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Home My WebLink AboutBuilding Permit #579 - 6 PERRY STREET 3/17/2006 oe,..e edo ~ p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 'l9SSACHUSE'( Permit NO: L,) 'r Date Received: Date Issued: IMPORTANT: nApplicant must complete all items on this page LOCATION t0 1 e�� fyat ((�� .Print ^ - PROPERTY OWNER ("((��1 j!!T✓ S2 Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building $Mne family Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑Repair, replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving(relocation) WOther ers: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED �,v L( eibo f Identification Please Type or Print Clearly) OWNER: Name:Nklr J i- cNe-ri f— Phone R7? 725-O 1 L(L Signature Address: C V 1 CONTRACTOR Name: � D� •-v Q c.�P^ Phone:(5 sgoq-ay l Address: l t �•,� (`s,✓u�cr 1�C� ��w. `t ®1 Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. z_ FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ x10.00=FEE:$ a Check No.: �'-I Receipt No.: b Page 1 of 4 Building Department artment 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) oma- ft..- New t. .„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 i TYPE OF SEWARGE DISPOSAL i wmmn SiPools 11Tanning/Massage/Body Art ❑ g Public Sewer Well 11Tobacco Sales ❑ Food Packaging/Sales ❑ F1 1Permanent Dumpster on Site Private(septic tank,etc. NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ I 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 a Water& Sewer connection signature&date T�mp Dumpster on site yes no Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 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) i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2000 Location ct, No. 5Date-?' '0e=� NORTh TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ ew�ii�t4 SACMUS t Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 19( '36 �J Building Inspector WORTH TONM Of19 Andover No. dower, Mass., C OCH IC ME W ICK AERATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ..... ..r! ........... .. . ! !1.................................................................... Foundation has permission to erect........................................ buildings on ......b........Plr.... ........I..r................................ Rough f to be occupied as..........�.. 1.OW# .. .x!!►. .. Z#Ln.........10. . chimney rovided that the erson acce in this ermlt hallinres ect conform to the terms of thea lication on file inP P Pt g P P PP 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 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTORRough ....................., ................................... ..... ......... . Service . . . . ..................... ..... BUILDING INSPECTOR 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. ` i it Sit p � i�� • ` .p�4, �1; — a r i 'c - _ X w - 4M., _yam-_ ,• a ^-.^" .... • ....•— - .-. ._ _ _ a � +, � A . . r a a } ti ArUba Turning Back Yards into a Summeriinve Paradise of Aruba Fam Fun,, with My Outstanding dg Quality d g RVerticaMs '. 7.5"x2.5" Rails 1" Features■ Frames Silltex Coated ■ ] Galvanization Star Galfan* • Exclusive wall patterns • Star Galfan coating on all steel components Depth 52" Warranty 40 Years • Corrugated steel walls for maximum sturdiness • Durable corrosion and oxidation resistance Full 1 Year • Polyester/silicon coated frames • Massive universal top and bottom joints Pro-Rated 39 Years Seat Cover '' Steel Core Alkaline Cleaning Acid Cleaning Top Seat + `. Q�,V0 u)5 r Corrugated Wall Post Cleaning Bonding Chromate Anti-Rust Coat ~` Star Galfan Galvanization Vertical Primer Coating F� _ �= " Two Step Finishing Rail Two Step Baking I� MEMBER Joint NIAGARA ( 0 Available SizesDO NOT JUMP p 21' 24' , 27' , 30' NATIONAL® DO NOT Round pools: 15 , 18' , SPA&POOL Oval Pools: 15'x25' 15'x30' 18'x33' INSTITUTE DIVE e G�7! 17 Z L 07-1#- 9s 4 y CARAC.E /9 f j IDORCA/ N 2sToeY /69dpil&�AA16 7- 10 �- M N G or /2- 4,!r 6 0 isr"'lor 9S� f' iPloq y S1R�Z74� T LOCATION OF ST14UCTURE 8) BASED ON LINES OF OCCUPATION ONLY. AMORE ACCURATE LOCATION � N 0 WILL REQUIRE AN INSTRUMENT SURVEY. 4 JOHN S. 0�;` IAURETANI ;Iv ##34311 v sum iZZ 2063 1"=3O AMERICAN SURVEYING COWANY I pp�jj�� AA�� Off' BOSTON, INC. 1 JOHN LM S. %7.ANI 1264 MAIN STREET WALTHAM, MASS. 411245:1?1124:51? ` a� A REGISTERED LANG: SURVEYOR, PHONII (781) 883-6477 FAX.(781) 893-7091 DO HEREBY CERTIFY THAT.THE ABOVE MORTGAGE::INSPECTION MORTGAGE INSPECTION PLAN PLAN WAS PREPARED.FOR DATE: C ---x/22/03 RECORDED AT: ESSEX NORTH COUNTY REGISTRY OF DEEDS LIENT: BOOK. 4262 � N CONNECTION WITH ..A NEW CLIENT REF. : PA� �-�-� LL C. CERT �t ; MORTGAGE, AND IS..NOT INTENDED J,0 PLAN REFERENCE: Bk•I a•_00 OR REPRESENTED: TO BE A LAND DRAWN PER TOWN OF ASSESSORS OR PROPERTY SURVEY; .NO THE LOCATION OF THE ORIGINAL MAP#: PARCEL :_DATED CORNERS WERE SET, AND IT DWELLING SHOWN HEREON EITHER ADDRESS: 6- ,ERR`( ST .ET NORTH NDO E fs WAS IN COMPLIANCE WITH LOCAL BORROWER: A'ND17E':W & CARRIE L GRAHAM CANNOT BE USED.fOR APPLICABLE ZONING BYLAWS IN _ ESTABLISHING FENCE-HEDGE, EFFECT WHEN CONSTRUCTED OR BUILDING LINES. THE LAND (WITH RESPECT TO HORIZONTAL SHOWN HEREON IS BASED ON DIMENSIONAL REQUIREMENTS ONLY), CLIENT FURNISHED OR IS EXEMPT FROM VIOLATION INFORMATION, AND MAY BE ENFORCEMENT ACTION UNDER MASS THE SUBJECT DWE 1NG LIES IN FLO�D ZONE SUBJECT TO FURTHER...: G.L. TITLE VII, CHAP, 40A; SEC.7 AS SHOWN ON TH NATIONAL FLF88 INSURAN E.PRO RAM OUT-SALES, TAKINGS,.:EASMENTS, UNLESS OTHERWISE NOTED OR INSURANCE FLOOD RATE MAP DATED.: 03_. AND RIGHTS OF-.WAY ::>NO SHOWN HEREON.A CONFIRMATORY . COMMUNITY / PANEL fit: RESPONSIBILTY IS EXTENDED INSTRUMENT SURVEY IS ADVISED HEREIN TO THE LAND OWNER OR WHEN STRUCTURES ARE SHOWN I MLDtbA H K OCCUPANT, IT IS NOT INTENDED LESS THAN V FROM PROPERTY OR BY: R A 2 TO BE RECORDED..: REQUIRED ZONING SETBACK LINES. DATE: 2' o F.B. 902r, PGE:15.7