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Home My WebLink AboutBuilding Permit # 5/16/2016 %AORTH BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATIOW .— P a r m 1 t N o Date Received. ArCD Cuse Date Issued: IMPORTANT:Applicant must complete all,items on flisipage LOCATION P * t es PROPERTY OWNER J- 10 Print 100 Year Structure y 0 110 MAP _PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential [I New Building [] One family [I Industria.I [I Addition [_1 Two or more family [I commercial 11 Alteration No. of units: - Repair, replacement F1 Assessory Bldg [I Others: [I Demolition [I Other DESCRIPTION OF WORK TO BE PERFORMED: I Identification- Please Type or Print Clearly OWNER: Name:— Phone: Address: -,-'5-0 -�-�,,- k, 11-2 d Contractor Name: Phone: Email: Address: Supervisor's Construction License: _Exp.- Date: Home Improvement License: ARCHITECT/ENGINEER Phone: Address: Reg. _N° FEE SCHEDULE.BULDING PERMIT:$12.00 ER$1000.00 OF THE TOTAL ESTIMATED coS-r,,ff ASEW,-,01%$125.00 PER S.F. Total Project Cost: $ 6 6 b, FEE: WIT:$ 2 0 Check No.: Receipt Nd.-1-.,;--. Ve NOTE: Persons contracting with unregistered contractors do not ha a'cress.,-the guaranty fund 77- . . . ._Si S omtur Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ vin ring Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN CFF A U FORM PILANNING & DEVELOPMENT' Reviewed On Signature_ COMMENTS eCOVSERIATNON Reviewed on ..D Si natur COMMENTS h J, ..� .... HEALTH Reviewed ori Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/s�na�c'ro � Caate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE ® ARIT SNI" .,Temp Dumpster an site ;yes Located of-124 Mein Street Eire Depa�m of signeitii °e{da'te COMMENTS ® TH Andover Town of ............ L ver, Mass, . 0 �1 COC .nc @wec OC V o� L BOARD OF HEALTH PER D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ..................................... . f.5 /�_ Foundation has permission to erect .......................... buildings on .. .. ..� . .................................................. Rough �,G� /— <�Sr' ` .� �, .... Chimney . . .. .......................... .. pp to be occupied as .............................. Final provided that the person accepting this permit shall in every respect conform to the terms of the application and on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final ELECTRICAL INSPECTOR PERMIT EXPIRES IN 6 MONTHS Rough UNLESS CONSTRUCTION ARTS Service r:�.......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Requi3"ed to Occupv BgLlding Rough Final Display Conspicuous lace the Premises — t Remove FIRE DEPARTMENT Lathing all To Be Done Burner Until Inspected and Approvedthe Building Inspector. Street No. Smoke Det. TOWN OF NOR'T'H ANDOVER OFFICE OF a BUILDING DEPARTMENT 1600 Osgood Street,Building 20, Suite 2035 North Andover,Massachusetts 01845 Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION: �� +� E'✓1 l Number Street Address Map/Lot HOMEOWNER �� 44 n 2Ar-WW'0'G_ Name Home Phone Work Phone PRESENT MAILING ADDRESS `S 0 fi� �1 �� City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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 dwelling,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.(780 CMR Section I IO.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and t at he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL aT s� Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 638-9530 HEALTH 688-9540 PLANNI1IG 688-9535 I G I fj ry