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Home My WebLink AboutBuilding Permit #170 - 8 HIGH WOOD WAY 9/1/2006 S i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION pORTh o tit,E°• ,b;��•o , a o` 0 s _ Permit NO: Date Received sUb ��° a .r `Y P R of Date Issued: �' s 6 9 S CHus�� IMPORTANT: Applicant must complete all items on this page LOCATION (A)DOD J3Lri t PROPERTY OWNER �y Print MAP NO.: PARCEL: ZONING DISTRICT: , TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Re 'dential Non- Residential ❑New Building One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ."tpair, replacement ❑ Assessory Bldg ❑Commercial Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only p i; DESCRIPTION OF WORK TO BPRE FORMED i i Identification Please Type or Print Clearly) C. OWNER: Name: P �✓ Phone: Address: II •, 'J i TO CONTRACTOR Name: Phone: Address:__ } Supervisor's Construction License: Exp. Date: — I I Home Improvement License: Exp. Date: E ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. t FEE SCHEDULE:BULDING PERMIT:572.00 PER 57000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.+ Total Project Cost :$ / a q 0 FEE:$ 1 2Q -� Check No.: n Receipt No.: Page I of 4 ,r TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ g 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 gu anty f nd Signature of Agent/Owner _ Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified PlotPlan ❑ StampeUl ❑ +I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY j INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED' DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit i ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS ., DATE REJECTED DATE APPROVED HEALTH ❑ ❑ j — COMMENTS Zoning Board of Appeals: Variance,Petition No: i Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site .yesvno, Fire Department signature/date L I i 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 , i 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 ❑ 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 i Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM05 ' Pace 4 nf 4 , Location No. Date J, t` ORTH TOWN OF NORTH ANDOVER . f s Certificate of Occupancy $ Building/Frame Permit Fee $ � SSACMUSE + Foundation Permit Fee $ Other Permit Fee $ . TOTAL $ � ,N'- Check # 1 954 Building Inspector +r-..+„c;�.,,..,.x,y,•t _....aw. at.,xr.-r,._ ,_...-. .�...... ..... .v_... r z...1 ._ ....._.. ... ,. _.. _ -. � ._ _ ..... F T#oRrk UTOWN OF NORTH ANDOVER ? t�y��u ,e�y4 OFFICE OF BUILDING DEPARTMENT *°9'�'�♦'� � ' 1600 Osgood Street Building 20, Suite 2-64 �pS'SACHt15Etty North Andover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings Telephone(978)688-9545 HOMEOWNER LICENSE EXEMPTION Fax (978)688.9542 Plcasc print DATE: / C� 4 JOB LOCATION:_ LUDO► i Number Street Address Map/Lot HOMEOWNER—_,S& Name H Phone� Work Phone PRESENT MAILING ADDRESS Cit Town I City 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 thae/she understands the Town of North Andover BuildingDepartment ' minmum inspection procedures and requief�lents and that he/she will comply with said procedures p rtment requirements. and HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revlseli 10.10()5 Form Homcowncrs Exemption BOARD OF.\PPEAj.,S 6 K-9S41 1)535 CONSEI2v,k rION 60-9530 HEAL.FH pw;j_us40 �I PLANNING(A��t- i F VkORTly Town of No. )70 _ C' dover, Mass., ' Rl O C A T COCMIC EWICK y AERATED `S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............... ...............V(44. .... ...'..... ...-...... ................................................................: Foundation • has permission to er, buildings on .......... ......... .... �. ®�i ..�..................... Rough to be occupied as....... �. R�............0 ...!................................................................................. Chimney !1!!�Z�ct provided that the person accepting this permit shall in 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 �a PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS V LESS CONS 1 i\V v Rough .............. ... ....:.... ................. ... BUILC......R... Service TO 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.