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Home My WebLink AboutBuilding Permit #267 - 97 GRANVILLE LANE 10/5/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �►ORTIy of�t, *' of ` ti A Permit NO• Date Received + i oq Date Issued: � Ssac►+us�� IMPORTANT: Applicant must complete all items on this page LOCATION V V I L L N N PIy i ' °,, Otr V Print PROPERTY OWNER /f C,% t C� V !� (' � t MAP NO.: V_11,� PARCEL:,/ ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ne family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No. of units: epair,replacement ❑Assessory Bldg ❑ Commercial Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Q/Vl�evC�. Identification Please Type or Print Clearly) �p OWNER: Name: /IA: (L [� �-2 G Q F--,D y� �-- Phone: Address: 1Z 1Z I L L CONTRACTOR Name: Phone: i Address: _ Y Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ 'DL`O.oO FEES 3Q � Check No.: � 3 Receipt No.: Page 1 of 4 I Location ? No. r9 Date "S NORTIy TOWN OF NORTH ANDOVER C 1O A }r0 � Certificate of Occupancy $ SSACMUsE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19658 BuildingNotpector TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art E]Public Sewer ❑ Tobacco Sales Food Packaging/Sales ElWell F1 ❑ Permanent Dumpster on Site Private(septic tank,etc. Ll Permanent Meter location to proj ect NOTE: Persons contracRns ' h unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner ature of contractor Plans Submitted ❑ Waived Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM I DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ COMMENTS I l i DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ V COMMENTS DATE REJECTED DATE APPROVED . HEALTH d F1 ❑ 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:BPPORM05 Created JMC.Jan.2006 J 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) j ❑ 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 DEPARTMENTMITORM05 Page 4 of 4 TOWN OF NORTH ,ANDOVER °= OFFICE OF BUILDING DEPARTMENT � �• `�� 1600 Osgood Street Building 20, Suite 2-64 North,\ndover, Nfassachusetts 01345 ACHT,� Gerald A. Brown Inspector of Buildings Telephone(978)688-9545 Fax (978)6,SS-9542 HOME0`VNER L[CENSE EXEMPTION Pleasc print DATE: V JOB LOCATION: fz A. I L L. Number Street;Address ;Vlap;Lot — FIONIEOVVNER 7�_ Name Home Phone Work Phone PRESENT MAILING ADDRESS�� L � � — �—r It — f Do City Town � � V 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 oth Applicable codes, by-laws,rules and regulations. er The undersigned"homem ner"certifies that he,'she understands the Town minimum Inspection procedures and requirements and that he/she will comply with said procedures and Department requirements. IiOJMEOWNERS SIGNATURE APPROVAr.OF BUILDING OFFICIAL I' rm Hnnu•�wn�'rs F:,.anl-iir.n C.. —Y— CIF 'i�.11-.FH ..-•' til f'L,� :�:i .�. I FORTH 0 0 :_� 4 ower �,o E dover, Mass.,/LA �• COCMICKEwICK %AORATE0 PPp\ �C5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... . ..�...... 0..�1✓t...0 .............. Foundation has permission to erect........................................ buildings on .f y.... .. ... .. .. .... .........1.01t................... Rough to be occupied as...&-oon-wip.../da.... ^.a*. himn y C e provided that the person ac opting this permit shall in eve aspect conform o 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 a� PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONS _ TARTS Rough Se ............................................................ rvice 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 Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.