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Home My WebLink AboutBuilding Permit #231 - 170 OLYMPIC LANE 9/24/2007 "ORTH BUILDING PERMIT of t,.�° 1 1616 qti TOWN OF NORTH ANDOVER o p APPLICATION FOR PLAN EXAMINATION b~ Permit N0: 3 Date Received �SSACHUS�� Date Issued: a p IMPORTANT:Applicant must complete all items on this page yOCATlO1�1 /- r ' <PERTY DINNERi xl wn -k� t Prn11t t y X MAP NO n ?ARC�L ZON1NLa D1TRtCT� i�storcD�sfnctres j r a ' a �Macfi�he Sf�op Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non Residential New Buildingne family Addition Two or more family Industrial Alteration No. of units: Commercial epair, re laceme Assessory Bldg Others: Demolition Other S6pt'c 1IUe11 '" Floodplain t Wetlands � terihed�D�stnc# . A ' ""W DESCRIPTION , . . _ s- DESCRIPTION OF WORK TO BE PREFORMED: Cc- -'�E)ick �Auu ' n 1 Identification Please Type or Print Clearly) OWNER: Name: b 112 l L Phone: 90 Address: 9D 0 1 N Ar Q CC7NTCTlJR Name hon .,R. s �.. rw a AIdress. }5 Sperv�so 'snsrucf�or� License Epp Dade _ 3 xw s fl,din elrrproveMen# :cense ARCHITECT/ENGINEER Phone: II, 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: $ k4 CC - Oo FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund SiT'nature of A ent/Owner , `� k. - Si nafure of�contractor 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 i COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS 1 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 e.y FIDE sDEsP�13ZTMEN� =Temp�'Durnpste�oa��sityep � � t .L'ocatedg 124reet k a o F* Fire Departrnen s�gnaturel ate ,�• 'E i' &5 'T. 3 4 IX . 4' p5 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 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doe.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 1 / 1 l ` Location No. 23Z Date MORTof TOWN OF NORTH ANDOVER . o L a Certificate of Occupancy $ ; s <�' Building/Frame/Frame Permit Fee $ tom_ sCMUSo 9 ' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �7 U 20629 C� Building Inspector NORTH Town of No. LAK o �` dover, Mass., ' o COCKICMEWICK _�. 7,9 ADRATED o �Cy `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.0 .7.0041W.1%................................... !...... """"" """' •'•"'•" Foundation has permission to erect........................................ buildings on .../Z9............. .... ............... Rough 4 to be occupied aS. r.�... .. Chimney . ........................ ................................................. provided that the person accepting this permit shall in every r ct conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws r ting 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 BUILD SPECTOR 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. 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: 0 D i' is that the debris resulting from this work shall be disposed of'n a properly licensed solid waste disposal facility as defined by MGL c11, S150A. A1so, note Permits are required under Fire Prevention laws Chapter 148 Section I 0A. The debris will be disposed of in: (Location of Facili ) Signature of Permit Applicant Fire Department Sign off: p Dumpster Permit Date TOWN OF NORTH ANDOVER : ++LIDoo OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 1ss�c►+us�� Telephone(978)688-9545 Gerald A.Brown Fax (978)688-9542 Inspector of Buildings HOMEOWNER LICENSE EXEMPTION Ply DATE: 02 6 JOB LOCATION: Number Str#Ad&ess Ma>dA wore / Wn I �978) HOMEOWNER MlC�IIel � .L/:5a- UV�lnl� � �) Name Home Phone Work Phone PRESENT MAILING ADDRESS 70 m Al City Town State Zip Code The current exemption for"homeowners"was extended to include owner-oocupied 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 ection 108.3.5.1 owner acts as supervisor). State Budding (Code ,S ) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which hetshe 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 _4= APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Foam Homeomm Exemption ROARD OF IPPF:\r_S 688-9541 CONSERX-AFION 638-95:30 HEALTH 6"-9540 PL VNNPIG t,880535 i