HomeMy WebLinkAboutBuilding Permit # 8/31/2016 BUILDING PERMIT 0 %AORTH
TOWN OF NORTH ANDOVER
0
APPLICATION FOR PLAN EXAMINATION
Permit No4t2�(p__�V1 Date Received4 Coin[
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Date Issued: � i 1 ,
IMPORTANT: Applicant must complete all items on this page
LOCATION 7�K
Print
PROPERTY OWNER 1167_�LZ
Print
100 Year Structure yes no
MAP PARCEL:
ZONING DISTRICT: Historic District ye no
Machine Shop Village yes no
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
D New Building Li One family
El Addition Li Two or more family Ei Industrial
11 Alteration No. of units: LJ Commercial
ARepair, replacement 0 Assessory Bldg El Others:
El Demolition D Other
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DESCRIPTION OF WORK TO BE PERFORMED:
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---- —----------------
Identification - Please Type or Print Clearly
OWNER: Name:
,,A'7e, Phone: 978 ,,1,97 0,64
57-
Address:.,
Contractor Name: Phone:
Email:
Address:
Supervisor's Construction Licn Date:
k3
Home Improvement License( Exp. D e:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PE IT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
eer 96
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Tectal Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with_Unregisteredcontractors do not have access to the guarantyfi1nd
Sign
atureAaf_cQntEactQr___
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Town of z * e ndover
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No.
�.o �. � h ver, Mass,L^
COC *t E ~7.
04,gyE D rQa���
BOARD OF HEALTH
Food/Kitchen
PER IT T. LD Septic System
THIS CERTIFIES THAT .................tel. { .......,..., . BUILDING INSPECTOR
.............................. ..............,'. .. ........, .I........
. 1 Foundation
has permission to erect.......................... buildings on ... ,. ..*.fe�/� � ® ...........
R
ough
to be occupied as . �wChimney
provided that the person accepting.this permit shall in every respect conform to the terms of the app lication
Fina]
on file in 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
PERMIT EXPIRES IIe 6g�MONTHS ELECTRICAL INSPECTOR
LESS:CC ST CTI T Rough
Service
Final
NG INSPE OR
GAS INSPECTOR
OccupaneV Permit Required to ®ccu 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.
Smoke Det.
Plans Submitted ❑ Plans Waived ❑ Certified Piot Plan ❑ Stamped Plats ❑
TYPE Off`SEWERAGE DISPOSAL
Public Sewer Swir t Pools ❑
Tanning/Massage/Body Art ❑ �
Well ❑
To
Sales ❑
1?oodPackaging/Sales ❑
Private(septic tank etc. ❑ Pennanexit Dw-apster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF m U FORM
PLANNING & DEVELOPMENT Reviewed On 4�q2&D Signature Imo'
COMMENTS
CONSERVATION Reviewed on KZJ (� Si nature
X COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceiptsubrmtted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Si nature& Date Drivewa Permit
I
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT ;Temp Dumpster,bn site es
! ocated;at 924z;Main„Street.
Y no
Fire []epAr m nt 5agr�aturelciate,
COMMENTS
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House ,
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...............................................................,... ........................................................................ .�.......................................................................84............,...........
aAOL Adk AOL Ask
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Type of deck: S^gle Ledger
Soil s arir Ca -acit}. 1500-aSf
Ni--Der of G11pndf flq Bean-,.s 1
tslar^ber of S.IpPort`3osts )er Be m, 4
esigi^ Load:501,;)lsuft
Footing Type m4ird
y rc'Onq Marnatsr; AT"
D sta^ce Betwee,each SUPPOft Post(center to cer.er): 68
L:sta,�Le Between Quer Beams fcenter to center'l. 126"
Ovetanq Pcn).F st and Last Suppol Pcsi to Side of Deco: 14'
C efha^,g Poon Las, Bear to t=dQe of DeC; : 42"
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TOWN OF NORTH ANDOVER
OFFICE OF
ING DEPARTMENT
BUILD
. _ 1600 Osgood Sheet,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: 6zz 911L
JOE LOCATION: A S
Number Street Address Map/Lot
HOMEOWNER HCzee 7 7 � 5 y�� z GYr
Name Home Phone Work Phone
PRESENT MAILING ADDRESS / 7`Inv
�N7Gi
City Town State Zip Code
The cut-rent 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 HONMOWNER
Persou(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-fatuity dwelling,attached or detached structures accessory to such use and/or fazm.structures.A
person who constructs more than one home in a two-year period shall not be considered a homeowner. (780 CMR
Section II0.R5.1.2)
The undersigned"homeowner"assumes responsibility for compliance with State Building Code and other applicable
codes,by-laws,rates and regulations.
The undersigned"homeowner"certifies that helshe understands the Town of North Andover Building Departhnent
minimum inspection procedwes and requirements and that he/she will comply with said procedures and
requirements.
HONMOWNERS SIGNATURE
APPROVAL OF BUILDING OFFI
Revised 8.2015
Form Homeowners Exemptioa r
BOARD OF APPEALS 685-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNQNFG688-9535