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Home My WebLink AboutBuilding Permit #626 - 72 MABLIN AVENUE 4/7/2006t NORTH 3? n. ; .. '••e OL O .._. TOWN OF NORTH ANDOVER t• °;..•'r� APPLICATION FOR PLAN EXAMINATION �SS�CHUS�'4 Permit NO: Date Received: Date Issued: 4 7 IMPORTANT: Applicant must complete all items on this pa�,-c LOCATION—_7?, 4 U/4. A -VL PROPERTY OWNER Zt MAP NO.: _ _PARCEL: 4 TYPE AND I1.9F OF RITZ MNI C Print ZONING DISTRICT:_ 12-4 III TC'�nili!'3 T4C. T.9-ta�m TYPE OF IMPROVEMENT a v>.�a�, ■/lUl PROPOSED USE l\11.1 I 1',7 U Residential Non- Residential J New Building >LOne family D Addition = Two or more family F - Industrial L: Alteration No. of units: ❑ Commercial Repair, replacement Assessory Bldg Demolition !7 Movin (relocation) G Others: _i Foundation only Foundation Dr FArr Vmivlr u yFrNiG- zyx jz• _� 9►4e kZ6 � P P �'�owt`Ell�sid�lphjp.Cbt.� L„CJS Identification Please Type or Print Clears OWNER: Name: Signature Address: 7Z D L% k� CONTRACTOR Name: �l `1L.0 Phone: Address: Supervisor's Construction License: Home Improvement License: Exp. Date: ARC I-iITEC T%ENGINEER Name: Phone: Address: No p. Date: FEE SCHEDULE: BULDING PERMIT: 410.00 PER 51000.00 OF THE TOTAL EST141ATED COST BASED ON $125.00 PER S.F. Total Project Cost x10.00 =FEE:$ Check No.: Receipt No.: r t 0 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 ❑ Debris Removal Form ❑ 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 Pen -nit Application ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ 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 Pen -nit Application ❑ Form U ❑ 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 cope and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERV ICES DEPARTNIEVIAPFORNI05 NOTE: Persona' cowrcrctini; with wireristered contractors (Io not hare access to the ruarunit' fund Signature of Agent/Owner Signature of" Contractor Plans Submitted ❑ Plans Waived El Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS F JFFICE USE ONLY INTERDEPARTMENTAL SIG OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No Zoning Dee ision `receipt submitted yes____ Planning Board Decision: i Conservation Decision: Water & Sewer connection signature & date _ DATE REJECTED DATE APPROVED ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED DATE APPROVED ❑ ❑ DATE REJECTED Continents Comments Temp Dumpster on site yes no Fire Department signature'date Building, Permit Approved and Issued by: DATE APPROVED ❑ - TYPE OF SEWARGE DISPOSAL - Swimmin", Pools Tannin'--/Massage-Body Art _ Public Sewer --- - Tobacco Sales Foo * "`> i ac aN Sales \\/ell Permanent Dumpster on Site Private (septic tank, etc. NOTE: Persona' cowrcrctini; with wireristered contractors (Io not hare access to the ruarunit' fund Signature of Agent/Owner Signature of" Contractor Plans Submitted ❑ Plans Waived El Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS F JFFICE USE ONLY INTERDEPARTMENTAL SIG OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No Zoning Dee ision `receipt submitted yes____ Planning Board Decision: i Conservation Decision: Water & Sewer connection signature & date _ DATE REJECTED DATE APPROVED ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED DATE APPROVED ❑ ❑ DATE REJECTED Continents Comments Temp Dumpster on site yes no Fire Department signature'date Building, Permit Approved and Issued by: DATE APPROVED ❑ - Building Setback (ft.) Front Yard Side Yard Rear Yard Re aired 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 I _ I)oc INSI LC'I'IGK,\I. :i C.R �'I('lS lil.l',VZI'"�91.t.1�.liPlrOI�ti;115 -_---- ('rratedl INK 1•n "Otir, Y, m m C m X m VI m CA .p 5Z Z CD06 O CL n� .O .p O o p CD Q CD O .. I .. a: C2 O.O to CD CA 10 CD O O CA O CA CD rF CD -�v CD CA CD y 0 CD O CD R "i v EIM CD z O -w O Q to a0:9.fl y m0O m O O m�aC m Z yCD=r.0 y aid - m C �C m y C y -i N o =r'o 51.) = > >0 C . n m O� 0 O •► O 00 O y !O') m c' c =ro aaC,* om m o dw ow � � m y O 0 D C d- . CCA O 03 y C. L Q S a C o :cDX� .rt m y CO) y So c .O.►•y FW CD y D GO mo Cl) �. I O m W •: CD fA .-r O =r : ? O O O d O � a'o C-) Cl) SU y O : ! O CD cn cn o a1 nye = 7 w / O S- tew y Ix O °° a� O0 G - 0 � bn n x v W 1 4 10=3 0 9 ,z1 Ll Gerald A. Brown Inspector of Buildings Please print TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts Ol 845 HOMEOWNER LICENSE EXEMPTION Telephone (978) 688-9545 Fax (978)688-9542 DATE: j¢pl ll 7J u� JOB LOCATION: -7?— 41 ABL1 yj AVE Number Street Address Map/Lot HOMEOWNER (t ► 2z�iC_ CI �g ZA8 I yz� Name Home Phone Work Phone PRESENT MAILING ADDRESS ?Z 944l3 kQ f+V�_ IWL)oV8>e ItI, 4- ® 18y1/ 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 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 reauirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Fonn Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 Harwood St. v i 0 p� Y U _ d � N L y O w .9-39 'IS POOAUBH m W s,ze -- ----------- - - --------- .0—.Z Y 1 N/F JOHN d JOSEPHINE P. TABACCO It b HARWOOD STREET �a nye-le.00e—. 100.00' S _ D A m a m A r n _ r Q � g -__-__-__---_O __-_-_---'------0 O o a 3 o D I a � A m N D O T � Z 3 � � ' ! n 4e -m-00 m ° 2 f r r v U J h a m a i a r m - J a ° 8 A) 'e 0 n 0 � n 0 0 0 O . � 74 .0.00 IZ � n O D A m a m A r n _ r 0 g -__-__-__---_O __-_-_---'------0 O o a 3 0. D a A m N D O T � Z 3 � � ' ! n 4e -m-00 m 2 f r r --i n 0 � a m 1 a r m - a r • 0 a ° 8 = 1 'e 0 n 0 r N n D A O 0 0 O . � 74 .0.00 00 W INGLEWOOD STREET 1 N/F CARMELO a AOATINA TORRISI N C) C D < m m D D N o m Z e Q y - O _ R X Z N co, 0 _ F 0 O A N - Z -� � _ = D m A a 0m D Z � Z ms Z m N O O m n Q- O b w �0m9)o< m r D M m Z myzmmo ;v-4 3 2 �z.Nim Pn �. � rn r N J+