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Home My WebLink AboutBuilding Permit #829 - 15 COURT STREET 6/13/2007 NORTH BUILDING PERMIT 0 .4."-ao+ " >I - TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO. Date Received ATED Date Issued: 1>17000, IMPORTANT:Applicant must complete all items on this page A-g., M y, 'VF 77 % A VIIN W41 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building XOne family [I Addition 0 Two or more family 0 Industrial O(Alteration No. of units: 0 Commercial 0 Repair, replacement [I Assessory Bldg El Others: El Demolition El Other ^J Ffiq M, tam IF 1� 0.00 Y V DEKRIPTION OF WORK TQ BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: r,- Phone: Address:—1-f— Cc�10 rAr— c-t- A tJ 6 bV(2F:K #4 gg 17 h0 '74 561 J" 0 Nffi- 7" 5-16"'Q MIS V A, 0 S ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ::aZOO � FEE: $ So Check No.: ddm- Receipt No.: o24) So NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location /,5-- e"/,' -! S ry No. �Z % Date / !-7 �ORTM TOWN OF NORTH ANDOVER Of "•O '',h0 3? � • OL 1. 9 ` Certificate of Occupancy $ �'�s'••°'t<� Building/Frame Permit Fee $ ACHUs 1 Foundation Permit Fee $ ' Other Permit Fee $ TOTAL $ Check # 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 ❑ 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 at a� {p �a^rili� � "M �tliiiii 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 of #OReTol TOWN OF NORTH ANDOVER : .•�, �`•.�o� OFFICE OF p BUILDING DEPARTMENT 1600} Osgood �$Street Building 20 Suite 2-36 a +��'•:,;.;:s�� North Andover,Massachusetts 01845 ss,u,�,st Gerald A.Brown Telephone(978)688-9545 ' Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please 1>r DATE: iC --7 JOB LOCATION: C c1 v e'CT Number Street Address Map/Lot HOMEOWNER c2fo J 0 0 00 Name Home Phone Work Phone PRESENT MAILING ADDRESSZr Cn, Jit- S:7"—. 11f6kr1j A NA)kk&' (5/ ec 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 Cock lection 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 hetshe understands the Town of North Andover Building Department minimum inspection procedures and requirements and that helshe will comply with said procedures and requirements. HOMEOWNERS SIGNA APPROVAL OF BUILDING OFFICIAL Revind 10.2005 Farm Homeowners Exemption ROARD OF 1PPEALS 639-954.1 CONSERV,vrION 688-95.30 IIE.:L"CI3 688-9540 PLAN'sI G 688-9535 NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Fire Department Sign off: Dumpster Permit l� 2 Date NORT#i ovm Of 140 C, odover, Mass.,--1� ' a oL �. �A COC HIC ME WICK ToRATE D P'PP��G� IT BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System P g BUILDING INSPECTOR THIS CERTIFIES THAT....... .......................... ............. ..At............................................................................................... Foundation has permission to erect.. ........ buildings on ��✓� ��........................ Rough ........................... ... .................................................................. to be occupied as...... .......... ' , �.J. .... ..........1re! /.w......:..... Chimney h. provided that the personaccepting 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 3� o Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU O T S ., Rough x... ......... :.................... 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.