The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #253 - 71 QUAIL RUN LANE 10/3/2006 TOWN OF NORTH ANDOVER NORTFr APPLICATION FOR PLAN EXAMINATIONp,�'�'o Permit NO: � �`[Z�ec�• �`' + : � Date Issued: 0� '� �qS SACHU`�� IMPORTANT: Applicant must complete all items on this page LOCATION L Pni ) PROPERTY OWNER N,, PrimC�� MAP NO.: Print PARCEL: /�V ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ,'4r0ne family ❑ Addition ❑ Two or more family ❑Industrial ❑ Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Jebut \a, Wevioos\y rxcskh ,:l 3) in larigiNyt — Io6P(" T(0 V-) No 'Dpm N mk7 Revi&,,�y RP0al Identification Please Type or Print Clearly) B yrn�,, OWNER: Name: MQ 4(, Michatt I ! Phone: Address: -71 QLAA� l�� Norfh hind,ykr MA 619Y< CONTRACTOR Name: Ti no,(2t:s —0 1 �4Phone:979. 3$'1' 2290) Address: 227- 501n rM r� 14, (Pr+1c6e,/_ U4r4: ,0I ((5 Supervisor's Construction License: Exp. Date: Home Improvement License: 13577Jr Exp. Date:S113 1077 ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL EST/MATED O T BASED ON$125.00 PER S.F. Total Project Cost itig cn FEE:$ Check No.: 1?319 Receipt No.: <� Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ `�,, Tanning/Massage/Body Art ❑ Public Sewer �J ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ ❑ 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 guaranty fund Signature of Agent/Owner 6�W41, C K� 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 ❑ ❑ COMMENTS ATE REJECTED DATE APPROVED CONSERVATI Z COMMENTS ICO DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes (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& Date Driveway Permit Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: !i Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 3 I LU l 5 e. NOTES and DATA— For department use Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT: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 pp 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) ❑ 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 Location L � No. S Date h. NORT1y TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame Permit Fee $ j f s�CHus Foundation Permit Fee $ Other Permit Fee $ t TOTAL $ ' Check # 19645 Building Inspector F NORTH Town of 19Andover 0 0 Sob �0 dower, Mass., �� • 3 • C� �i COC HICHEWICK ADRATED `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT...........� `...� ...........!'� ........... �...�i:.�.............. .............................. Foundation has permission to erect........................................ buildings on ....? Q.0-4t(f............ ....... . .......... ........... Rough to be occupied as.......get..46*0 /jile....... �. /.11.......�r�s Chimney provided that the person accepting this permit s all in every respect conform to the terms of the application on file in 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 jdt3� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU STARTS Rough ....... ....... ...... ... ............... LD ..................ECTOR................ Service 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. II I e W& ( �► dao(' os 1 i 'n1 V Zr 1 Sn e� Flom 0 Der-r 'M currcnf UL a Zl` —' �- �9 tpo sT fob Po 'S -,UP i akz T t Im ^Z r is VII mWal �� w �.\ 'Tip •� _ ,; _ _ �:_,..�„��' � � � ':` Ali �2 \y � � .. a .. rte.. ♦ ._. f i _ •� 3��`� Ti r� , 3 � ,L. - - t R Not r nt J . t U v , I` Af, i Lj 7n7 !7 A°HTIj TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 North."dover, Massachusetts 01 845 SACHU5E Gerald A. Brown Inspector of Buildings Telephone(978) 688_9545 Fax (978)688-9542 HO'�IEOWNER LICENSE EXEMPTION Pleasc print DATE: JOB LOCATION: —]( QuPKL Number Street Address I Map/Lot HOMEOWNER N(MAr4,�.o � � Gn��y�w� �1 g- � _ ♦ Name Home Phone Z n� Work Phone PRESENT MAILING ADDRESS f D� M D I City Town " 1 ' 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 Andovcr Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOW'NERS SIGNATURE-1 APPROViv,OF BUILDING OFFICIAL Form Hum-micas E.ecmptiun ',OAR(7 pF,1PFl=„f.;i r;r:,_gti.i l t)��t.I"V.