
cpm
CD
O
�
Cr7
C"
n
O
O
x
z
??
n
G
a•
c
a
o
b7
0-4
co
l7
r,
n
y
p
a
1*1
x
O
o
in
y
0
9
0
o ti
kjjY'f z
ate-'
s'
Gerald A. Brown
Inspector of Buildings
Please
TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
North Andover, Massachusetts 01845
HOMEOWNER LICENSE EXEMPTION
DATE: o
JOB LOCATION:
HOMEOWNER
Telephone (978) 688-9545
Fax (978)688-9542
Number Street Address
I��C �, ,),r /Ak c (''e --
\Name Home Phone
PRESENT MAII,ING ADDRESS
-70R
S4 k
City Town State
Map/Lot
1'76-8616--� -�qq
Work Phone
Zip Code
A C-
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 helshe understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements. ate!—� -1,11*1
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Foram Homwvmm E=Vtion
110ARD (1F \PPE:U.S 6,"-95 t1 CU.\SERV.V110\ 683-9530 HE.\L111688-9540 PL.\-\,\I\G 6x9-9535