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Home My WebLink AboutBuilding Permit #414 - 71 RIVERVIEW STREET 11/20/2006 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION O`�t�to 06;90 O Permit NO: oW Date Received )!r -X- e Date Issued: &,-Z C;��O�O SSS Ar.o�PP��S AC HU`�� IMPORTANT: Applicant must complete all items on this page LOCATION 7l ,31 �cJ � W cu-) S�t- Print f PROPERTY OWNER PJ C L� �c� / .�1 Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: efkepair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED k- Identification Please Type or Print Clearly) OWNER: Name: r1 c L4 "n ( cj .,zPhone: Address: i7� ��s�v; ( S7` /� �v�� f ,/1'��c Q/d '-,,5— CONTRACTOR Name: Phone: Address: PIK Supervisor's Construction License: Exp. Date: Home Improvement License: A1A__ Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.512.00 PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F. Total Project Cost I Zoon — ' FEE:$ 3 0 Check No.: / T a Receipt No.:/q 60 Page I of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools F1❑ Tanning/Massage/Body Art ❑ Public Sewer 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 guarantyfund Signature of Agent/Owner �ti Signature of contractor Plans Submitted ❑ ans 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS 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: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 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 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 o 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 �� ry-G. ✓rCt.�� No. Ith V Date � , -d" </� r r MORT1TOWN OF NORTH ANDOVER 10. p ' Certificate of Occupancy $ ,SSACMUSEt Building/Frame Permit Fee $ s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19819 Building Inspector F ":HT+i TONY OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT k 1600 Osgood Street Building' g 20, Suite 2-64 �( .V ort Hu Eh,�ndover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings Telephone(97,S)688-9545 Fax 19;1)tiS_95}? HOMEOWNER LICENSE EXEMPTION P!wsc print DATE: JOB LOCATION: t (, e v,'C�J 's Number Street Address :�(ap/Lot HO,MEMNER 70. , 0/() n 9 Name Home Phone Work Phone PRESENT MAILING ADDRESS N_lt �`� City Town 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 (08.3.5.1) 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 Fimily 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"homeo�krier"certifies that he,"she understands the Town of North Andovcr Building Department minimum inspection procedures and requirements and that hc;'she will comply with said procedures and requirements. 110-lEOWNERS 'i13NATLRE \PPROV.M.OF RIMING oFFICI,\L � :'m Hnntrrsrn'r'+ E> �nq-iir.n �OR'T#i 0VM Of And No. --- v "- L:-.- o over, Mass., • K �� COCHICMEWIC ADRATE D PPa\ �5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...........-1�.....6\�....................... U►........... a. �................... ......... Foundation has permission to erect........................................ buildings on ....14........ .. ..4V4ift.4.0.q%.W.........S ............... Rough to be occupied as0 � !11 .... s. ... ... ��.��...................................................................................................... Chimney provided that the person accepting this permit shall in everyrespect 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 3cop Final 10PES EXPIRES IN N S ELECTRICAL INSPECTOR UNLESS CONSTRU ST S Rough ......... :................................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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.