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Home My WebLink AboutBuilding Permit #743 - 1500 SALEM STREET 5/31/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLA' EX:�titINATION �SSAC Muse Permit NO: 21 Date Received:� Date Issued: ` IMPORTANT: Applicant must complete all items on this age LOCATION Print PROPERTY OWNER '�y Print ti1,NP NO,,�D=PARCEL: l7 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential New Building One family = Addition Two or more family = Industrial Alteration No. of units: Assesso Bldg _Commercial Repair, replacement r? g aulic Demolition Others: Moving(relocation) _ Other = Foundation onl DESCRIPTION OF WORK TO BE PREFORMED �y -- '146 Identification Please Type or Print Clearly) OWNER: Name: / Phone: f' /71 .kddress: CONTRACTOR Name: Phone: ' Address: Of Supero isor's Construction License: Exp. Date;: nd Ilome Improvement License: Exp. Date: ,�RCHITE�C F ENGINEER X`unc: Phcnc: \,ddress: Reg. No. FEE SC'HEDL LE: Bt LWAG PLRMI"T: 510.;30 FER S1•"O.0 GF THE TUT IL ESTIJI.ITED COST.4,ISED D,N 5125.00 PER—1F TotalProject Cost :$.._ ®mom XS'' x I O.OU- FEE:$ �, C:hock No.: Receipt \Io.: 1-IX5" 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 a Building Permit Application - Workers Comp Affidavit a Photo Copy Of H.I.C. And/Or C.S.L. Licenses j j Copy of Contract Floor Plan Or Proposed Interior Work Addition Or Decks Building Permit Application Surveyed Plot Plan ❑ Workers Comp Affidavit a Photo Copy of H.I.C. And C.S.L. Licenses j Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And I Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) Building Permit Application j 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 In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Boar %ppeals that the appeal period is over. The applicant must then get this recorded at the Registry of Decds. One cop3 proof oof of recording must be submitted with the building application 10.%AI til•:R%I('1(SDE,P'.RI IF",I:LIPP)It'IIl5 1',Inc4r11 i TYPE OF SEW'ARGE DISPOSAL _ _ Tanning'btassage Body Art __ Sv,imming Pools _ Public Seller Tobacco Sales -- Food Packaging Sales Well Permanent Dumpster on Site Private(septic tank,etc. _ Electric Meter location to project NOTE: Persons controc•ting wi nregistered contractors do not have access to the gucrranty fund Signature of.Agent;Osrner Signature of Contractor Plans SubmittedPlans Waived Certified Plot Plan Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ i!i []Water Shed Special Permit LJ Site Plan Special Permit J Other CONthIENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS i o DATE REJECTED DATE APPROVED HEALTH i COtitMENTS Zoning Board of Appeals: ariance. Petition No: Zoning Decision receipt submitted es _ — -- Nannim, Board Cccisiim: Cnnununts CooscrvUicn Ducie ion: - -- ------- Cimnncnts ------ 1',ter S,�nLr ccnnection si'nattn-c date / (,;mp ihunpster rn site .es— no — Fire Department si nature Aatc Building Permit .lppro,.c:d and IsSI]cd by: r,•� r4 i Building Setback (ft.) Front Yard Side Yard Rear Yard Required ProN ided Required Provides Required Provided DIMENSION Number of Stories: _ Total square feet of floor area, based on Exterior dimensions. Total land area, sq. I'L VOTES and DATA—(For department use) i i I I I i i Location No. Date �aRTM TOWN OPWORTH ANDOVER 0 f - w i • • ; , Certificate of Occupancy $ Its GMU' Etn Building/Frame Permit Fee $ S Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 1922 v Bu ding Inspector a %40RTH q TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 400 Osgood Street `�4q�AATeo�9P`y.c5# North Andover, Massachusetts 01845 �SSCHUS A Gerald A. Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: JOB LOCATION: 80G S�G Number Street Address Map/Lot HOMEOWNER Name HomePhoneWork one PRESENT MAILING ADDRESS /'�5� � 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 requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFIC �L Revised 10.2005 Foran Homwwners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688- 9535 IAORTH 0 o 1M Andover T f No. Y 00 AKr dover, Mass., 10 t�- L COCHICHEW A. "ATED C:) % BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.........7 k06............ .......................................... BUILDING INSPECTOR ...... .................................... Foundation has permission to erect....................................... b ildings an ...... .5.0..0......... 14 ..............1r.. Rough tobe occupied as...joy.1 ......Roo . . . . . ............................................................................................ Chimney provided that the person accept this permit 6�iry 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR TS Rough Service TOR 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.