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Home My WebLink AboutBuilding Permit #230 - Exception 9/25/2006 TOWN OF NORTH ANDOVER N0RT1y APPLICATION FOR PLAN EXAMINATION o Permit NO:C-7115 Date Received *'.o fr-a Date Issued:_ SSACHusE IMPORTANT: Applicant must complete all items on this page LOCATION /Q C: S t We, -le,"- �t Print PROPERTY OWNER �e 11 � yi e- k �e Print �r MAP NO.: PARCFI.: 1ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family ,addition Two or more family - Industrial E Alteration No. of units: {Repair, replacement E Assessory Bldg Commercial Demolition i. Moviniz(relocation) Other _ Others: F Foundation only DESCRIPTION OF WORK TO BE PREFORMED 3 ern-,oma NXi S' 1h5 pla�fe� wG i I -�,7, t�P�� e elfc+ , i h sU f a i ave >^ S}K �( nem w� II bog►-cf , okJJ 2 c% s-e-4S Identification Please Type or Print Clearly) OWNER: Name: �I °�^ y�2 ��;11 <-i< le Phone:97,?-& Address: I Q W r-+ev' 5 t CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: 'Ionic Improv cmcnt License: Exp. Date: kRCI-IITECT•ENGINEER Name: Phone: Address: Reg. No. FEE SCHEWILE:BL'LDLVG PERMIT .S10.00 PER.51200.00 OF THE TOT,4L ESTIMATED COST BASED OA S125.00 PER S.F. Total Project Cost S i 9) (o do o o x12.00=-FEE:$ D11, --' Check No.: Receipt No.: Location No. Date —,g/"/," MOR, TOWN OF NORTH ANDOVER Of+"•O '•,�O 3: � • OL • • � : � Certificate of-Occupancy $ '��s"••°•,�� Building/Frame Permit Fee $ �cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 124L 19613 Building Inspector TYPE OF SEWERAGE DISPOSAL _ Tanning/Massage,Body Art i Swimming Pools Public Sewer Tobacco Sales Food Packaging;Sales Well _ _ Permanent Dumpster on Site Private(septic tank,etc. - Electric %leter location to project NOTE: Persons contracting wi rregr, retleontract rs do not have access to the guarantylurrd Signature of Agent/Own Signature of contractor Plans Submitted --j Plans Waived ] Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH ] r CONINIENTS Zoning Board of Appeals: Variance. Petition No: T_oninu Decision.receipt submitted }.Qs Planning Board Decision: Comments Conservation Decision: Comments 1Vatcr& Sewer connection,Signature& Date Driveway Permit Temp Dumpster on site yes no Fire Department signature,date Building Setback ( Front Yard Side Yard Rear Yard Re aired Prov ided Required Provides Re aired f Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NO'rES and DA rid—(For department use) 3 171 It I(A F'ALN f:! 111 I�C 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 o 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 zi Surveyed Plot Plan ❑ Workers Comp Affidavit a 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) o Building Permit Application ❑ Certified Proposed Plot Plan ' ❑ Photo of H.I.C. And C.S.L. Licenses ,j Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ tilass 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 i ;> >; \ >: "' I';iULI.\R'I'\II:V'RI)I1OR 1 .115 I Iiv 4 ilI oa "OR,T d"ti TOWN OF NORTH ANDOVER o� y° �< OFFICE OF p BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-64 �9SSAC HU$ESS� North Andover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings Telephone(978)688-9545 Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Picase print DATE: izs2 p ,� �. JOB LOCATION: Number Street Address v _ Map/Lot HOMEOWNE { Name H e Phone ork Phone PRESENT MAILING ADDRESS City Town 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. i Applicable codes, by-laws,rules and regulations. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other i The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requiremen d t at he/she will co 1 vith said procedures and requirements. HOMEOWNERS SIGNATU — — — —� APPROVAI.OF BUILDING OFFICIAL Revised It).1005 Form Homeowners Exemption 30ARD OF APPEALS h8.8-'1541 CONSFImk PION 688.)531) HFALFH(,88=1541) '1535 PLANNING r;8,g_ NORTH Town of tAndover No. Z 30 dower, Mass., an NUB T 0 L LA E 2COCMICMEWICK V ADRATED `S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT......... ...•........ .... ...�.N�/..�.�.E.. ......................................�.:....... Foundation has permission to erect........................................ buildings on ..........�i�.... S.i� ... Rough to be occupied as Chimney provided that the ers accd"pTirig is permit/Gi�mevery respect 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 'AU PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ARTS Rough ............ 1100000 - OOF*/i5<WW41_wb .................... .. Service R 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.