\f10\i,.,,y-1;31 t Ire g70 .32r7 72r(�D �� ,� @ eA(thl,��- .�, 609345 — Su.,, ��h 5�. N. 4cl6uef M,!:5r oisLis' CUSTOMER'S ORDER NO. DEPARTMENT T NAME r M-f'uree'u B 2ND G �l ick?ccL �pift-�i� ADDRES 71 ,�,,L t`zv,,J CITY,STATE,ZIP 1 SOLD BY CASH I C.O.D. CHARGE ON ACCT. MDSE RETD I PAID OUT QUANTITY DESCRIPTION PRICE AMOUNT 1 - ebv� 17eck I L{,x7J T2�) 2 Poeoiao-5 i5�, oCq fi'G� 3 — M-4-tch 4 De oK 6 -- CQ)((c po5 /b o 60L)z. 7 8 9 10 �f cud 22)0 cHk� 11 `r 12 13 14 15 16 17 18 19 20 RECEIVED BY adanm �' ` KEEP THIS SLIP FOR REFERENCE,, 5805 UNREGISTERED LAND FILE NUMBER: 64571 DEED BOOK: 3274 PAGE:26 ATTORNEY: BURNS do LEVINSON PLAN BOOK: PAGE: LOT(S): 7 LENDER: PLAN NUMBER: 8109 OF OWNER: AUGUSTA do JANET DUNNELL REGISTERED LAND APPLICANT: REGISTRATION BOOK: PAGE: DATE: 07/15/93 SCALE: 1"=50' CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(S): FLOOD MAP COMMUNITY No.: 250098 ZONE: C ASSESSORS MAP PANEL: 0006C DATED: 6 A 5 /83 MAP: BLOCK: PARCEL: MORTGAGE INSPECTION PLAN IN NORTH ANDOVER, MA N N/F Flatley ' M 265.00' Lot 7 31 ,201 S.F. dCigjN*L D eck I bc.�o rl !Dwe ryb pcopCin N 7 1 <" r"'?'Vj Lot 8 htiN' I Lot 6 I 641-± I 125.00' QUAIL RUN LANE 13 Granite Bound BANK USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CrRTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. DES LAURIERS & ASSOCIATES INC. THERE ARE NO DEEDED EASEMENTS OR ENCROACHMENTS WITH WEST STREET WA RESPECT TO BUILDINGS SITUATED ON THIS SLOT EXCEPT AS SHOWN. W , MA 02081 TELL..:: (800)287-8800 (508)668-5010 THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN FAX.:(508)668-4512 A SPECIAL FLOOD HAZARD ZONE. tN OF THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER ROBERT EDWARD WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN BtSSONNETTE EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL No.31300 SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ' ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. , GENERAL NOTES: (1) The declarations made above are on the basis of my nowledge, information, and belief as the result of a mortgage inspection tope survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by on accurate instrument survey. UNREGISTERED LAND FILE NUMBER: 64571 DEED BOOK: 3274 PAGE:26 ATTORNEY. BURNS do LEVINSON PLAN BOOK: PAGE: LOT(S)- 7 LENDER: PLAN NUMBER: 8109 OF OWNER: AUGUSTA & JANET DUNNELL REGISTERED LAND APPLICANT: REGISTRATION BOOK: PAGE: DATE: 07/15/93 SCALE: 1°=50' CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(S): FLOOD MAP COMMUNITY No.: 250098 ZONE: C ASSESSORS MAP PANEL: 0006C DATED: 6/15 /83 MAP: BLOCK: PARCEL: MORTGAGE INSPECTION PLAN IN NORTH ANDOVER, MA N N/F Flatley ' M 265.00' Lot 7 31 ,201 S.F. Deck �C 2 Story co Dwelhn No. 7 b <" I � Lot 8 ytiX' I Lot 6 I 641± I I � 125.00' i QUAIL RUN LANE Q Granite Bound BANK USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CLRTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. DES LAURIERS & ASSOCIATES INC. THERE ARE NO DEEDED EASEMENTS OR ENCROACHMENTS WITH WEST STREET WA RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. W , MA 02081 TELL..:: (800)287-8800 (508)668-5010 THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN FAX.:(508)668-4512 A SPECIAL FLOOD HAZARD ZONE. O THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER ERDOWARRD WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN 8fSSONNiETTE EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL No.31300 SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ' ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. :2AO- 1 *1 GENERAL NOTES: (1) The declarations made above are on the basis of(- nowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not mode for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by on accurate instrument survey,