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Home My WebLink AboutBuilding Permit #222 - 137 HILLSIDE ROAD 9/21/2007 — r BUILDING PERMIT pORTH o��t�ao TOWN OF NORTH ANDOVER 10 , APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received ,•�qAT•D �SSACMUS�� Date Issued. r IMPORTANT:Applicant must complete all items on this page Hip TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New BuildingOne family Y ❑ Addition ❑Two or more family ❑ Industrial X Alteration No. of units: ❑ Commercial A Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other i DESCRIPTION OF WORK TO BE PREFORMED: c�.A,'r►e�s:Rblr ��P-rk& iQ ly �o a-- 31 coy o a)�I. Identifica on Please Type or Print Clearly) OWNER: Name: ,` ��I�I Phone: Address: i r x 4. - a x ARCHITECT/ENGINEER N/ Phone: Address: — Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$12 .00 PER S.F. Total Project Cost: $ 5LI '000 FEE: $ y Check No.: Jos– Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner R---�26�ignature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 , TYPE OF SEWERAGE DISPOSAL PubI4 Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ ----------------------- Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/signature & Date Located at 384 Osgood Street Driveway Permit 6= 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 a i I ti ❑ Notified for pickup - Date I 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 o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products 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) i ❑ Engineering Affidavits for Engineered products/ 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 BuildingPlans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) j ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 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 i Location -O No. � Date _ r, �aRTM TOWN OF NORTH ANDOVER t Certificate of Occupancy $ } �ssACN�SE<� Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ 3 TOTAL $ Check # tQ 1 Z Building Inspector Town IAORTH of _ Andover - _ o No. ?, Z� �'_1 _ o dover, Mass., T O -- LAKE I� COCHICHEWICK V %�oRATED pPa�"`C7 S V BOARD OF HEALTH Food/Kitchen PERMIT Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............:........................ ............ .... ......... .... . .......r... ........................................ Foundation has permission to erect.. ..................................... buildings on ......` .......r. .��. ................................. Rough to be occupied as...�.t... ........ ... ......�....... ..•.......��. IIdN�✓� feka'4 Chimney . . . . .. . ........................................ provided that the person accepting this permit shall in eve aspect 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 ON ELECTRICAL INSPECTOR UNLESS CONSTR ON T S Rough 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. II I I I ! I 73 8D W0SV361 P W27' D 10 WD2430L V1 3-1 36 -� m lI t�L � ZI Chi w21�1 l l2 . W C RVM ,124 H D � w o m � � � N W (A ,A N �D O �1 m 23 C(ow l� 0 izz-L d39 aMJ9£9S 10a 0-7 �✓ w . f OORTp TOWN OF NORTH ANDOVER 3: .• , OFFICE OF I. , BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 1ss�c►+ugt� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please mint DATE: 21 ,Lo:z JOB LOCATION: 13-7 }1f`jj q � l NumberG f Street 77. ?�� o-7 f o MaplLot HOMEOWNER - p Name Home Phone Work Phone PRESENT MAILING ADDRESS ►d G 1d City Town State 46di 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 requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Reviwd 10.2005 Form Homaownats Exemption BOARD(.1F 1PPEALS O."-9511 Cl).NS.ERN"XHON 633-9530 HEALTH 633-95.10 PLANNING 633-9535