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HomeMy WebLinkAboutRejected Above Ground Pool Permit - Permits #N/A - 45 TUCKER FARM ROAD 6/3/2002 „ Tu"WN OF NORTH ANDOVER BUILDING DEPARTMENT P.PLICA I 01"O CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH R TWO FAMILY LUNG for BtJEL,DFNG PERMIT NUMBER- DATE ISSUED-. SIGNATURE. w Building C sirI for of Buildjnt�� SECT-1 0 N 1­SITE, INFORMATION 1,Y Prcpwy d 1.2 Ass r Map and Parcel nil> : M'ap Num Parcel Number, 13 Zoning WrLfiom w M 1.44 PropeftyD erasion ; Zones istrict Front. Yarld Side Yard ezi r a rd Re � ,ramProvided Provide � .ram � � �� L 7 Wa t cr IS upp ly M.G.L.C.40. 54) 1.5. Mood Zone Womution: 1.8 Scwmgc Disposal Syst&tn: > tl Public 0 PrivItic0 Zone Outs ide F ood Zone 0 muzicipal 0 On Sit Sitle Disposal Sysiern SECTION 2 -PROPERTY OWN-ERSHIENAUTHORIZED AGENT .1 Owner of Record Q/ T(kA 1 NaInic(Print) Address fir Service , JOI CA uk!:b 6 . ,Owner f Record: 01 Name Pint r TeIeEhone SECTION 3 - CONSTRUCTION SERVICES M 1, Licensed Construction Supervisor: .tc n e Cortstniction Supervisor. V/v/\ ,ddres,s y4 Telephone Registered H ae hiiprovement Contractor Z� nivany Nanie M dress ; t { Y SECTION 4-WORKERS COMIPENSATION(Ai. .L C 1 Workers Cbmpensafion Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial oft the issuance of the buildin r it+ i g iced affidavit Attached cs....:..0 No.......0 SECTION 5 Description of Proposed Work �hec1 a licabte New Construction ❑ Exist-Building 0 Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: �. a�q C avd YOD �- DY0 SECTION 6-ESTIMATED CONST RUC TI COSTS Item Estimated 'f-,�x-r*•FxY__ .r..1.•:xr.r _ + r ,a'r-• a,.,�_-_ � _�- � - _�., •_ ' Cost Dollar to b {v}'r -±� Completed I' s'v , �..r. ?�4 5 '.- L,Jitl krlLrki "�T " _i S=i*' 7-ts- _Iy�. �`�! _ _e f- t PPP }• f'.f�i'' r"tii4yhf1F��4t Rr?'.'3' �f:i f { #�7iix' S ! '"'' r _i xS'�"' _ .'try ' 2Y k�'.'f, S _ ;+` -f.` .�.. x {{�1 i, ry: , aim 1. Bulldmg aBuilding...Penar it Fee Multiplier Electrical Estimated Total Cost of Construction lt� in Building,Per�rr t fee(a) b 4 Mechanical VA . Fire Protection Total {l�-+2+3+4+ f Check Number SECTION 7a OWNER AUTHORIZATION T E NP rLETEWHEN ' OWNERS AGENT CONTRACTOR APPLIES FOR BUSING PERMIT` r l0 (9"W'M 4 - a Owner/Authorized Agent o�subject property Hereby auth6iize to act on My bel #; n re ti tp work on el by this building pennit application. 0 d Signature ot`Owner Date SECTION7b OWE A. 'THGRIZE AGENT l E SAT IO } ,as weer/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of r r knowledge and belied' Print Dame Signature of Owner/Agent Date NO-OF STORES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIERS I SPAN DIMENSIONS OF SMLS DMENSIONS OF POSTS DMENSIONS OF OVER I- .IG T OF FOUDAMN THICKNESS SIZE OF FOOTING IN x rl�,SBMLDING TERIAL OF F�� ON SOLID OR FULLED LAND IS BMLDWG CONNECTEDTO NATAL OAS LINE E + FORM - U - LOT RELEASE FORM Y INSTRUCTIONS: .This form is used to verify that all-necessary approval permits ftoln Boards and Departments.having i urisdiction have been obtained. Thin does not relieve the applicant and or landowner ftom-compliance with any applicable requirements. ■■■sAA■■■a■!s i0a00 N 0 A a X K M■i■#R■!■A a X a a X X N 0X M!X N V X a■■0a0■0s■!1■WX w N R■z a■■0■ APPLICANT V4 PHONE ASSESSORS MAP NUMBER 103 LOT NUMBER SUBDIVISION LOTNUMBER STREET 0 '4rl"M M STREET NUMBER a 1!R■■■■!Rs1#■xam 01000#on MEN■■N K1i1■WNSSl!!■#io■s!■#■!u#a no lI ow"4r!RSS■#1[RNA SON R R■ OFFICIAL USE ONLY E i!■■■���M M�����#R R�i!i#!�������R�■!!R■■#■■�■�■������R#1!#�■��!���R■�!�#!R�i REC MMENDATI NS OF TOWN AGENTS 7 1z� - . . � V EVATIN ADMM DATE REJECTED COA4MENTS _. J \: �...� .• .--[. '- , ...4• , � .-f art,y So /to 6 �Z-,X 4�� %J -.. DATE APPROVED TOWN PLANNER DATE RE4JECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HKALTH DATE REJECTED . 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Building { i (978) 688-95 5 978) 688-9542 Fax soft HOMEOWNER UICENSE EXEMPTION Please print DATE q& LCL 164 ' JOG LOCATION ' j 111 Number Street Address # t " 0WO( HOMEOWNER Na Horne Phone Work Phone PRESENT TAILING ADDRESS i . r City Town Stye Zip Code The current exemption for" o ecwners"was oxtended to include cwner-c=upied dwellings of two units or less and to allow such bbme wners to engage an indm'duaJ for hire who does not possess a hcense, provided that the cwn r acts as supervisor. (State Building Code Section 10,3. .5.1 DEFINITION OF HOMEVVOVVNER: Person(s)who cwns a paw el of lard on which he she resides or in#ends to reside, on wh b here is, or is intended to be, a one or two family d el1i ng, attach ed or detached structur s - cessory to such use and/or farm structures. A person,who constructs more",zo one horne in a two`-year period shall not be-considered a ec wn r_ The tjndersi g ned " omeownei'assumes responsibility for mmpliance Mh the State E3 ujiding Code and other Applicable codes, by4a vs, rules and regulations, The un ders ig ned "homeowner"certffies that he/she undersands the Town of No.Andover Building ep rtrnent minimum inspection procedures and re uirernents and that h Ushe YA11 � o pty with said procedures and requirements. HOMEOWNERPS SIGRATURE APPROVAL OF BUILDING OFFICIAL