The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #130 - 10 SANDRA LANE 8/20/2008 BUILDING PERMIT p%.aCO %A%.a TOWN OF NORTH ANDOVER 0aLay,,.- APPLICATION FOR PLAN EXAMINATION /�y Permit NO: Date Received X74"pR�T.p 9SSACHUS�� Date Issued: �� 6� PORTANT:Applicant must complete all items on this page 4rigg, 1,444 MEN I ,ON "WIN a 7k� / TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building AOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: El Commercial ; ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other f "�'."`�D.e� W"', ✓' /," � �-'z DgPCRIPTION OF WORK TO BE PREFORMED: Idtific ion Pleas Type Jr Print Clearly) OWNER: Name: Phone: Address: -10 0" ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE:_ D�i�� $ Check No.: C" Receipt No.: t uaran NOTE: Persons contl°acti have access o the �f with u e r o r ctors do not g and Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING.&_DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street Rum,. Loi � i 'F� ESS' .��i�`�£re .,„ y '�" �� 1 , - S. -i, ✓ ,•, ,h'ro - �'°`.. a d"` �, }'� 11 ti zb %z aa, .zm ' isz ' , vire ' Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I NOTES and DATA— For department use r �I ❑ Notified for pickup - Date Doc.Building Permit Revised 2001 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract - Li Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for.Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application '❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan. And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: .All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit I In all cases if a variance.or special permit-was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location No. 2 0 Date a 6 N°R;N TOWN OF NORTH ANDOVER H � 9 ' Certificate of Occupancy $ '�l b••no•�",(yC�/ 'ss,,cMustt Building/Frame Permit Fee $ --�— Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1433 'Building Inspector NORTIy T0VM Of Andover No. 3 0LAKE dower, Mass. O COCMICMEWICK 1 RATED `s BOARD OF HEALTH Food/Kitchen . PERMIT Septic System BUILDING INSPECTOR THISCERTIFIES THAT...................... Cwt ` .............................................: ......................................... /� Foundation has permission to erect........................................ buildings on .......................................... ......................................... Rough Ci' °� `� �;"4�'u Chimney to be occupied as....................................... ......................... '............................... ............. ...... y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 IN 6 MONTHS UNLESS CONSTRtJCTI®N ST TS ELECTRICAL INSPECTOR Rough ............ ........... .- ................................. . e .... .... . ... BUILDING INSPECTOR Final r. Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. of NORTH, TOWN OF NORTH ANDOVER "'° '••"� OFFICE OF A BUILDING DEPARTMENT * : r 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 S$ACNU54 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please pfim DATE: — (1'—D' JOB LOCATION: cc Zr� G , Number Stre/et,Address Map/Lot f HOMEOWNER/-.- ''� — --vf^�`��/ Name Home Phone Work Phone PRESENT MAILING ADDRESS_ City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two 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 Section 108.3.5.1) 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 or two family structures. A person who constructs more that one home in a two-year period shallnot be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that-hetshe understands the Town of North Andover Building Department minimum inspection procedures and-r4 irements and thaWshe will co with said procedures and requirements. HOMEOWNERS SIGNATUMr a APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption 1.30ARp OF \PPEALS 633 9541 CONSERVATION 638-9530 11E.u.;rit 688-9540 PLANNING 688-9535