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Home My WebLink AboutBuilding Permit #281 - 97 GRANVILLE LANE 10/11/2006 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION of No qa `tt O #6 °o � Permit NO: Date Received A) 4P � e � ACPP�� Date Issued: �� ss HUss IMPORTANT: Applicant must complete all items on this page LOCATION 97 /,f/t/67 Print PROPERTY OWNER z4`1 /Y�//L Print MAP NO.: h/4 e PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building [00ne family ❑ Addition ❑ Two or more family ❑ Industrial P-Alteration No. of units: R'Repair,replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only D SCRIPTION OF WORK TO BE PREFORMED AD�� GABSG�- ,�,��T .�W.c s Identifications Please Type or Print Clearly) OWNER: Name: /esu/ D�il/ Phone: %S3 Address: 97 —Al CONTRACTOR Name: � Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: I ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$i oda FEE:$ d i Check No.: Vo Receipt No.: Page I of 4 I I i P Location /'T r " r No. Cia Date �ORT� TOWN OF NORTH ANDOVER � F: • '• OOR t A # Certificate of Occupancy $ & �,sACHUstt� Building/Frame Permit Fee $ F. Foundation Permit Fee $ !!! Other Permit Fee $ TOTAL $ lk I � Check #t�D a 19673 ----__ V Building Inspector TYPE OF SEWERAGE DISPOSAL Swimming Pools 11❑ Tanning/Massage/Body Art ❑ g Public Sewer Well Tobacco Sales Ll Food Packaging/Sales ❑ ❑ ❑ ❑ 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/Ovine ��e_' Signature of contractor Plans Submitted ❑ Plans Waiv d ❑ 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 FIR 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 Drivewav 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.Jan2006 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 ;`,',T TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 yet<y Andover, Massachusetts, assacusetts 01845 $+cHur� North f E Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)684-9542 H0�IEOWNER LICENSE EXEMPTION Please print DATE: Ocr is �aoE JOB LOCATION: 9;7 �2,9.vv�GLE eLit/ �'S5 Number Strcet Address Map/Lot HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS 97 G�A,v,•.� div /el. /E/L City Town r 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 lie/she will comply with said procedures and requirements. HOMEOWNI ERS SIGNATURE_— APPROVAL-OF BUILDING OFF AL Form Homowmas F.ecmp(ion 0ARIS GF APPI=AL.,S it 1."JNSF1rVAf'10Vr;:(g- F NORTH own of over No. 2,81 - , - * �_ -_ �:z= E dover, Mass., • COCMICMEWICK ADRATED p'P�` `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... ....w v.............�rf/'�....�..f��.�.(............... .................................. ..... . ... .... Foundation has permission to erect........................................ buildings on ....9...�� ..... , 1 �I,r.. ,!!�/'� Rough • to be occupied as70->1II�Il1�.. �. ....................... Chimney provided that the person accepting this permitsra-IIInW4'ie7resjctcon arm to the terms of the appliEation 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU Rough \.. ...... ................. ................................. Service R 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. Bumer Street No. SEE REVERSE SIDE Smoke Det.