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Home My WebLink AboutBuilding Permit #172 - 107 GRANVILLE LANE 8/31/2007 3 �poKr6q L BUILDING PERMIT ° t�`-`° ; TOWN OF NORTH ANDOVER o i 9 APPLICATION FOR PLAN EXAMINATION Permit N0; Date Received �9S RATE° SAGHU`, Date Issued: &J7 IMPORTANT Applicant must complete all items on this page z. k �,`,a%,"`i � a 3 rc. ?. IX 5 LOCATIflIU � AmL -R OP -� �� W�storc D�sl�ot es PRL ZION I I�1CIl �t7 �� r MINE- N chir�e�Shap Vallage s ;; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ®'Addition ❑ Two or more family ❑ Industrial []'Alteration No. of units: 0.Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other .® Se ttcfl 111e1tFndlii t T �etjads� �� latersfed Dtstrt 777777=- IMQ x at DESCRIPTION OF WORK TO E P ORMED: 2 . -2_ Identification Please Tye or Print Clearly) W ; ONER: Name: s ��•'�'` Phone: 707_ J� ,F2 - V 7'9� Address /14' ✓..e ._..- 4. CUNTFiAMOR""' >�a4rne� a a AddressIN � ol O SUpE'rrv1SU1 S + `JllCrtll7l LC'rRZ Pila . ! p JM Norrie�rroveI,MPerif Lcese� � s � �� p p� � p` . � �zll ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATES COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE. $ 1�0 r Check No.: 3A6 Receipt No.:10,- NOTE: Persons contractin wi,1 egistered contractors do not have access to the guaranty fund `tt „'•` a yf' F Slgllatur@Of Contractor. F Signature of AgentOwne . Location ff .. No. I Date q (3 Q NORT#q TOWN OF NORTH ANDOVER F 9 ♦ i Certificate of Occupancy $ Building/Frame Permit Fee $ sACMUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ` 20557 rr-co rv�� Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools JC ❑V Well ❑ Tobacco Sales ❑ Food Paok ng/S 1fsJP ""' a 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 TE REJECTED DATE APPROVED CONSERVATIO COMMENTS AM C,01 4trX J � DATE REJECTED DAT APPROVED b HEALTH ❑ ❑ COMMENTS S C Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/$ignature &Date Driveway Permit Located at 384 Osgood Street_ F1RE.DEP +►RTMEIT Temp Dumpsfier�on site yes' =nof Located at 124 Main Street x 1=�re Department signature/date ' `' r n 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 NOTES and DATA— (For department use) I ❑ Notified for pickup - Date ...__.......................... ...................................................................................... .......................................................................................... .. Doc.Building Permit Revised 2007 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 ❑ Floor Plan Or Proposed Interior Work o 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 u Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract L3 Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) o Building Permit Application � o Certified Proposed Plot Plan P ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit Q Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 TOWN OF NORTH ANDOVER "'" '• " OFFICE OF . ' p BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 1sslCNUg�t Telephone(978)688-9545 Gerald A.Brown Fax (978)688-9542 Inspector of Buildings HOM$OWNER LICENSE EXEMPTION Please pri DATE: JOB LOCATION: G `7 G.�i�.-��/Zle- Number Street Address Map/Lot HOMEOWNER 7�- QL &", P%-. 2Z-6 2 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 shall not 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 he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and reyuineements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF \PPEA S(M-9541 CO.\SERVNFION 688-9530 ITE.11:M 688-95.30 PL.1.\NIV(;688-9535 NORTH Town of dAw X&L 0 , dover, Mass., COCMICMEWICK 7,9 ADRATED P �S `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT JO. . 4.�......R.1`+ot.....A..kl.).Q.!.rV50"....................... . ........... ............. Foundation has permission to erect....... . .. g Q .&.Y' �. �. WOO ............... buildings n........ ... .... ......... .... .. . .. . ..1...� �,..... . Rough to be occupied as.....OLWW s!.1141 . S r�I� 1�1 S. Chimney . .. . . ................................................ provided that the person accepting thisNoermit 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. j p`,,`/S` PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TART Rough ............... ..... .......................... Service .... .. .. . ............... .................................. BUILD PECTOR Final 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.