HomeMy WebLinkAboutBuilding Permit #688 - 98 BEVERLY STREET 4/28/2006NORTH
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Permit NO:
Date Issued:
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received: 14114e-4
IMPORTANT: Applicant must complete all items on this page I
LOCATION q9 A -5EA CSL. ✓
Print
PROPERTY OWNER C���
Print
MAP NO.: PARCEL:
TYPE AND USE OF BUILDING
ZONING DISTRICT:
HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT
PROPOSED USE
Resid ntial
Non- Residential
Building
One family
2w
dition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Repair, replacement
❑ Assessory Bldg
❑ Commercial
❑ Demolition
❑ Moving (relocation)
❑ Other
❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED - kf3)L O �� P ,7� I ELL
Identification Please Type or Print Clearly)
OWNER: Name:
Address:
S
Phone:
CONTRACTOR Name: -S--kma YiG Phone:
Address:
Supervisor's Construction License: _Exp.
Home Improvement License: Exp.
ARCHITECT/ENGINEER Name: Phone:_
Address: Reg. No
Date:
Date:
13
FEE SCHEDULE: BULDING PERMIT. $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST B SED ON $125.00 PER S.F.
Total Project Cost :$ L/0Q O x10.00=FEE:$ VO �—
Check No.: / :3D Receipt No.: ?/ 63
Pa. -e I of 4
Location 1 Cr5�14 9 eL ex -Y7
No. Date d/o
kORTol
TOWN OF NORTH ANDOVER
R
9
i
Certificate of Occupancy
$
Building/Frame Permit Fee
$ 0
J�CMUS
i
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check # S�
i 3 Building Inspector
TYPE OF SEWARGE DISPOSAL
Public Sewer ❑
Well ❑
Private (septic tank, etc. ❑
NOTE: Persons contracting
Signature of Agent/Owner
Plans Submitted ❑ Plans W
Tanning/Massage/Body Art ❑
Tobacco Sales ❑
Permanent Dumpster on Site ❑
Swimming Pools ❑
Food Packaging/Sales ❑
Electric Meter location to
project
actors do not have access to the guaranty fund
— Signature of Contractor
Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
s
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
❑ ❑
[]Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
DATE REJECTED DATE APPROVED
❑ ❑
DATE REJECTED
"Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer connection signature & date
Temp Dumpster on site yes_nox Fire Department signature/date
Building Permit Approved and Issued by:
Page 2 of 4
DATE APPROVED
Building Setback (ft.)
Front Yard
Side Yard
Rear Yard
Required
Provided
Required
Provides
Required
Provided
DIMENSION
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
NOTES and DATA — (For department use)
Page 3 of 4
Doc: INSPECTIONAL SERVICES DFPARTMFNT RPFf1RMo5
Created 1MC. Jan.2006
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
9-�
April 27, 2006
Ms. Charlene Bobec
98B Beverly Street
North Andover, MA 01845
Dear Charlene,
We are writing this letter to request in writing your approval for us to build a
patio deck on our property, 98A Beverly Street, that is on the easement plan
plotted for Beverly Street Condominium.
Thank
in advance for all of your help.
Ok- � I-e-� F��4.
Accepted by: Charlene Bobec
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Printable Product
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Printed April 26, 2006
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K'4,i This item cannot be gift boxed
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SPECS
o Internet ID: 180206
o Model #: 378401 DPLAT
o Assembled Depth (In Inches): 50.69
o Assembled Height (In Inches): 23.5
o Assembled Weight (In LBS): 434
o Assembled Width (In Inches): 90
o UPC CODE: 071691161554
Big Max
Model 378401 DPLAT
Internet Catalog #180206
Store SKU#545677
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WARRANTY AND SAFETY
o For warranty information on this product,
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terms of use which constitute a legal agreement between you and the Home Depot, Inc.
http://www.homedepot.comlprel80lHDUSIEN USIshop_cartlpg_print_product jsp?CNTT... 4/26/2006
Gerald A. Brown
Inspector of Buildings
Please print
DATE:—
TOWN OF NORTH ANDOVER
L OFFICE OF
BUILDING DEPARTMENT
400 Osgood Street
North Andover, Massachusetts 01845
Telephone (978) 688-9545
Fax (978) 688-9542
HOMEOWNER LICENSE EXEMPTION
JOB LOCATION: �%-A _gz�4E�JLI
Number Street Address
HOMEOWNER
Map/Lot
PRESENT MAILING ADDRESS
City Town
State
Zip Code
l3�
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
Applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/ 4n'
minimum inspection procedures and require s and
requirements. /
HOMEOWNERS SIGNA
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Fonn Homeowners Exemption
the State Building Code and other
Is"the Town of North Andover Building Department
Ishe,,wilk comply with said procedures and
BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-
9535