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Home My WebLink AboutBuilding Permit #378 - 79 PLEASANT STREET 11/7/2006 TOWN OF NORTH ANDOVER AOR*rh APPLICATION FOR PLAN EXAMINATION 04,4t,.•o #6,0 e OL � i A Permit NO: J Date Received 10 Date Issued: / 'may '�, �►�rao��'�(� SSACHUSE IMPORTANT: Applicant must complete all items on this page LOCATION_7 5' P/tT,-? 36 S 7 n Print PROPERTY OWNER <r/A rint MAP NO.: S�� PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑One family ❑ Addition IkTwo or more family ❑ Industrial ❑ Alteration No. of units: I,Repair, replacement ❑ Assessory Bldg ❑Commercial Demolition ❑ Moving(relocation) ❑Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: �t'� F Phone: Address: '7 ��/�S/a �� l" ,n/r� • �9�i,�tir r��? CONTRACTOR Name: 9.1 r, .,--( 4,,-,x 0 Phone: Address: �f LA cs .--Ioy>i 1-t Supervisor's Construction License:C'S 0113,5,-2 Exp. Date: s-/V-:?/o Home Improvement License: % 1'16 Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PER E12.00 PER.51000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 4,-0 FEES � ��✓ Check No.: iReceipt No.: �— Page lof4 +' 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 j ❑ 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 DEPAR'rN1ENT:8PF'0RN905 Page 4 of 4 M TYPE OF SEWERAGE DISPOSAL Swimming Pools C Tanning/Massage/Body Art Public Sewer El Tobacco Sales �J Well Food Packaging/Sales Ell 1! Permanent Dumpster on Site 11 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 Signature of contractoR-AZ - N I Plans Submitted ❑ Plans Waived El 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 I�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 con nection/Sienature& Date Driveway Permit r� Building Setback ( 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.: I NOTES and DATA— For department use i Paige 3 of d Dae INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Crcaed JA4C.Jsn_006 _l — J Location-�1 � � No. r Date 1 / NORT1TOWN OF NORTH ANDOVER 3? i SOL N � 9 Certificate of Occupancy $ �' b',^°•'<� cMuBuilding/Frame/Frame Permit Fee $ st 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ '� Check # r 19782 Building inspector ,Y c NORTH T0VVn of : tAndover 0 No. lie C, - A = dover, Mass., - • COCMICMEWICK �d ADRATE D 0'P�\ �C� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT ./7!! .....� ........I! ....................... ....:....................................................... Foundation has permission to erect........................................ buildings on � ..... Rough • .... M1.......................... to be occupied as 0.1A.... �. 1. *�� Chimney .i. . . . ..... �.................... provided that the person aceptC2g this permit shall ih every respect conform to the terms 7"20,�' cation 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 LS Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU OT TS Rough ......................... ...... ........ 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. „_, Proposal Licensed Over 20 Years Experience S and S Building & Remodeling Kitchen • Baths • Custom Woodwork BOB STEPHENSON Complete Interior/Exterior Carpentry 11 Bixby Ave. (978)688-8097 No.Andover,MA 01845 NAME OF OWNER 'l iv R ADDRESS 1OF JOB S7 DATE: We hereby submit estimates for: cl v7 M rj U 44 ej -7- We PrOVOSe hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: dollars($ 4SO ) Payment to be made as follows: All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any alteration or devia- Authorized tion from above specification involving extra cost will be executed only upon Signature _ written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents,weather or delays beyond NOTE:This proposal may be our control.Owner to carry fire, tornado and other necessary insurance. Our workers are furry covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. Acceptance of Proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance: Signature ounru ui-nuuuing xeguiattcns iiiid'Stuudir HOME IMPROVEMENT CONTRACTOR Registcm`]46763 rP�� 5/12/2007 =7ype 'a ividual ROBERT STEPPikN�dNi ROBERT STEPHEI�iSO�V , 11 BIXBY AVE. NO.ANDOVER,MA 01845 Administrator BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR z` Number: CS 011353 ,Y Birthd�tet 06/22/1'951 Expires:05/22/2008 Tr. no: 25160 Resti►dted:' 00 ROBERT A STEPHENSON 11 BIXBY AVE N ANDOVER, MA 01845 C �� Commissioner