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Home My WebLink AboutBuilding Permit #715 - 11 OLD FARM ROAD 5/4/2007 BUILDING PERMIT °F NORrN q `t��ED '6, do 0 TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit NO: 7 Date Received �9Ss Alrffo Date Issued: IMPORTANT: Applicant must complete all items on this page >; LOCATION v 5A( l `moi yy � j -2� („j.VJ' T'qty,' n PROPERTY 6J R ' &'I'o r ( AI NO: a ,d.PAI CEL C3NI�G,S[}ISl R1CT k�' HISTQ. G DISTR TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic Q Well 0 I dadplain Cl Wetlands f` ;haters ed�5istrict 1171tter/Sewer . s DESCRIPTION OF WORK TO BE PREFORMED: ^� Identification Please Type or Print Clearly) OWNER: Name: `.�J o 4(' e- 6 Phone: ?7�� 3 Address: 11 0 L� 2J^ I�Q �tl.A,vv=✓ CON °RACTOR Name . Rhone:: Address: . - '; Supervisor's Const�trcton L, ense. xp:" Date* , r 'e G_ .. .. P iofbe Improvem ent License: Exp: Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. On � Total Project Cost: FEE: a Check No.: Receipt No.: 0 ) Z�-S— NOTE: Persons contracting with re istered contractors do not have access to the guaranty fund Signature_of Age weer Signature of contractor - 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DffE APPROVED CONSERVATION ❑ 07 I COMMENTS Ab W06,015 DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS w 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 FIRE DEPARTMENT Temper p y um stir on site es no Located at 124 Main Street - A °. Fire Departinent signature/date COMME-NTS 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 ❑ 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 ❑ 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 ❑ 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 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. ocation/ —No. `7/I^ Dates 40*Th TOWN OF NORTH ANDOVER ' Of tt�•o ,•,h � D Certificate of Occupancy $ �'s'•'•°•E<� Building/Frame Permit Fee $ AC MUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20x `/ Building Inspector Ot NOtiT1�7N h 9 TOWN OF NORTH ANDOVER " ,SSACNU`>�t BUILDING DEPARTMENT 1600 OSGOOD ST BUILDING 20 SUITE 2-36 NORTH ANDOVER MA 01845 978-688-9545 978-688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE 3 D JOB LOCATION ✓� �L� �'� 1 Number Street Address Map/Lot HOMEOWNER ,-�✓ 1 9 9 9'4 S 3-533 2 P7-P'77A$-AS-J Name Home Phone Work Phone PRESENT MAILING ADDRESS ✓/ 04b TA aA )"1 A ANib-J-e,, #4 G City/Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of 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,one or two family dwelling,attached or detached structures 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. The undersigned"homeowner"assumes responsibility for compliance 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 a quirements and that he/she will comply with said procedures and requirements. ^ ,� HOMEWOWNER'S SIGNATU Cz 4249;0- APROVAL OF BUILDING OFFICIAL NORTH Town of tAndover Cc% LA dover, Mass., O co C MIC MEWICK V ORATEO 10 lv ri BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... .. .L.........013r&.�/.............................................................................................................. Foundation has permission to erect........................................ buildings on..((....... .......U../........................ Rough to be occupied as......I.A..It.t. ..`...... /.. ... ...................................................................................................... Chimney 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 L PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU S TS Rouge, ..:.......................................... Service BUILDING INSPECTOR 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. 0L FAizm S 3�r'OSr3d }5 G�� D h• f S s, leg; �o i _ CSA-r)lJ(r .Tj 46 9 0s- 54- U 'U J 1l �� ro N 4F �ti sir ��o� DANIEL i e L JOHNSON 00 y hs No. 29642 !,q -f COST ,d N� Sui�Af' Q M •suoi; sod iQ ooQl pus i i aosr&Oc 5/G Y ! �TC�W �,v�AlS(JL.7'AN7"� C A L.�% d 4d -TA tv!; a� /984 .' NEFLE5Y CE~'RrtloY rHAT 'TME BUILD146 III" i:�fs PROPERTY RF—&. L A1v't3 SUR VCYC)R S 15 L ChTED A5 SHOWN ON PLAN AND MPLICS WlT'NTHE 14 MAS ASQlr 5LVD , OWN6 56r gAc< Rf4VpRljhlGNr5 0r- T !4 TOW)' OF MORN /kmDoVM,= FURTkEk CCgral=r THA*r rk! AGOVC BW ILLIW, - PLAiSTOtom, NH• 03865' + al 67" LbCAren Isv A FLoa1> FLAW ZONE. !��o_�.�d_�' --__. TEbL ��C'3�)-��-73 0