HomeMy WebLinkAboutMiscellaneous - 111 REA STREET 4/30/2018 (5) N
Location/// r�
No.
'fel Date
i
`
.7q TOWN OF NORTH ANDOVER J r MQRI
41
O e
Certificate of Occupancy $
�'�s'•° Eta' Building/Frame Permit Fee $
s�CHus
Foundation Permit Fee $
Other Permit Fee $
GAJ—
TOTAL $
Check #eA
3541
'Building Inspector
PERMIT NO: 011e APPLICATION FOR PERMIT TO BUILD********NOR `NDOVER, I11IA
AIAI,N0. 0C`8 LOTNO. �� dd 2. RECORDOF011•NERSIIIP DATE BOOK PAGE
ZONE SUB DIV. LOT NO.
r
LOCATION , ZLs�ST PURPOSEOFBUILDING �� ^� I(�illl�•t
OWNER'S NAME ��? �U . A NO.OF STORIES SIZE
O\VNER'SA1)1)ItESS BASEAIENTORSLAB
ARCHITECT'S NAME SIZE OF FLOOR TIAIBER$" 1 2ND 3 tG
BUILDER'S NAME �<,Ef-1 G1ELINAS SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET DIMENSIONS OF POSTS
DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS-OF GIRDERS
AREA OF LOT FRONTAGE IIEIGIITOF FOUNDATION TIIICKNESS
IS BUILDING NEW SIZE OF FOOTING
IS BUILDING ADDITION AIATERIALOFCi11AlNE1'
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTEb TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TORN SEWER
i• IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTl1C7l0NS 3. PROPERTY INFORMATION LAND COST
EST.BLDG.COST
PAGE 1 FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT.
EST.BLDG.COST PER ROOM
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERAIIT NO.
A-rr,:cuED GARAGES MUST.CONFORM'f0 S'FAS'F,FIRE REGULATIONS 4. APPROVED Ill':
PLANS MAST TIE FILET)AND APPROVED BV BUILDING INSPECTOR BUILDING INSPECFOlt
A
i
DATE FILEDOWNERS TELH
t2 As CONTR.TELH N '
v/ CONTR.LICH
SIGNATURE OF OIYNER OR Al1TIlORIZED AGENT
I
FEE ,(� 4010 ILLCA
$ v
PERM rrGRANTED
"/ 19
Revised 5/5/99 JNI
Town of North Andover t NaRTM
OFFICE OF 3�O`t t a g 110 L
COMMUNITY DEVELOPMENT AND SERVICES 0 A
o _ ,
27 Charles Street
North Andover, Massachusetts 01845 5
WILLIAM J. SCOTT9SSAGHUStit(
Director
(978)688-9531 Fax (978) 688-9542
HOMEOWNER LICENSE E' MPTION
Please print.
DATE I Q- 1L6 ��a
JOB LOCATION
Number Street address Section of town
"HO21AEOWN= TETEi2 '�y"Ttk4kA }Zj — `AeiLlt (Cl}8) $58 — ggi3
Name Home phone Work phone
PRESENT MAILING ADDR—ESS ST
City/Town State Zip code
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 that the owner acts as supervisor. (State Building Code Sec-
tion 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 dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-vear period shall not be considered a homeowner . Such "homeowner" shall submit to
the Building Official, on a form acceptable to the Building 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 regulations.
The undersigned "homeowner" certifies that heishe understands the Town of No. Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requir ments.
r
^ 1
HOMEOWNER'S SIGNATURE ✓l
w.w
APPROVAL OF BUILDING OFFICL-�L
Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0, Construction Control.
~7
BOARD OF APPE.-U-S 683-9541 BUILDNG 683-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 623-9535
TAORTH
Town of Andover
6L o dower, Mass. .�9
T Q lA
GOCMICMEWICI( y.1'
ADRATED P? C, l
S BOARD OF HEALTH
PE Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT..... .. TT
....................... ... .............. ..................................... ................................ Foundation
IVA- on
has permission to erect ............ .......... buildings on♦..I../........ .. ....... ..... Rough
t0 be OCCUpled as ...... ....................................................................................... Chimney
provided that the person accep g this permit shall in every ect conform to the terms of the application on file in Final
this office, and to the provisio of the Codes and By-Laws ing 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
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STTS Rough
i ................................................. .-Ok ......:...................... Service
LDING INSPECTOR
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
Until Inspected and Approved by the Building Inspector. Burner
FlRE DEPARTMENT
Street No.
SEE REVERSE SIDE Smoke Det.