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Home My WebLink AboutBuilding Permit #206-14 - 16 MARGATE STREET 9/5/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION f Pnn PROPERTY OWNER Print 100 Year Old Structure yes no MAP NO: ;�1.9- PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family 0 Addition 0 Two or more family ❑ Industrial 0 Alteration No. of units: ❑ Commercial V Repair, replacement ❑Assessory Bldg ❑ Others: emolition 0 Other ❑ Septic 0 Well 0 Floodplain 0 Wetlands 0 Watershed District 0 Water/Sewer DESCRIPTIO,N OFWORK TOB ERFORMED: Identification Please T or Pr' t Clearly) �� OWNER: Name: l� Phone: Address: e ®� CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Q " Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0'7J� FEE: $ Check No.: .39�9- 2— Receipt No.: NOTE: Persons contracting with unregistered co ctors do not have access to the guaranty fund 6inature of Agent/Owner S_igaature of contractor42 4 Plans Submitted 0 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Building Department The foli3Owing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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 ConstructionSin le and Two Family) � 9 Y) Li Building Permit Application a Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy p p 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 casco if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 I 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature 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 Tow;� Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT - Temp Dumpster on site yes no Located at 124 Mair, Street Fire Departiner t,signature/date ' r COMMENTS_ Dimension Number of Stories: Totals square feet of floor area based on Exterior dimensions. N � _ 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 I El Notified for pickup - Date Doc.Building Permit Revised 2010 Location No. ��'�7 Date ✓` • - TOWN OF NORTH ANDOVER • s b • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ o h�� k„ v Other Permit Fee $ TOTAL $ Check#,?y,:2' /z b► 26811 Iding Inspector vtORTH Town Oai�f 1�, \Andover O " � 7_06 h ver, Mass, �`,S��.C3 COCNICNt WIC" S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR It 6z� has permission to erectbuildings on ��.� �`'f 4: 4:. � Foundation .................... Rough to be'occupied as ...............�j:^ ...�.. f.......®c� .................................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 CONSTRUCTIO STARTS Rough Service ................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Smoke Det. SEE REVERSE SIDE NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the rovision of MGL c 40 S 54, a condition of Building Pe . g rant 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 Cha ter 148 Section 10A. hap ter debris will be disposed of in: (Location of Facility) ZSiAgnaVe Permi ppli ant Date ` e r e fI i r / kis /v 5S i° TO WILT OF NOR T.H ANDOVER ° OFFICE OF o <h° BUILDING DEPARTMENT Osgood Street Building 20,-Suite 2-36 q�us�c�5 North Andover,Massachusetts 01845 Gerald A.Brown Inspector of Buildings Telephone(978)688-9545 • HOMEOWNER•LICENSE Q_WMATION Fax (978)E88-9542 UIDING PERYffT APPLICATION Lease DATE: ' JOB LOCATION: Z6 �- Number StreetAddress Map/Lot • HOMEOWNER s • � ��.• �7�•�S�� .. Name. Home Phone Work Phone PRESENT MAILING ADDRESS ?: 1i i Tn_m S+aL_. T he « current exemption for homeowners"was extended to include to allow su;h 1�omeo: ers to engage an,_;idividual•for hire who does notpossesl a 7�c�mise provided that the ogs to UvO units-Or wner and acts as supervisor). State Building (Code Section 108.3:5.1) DEFINITION OFHOMBOWNER Persons)who Qwns a parcel of land on which he/she resides or intends to reside,on which be,a one or two family structures. A person who constructs more that one home in a fihere is,or is intended to considered a homeowner. two-yearperiod shall not be The undersi ed"h omeowne ,assumes responsibili. ty for compliances with the State Building Code and other Applicable codes,by-laws,rules andregulations. The undersigned"homeowner"certifies that he/she understands the Town of No minimum inspection procedures and re ements and that he/she zth Andover Building Depaxfinent requirements, will comply ith droc p edures and HONMOWN13RS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption gOARb OF APPEALS 688-9547 CONSERVATION 688-9530r'r HEALTH 688-9540 PLANNING 688-953i