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Home My WebLink AboutBuilding Permit #744 - 149 CAMPBELL ROAD 5/21/2010 BUILDING PERMIT of "ORT 't"Z o ' TOWN OF NORTH ANDOVER 3? APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ) I O COcw.twaww[w �gSSACHUS � Date issued: -/d IMPORTANT: Applicant must complete all titems on this. age- y L'OC�Tl 'N nh PROPERTY OWNER • F u Print • ' MAI? 210 PARtCEL- ZO.N I NGE DISTRICT �Histonc�Distnct yes no �:• -,. . z Y Machine;Sho I h - { T O • 4 .�� _A Ilageye TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building. ne family Addition Two or more family Industrial Alteration No. of units: Commercial 1 Repair a lacement. - Assessory Bldg . Others: Demolition Other Septic 1'/�l�II t; '' �Floodp"iain 41�lretlands _ s L `Watershed Distract< �F:1 � Water/Sewer ' - �' Y SCRIPTION OF WOR TO BE PREFORMED: u A, Idph iication Please T e or P 'nt Clearly) i1 OWNER: Name: ( < Q Phone: Address: i2C t ! L JI CONTRALTO Narraec phone � �Addcess t: nSup�:rilisi�r�s Construction L7er�se: _ rExp� 'Dae _ ;Horne ImproverraentiLicense � f Exp ARCHITECT/ENGINEER Phone: _ 4 Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER/$10,�00.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0 0 V J FEE: $ , F Check No.: Receipt No.: 19 3 NOTE: Persons contracting ith u registered contractors do not have access to the guaranty fund Signature oftAgent/Owner na a of cgntractor Location No. Date NORTH TOWN OF NORTH ANDOVER f 9 Certificate of Occupancy $ IS CHUS t<' Building/Frame Permit Fee $ Ems, Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23153 Building Inspector 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -TempDumpster-on.site yes no Located at 124 MainStreet Fire Departmentsignature/date COMMENTS 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 2010 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 4 PP 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 j ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 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 ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products N TE: 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 NCITE: All dumpster permits require sign off from Fire Department prior to issuance,of Bldg Permit New Construction (Single and Two Family) U 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 NTE: 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 hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording ust be submitted with the building application Doc:Building Permit Revised 2008 �I i 4 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 t ❑ 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) v ❑. 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) U 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 Doe:Building Permit Revised 2008 ORTH Town o 5Andover No. O LAK _01 dover, Mass. COCHICHEW1 7�S'?ATED C BOARD OF HEALTH Food/Kitchen PERM -IT D Septic System TO BUILDING INSPECTOR THISCERTIFIES THAT....................... ...................... . ........ .......... ..... .... ............................... ..... Foundation has permission to rect buildings on ...... ..................... Rough to be oc6upled Chimney .......................ft. ............... .... ......... .. ............................................ provided that the pi pting"t is perm shall in every respect co form 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 NTHS 3 j I ELECTRICAL INSPECTOR UNLESS CONS U ON TAR 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. i F µoRrH TOWN OF NORTH ANDOVER °0. OFFICE OF 9 BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 _ SACHu5� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE:—S Z JOB LOCATION: Number Street Ad ss Map/Lot HOMEOWNER � � � Name ome 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 req is and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL- Revised FFICIAL -Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 David Perkins Carpentry Amesbury,Ma David Perkins Amesbury,MA 978/388-5913 I David Perkins(contractor)and Mark Elliot(home owner)agree to repair existing deck at 149 Campbell Rd N. Andover,Ma for sum of one thousand dollars($1000.00). Project to start on May 15 2010 and be complete by May 30,2010. Payments as follows: $500.00 in advance and$500.00 within one week of completion. Work is guaranteed for 12 months. Included in cost of project is the following: All materials to complete said work Proper and legal disposal of debris Job site to be left in broom clean condition Not included in cost of project: Permit fees David Perkins 5/21/10 Mark Elliot r 5/21/10