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Home My WebLink AboutMiscellaneous - 104 BRIDGES LANE 4/30/2018 (3)N 'd1 m C!a 7O z QW*116 Croft m rl i fA ta f '— z W e_ _ p O a e o e o u � ° C u Q W u W a W C6 a ca °a O r � r e o Z w t ? W 1L O Z 06 Q d —+ vA ? mi 0 Z y Z (J e a QQ ° m C Q iL OJ T v u ul o CID - m L C J L J L V •o L m m U O) E G. Of W C > plc VJ O O L C O C O m C O C 7 E a' cr U ii ¢ ii ¢ cn ii ¢ U. co cn E �cz 4 to CQ v v O 0 H E 0 3. X ow C O ecce. Ae. V E cc z L :r I z w C C cc a e o e o u � ° C u U ° a ca °a � r e o w ° y d ° v y e a ° C � On ErA ItE •o a U r s 4 C O F a' V 'a .Z.. oe �E u v a a '> rter�+ E �cz 4 to CQ v v O 0 H E 0 3. X ow C O ecce. Ae. V E cc z L :r I z w C C cc Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE _� �;�e tot I R 1I JOB LOCATION Number Street "HOMEOWNER" Name Home ress 8-G IO G one 1=iLTC7 6 - Section o (9�> a7 -I$1; Work Phone OiJTi-4,4s 11 town PRESENT MAILING ADDRESS /Og-/ -i=rPj Amz>oum lyJi9 Q1 City Town State Zip code e The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided tha .� t the owner acts as supervisor. (State Building Code, Section 109.1.1) 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 to six family dwell- ing, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit .to the Building Official, on a form acceptable to the Bulding Official, ....,.that he/she shall be responsible for all such work performed under the ,_'building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, � bY -laws rules and g re ulations. The undersigned "homeowner certifies that he/she understands the Town of (North Andover Building Department minimum inspection procedures and .'requirements and that he/she will comply with saidrocedures and ,requirements. p -HOMEOWNER'S SIGNATURE :.APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. T , Location Date l � TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �g Foundation Permit Fee Other Permit Fee Ser�Con action Fee 0, A -1-t Water Connection Fee (I- TOTAL K.�- 4 3 �o T $ ?g 4K��o Buildin`g,lnspector Div. Public Works PERMIT. NO.'' > APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. MAP 440. LOT NO. 2 RECORD OF OWNERSHIP PAGE 1� INSTRUCTIONS �IGyI? V✓!C � �� Q� SEE BOTH SIDES 1• / �, A '1, D PAGE I FILL OUT SECTIONS 1 - 3 O PAGE 2 FILL OUT SECTIONS 1 - 12 LAJ.5 D ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS t' 4PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE FEE PERMIT GRANTED `i 19(7 AGENT 1 L1 E)_�nq Z O , CUNTR. TEL. CONTR. LIC. K3 b u.►�� 1e 1�S 3 PROPERTY 'INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT.:. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY t BOARD OF HEALTH ----....PLANNING BOARD BOARD OF SELECTMEN 'DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. LOCATION \ ail+(�6E5 11 `DOVhN`Y PURPOSE OF BUILDING �(ai�IZ�i ewM l If /x' (( a �_ `L OWNER'S NAME �VO� NO, OF STORIES �_ A SIZE 1l x (6 OWNER'S ADDRESS 1 Odr rN19GCS (ANE BASEMENT OR SLAB NOO� ARCHITECT'S NAME SIZE OF,FLOOR TIMBERS IST 2ND 3RD - ia(Q , BUILDER'S NAME bA?-ZX A-li-MMON SPAN DIMENSIONS OF SILLS DISTANCE TO NEAREST BUILDING ISOr f DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES Lj6P REAR /00't 11�`JJ " GIRDERS FRONT, GE /150 AREA OF LOT + 12T G HEIGHT OF FOUNDATION f THICKNESS r -Z/` •r+ "C,. IS BUILDING NEW SIZE OF FOOTING 24" X ,••'� /1 IS BUILDING ADDITION APPI I (ON "121X (61 - v MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND • FIZr:Et WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YFG IS BUILDING CONNECTED TO TOWN WATER p BOARD OF APPEALS ACTION, IF ANY t. IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS �IGyI? V✓!C � �� Q� SEE BOTH SIDES 1• / �, A '1, D PAGE I FILL OUT SECTIONS 1 - 3 O PAGE 2 FILL OUT SECTIONS 1 - 12 LAJ.5 D ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS t' 4PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE FEE PERMIT GRANTED `i 19(7 AGENT 1 L1 E)_�nq Z O , CUNTR. TEL. CONTR. LIC. K3 b u.►�� 1e 1�S 3 PROPERTY 'INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT.:. EST. BLDG. 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