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Home My WebLink AboutBuilding Permit #547 - 20 LITTLE ROAD 4/21/2009Permit NO: 1�4 -7 Date Issued:-,�/,,; /b y BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received v, --a0 Iai ~�\ h, IMPORTANT: Applicant must complete all items on this page .LOCATION 10 2,1 . Print PROPERTY OWNER—!'om 220 Print MAP NO: PARCEL: 15 ZONING DISTRICT:- Historic District yes Machine Shop Village yes "n TYPE OF IMPROVEMENT _ PROPOSED USE . Residential Non- Residential New Building ne family Addition - - Two or more family - - Industrial Alteration No. of units: Commercial Repair re lacemen Assessory Bldg Others: - W Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer OWNER: Name: DESCRIPTION OF WORK TO BE PREFORMED: dentificatiDg Please Type or Print Clearly) l �Yt� f�li►�v5��✓ Phone: -0)D Address: &4r, T! CONTRACTOR dame: Phone: Address: Supervisor's Construction License: Exp. ,Date: Home' Improvement License: Exp. ,Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ Z 6o. FEE: $ a Check No.: Receipt No.: 9S` 7 NOTE: Persons contracting )#14 unregiy4red contractors do not have access to the guaranty fund 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 2.2008 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 Siqnature 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 - Temp;Dumpster. onsite yes no Located at 124 Main Street Fire Department signature/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 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 2008 No Location No.�/ Date 0*TM TOWN OF NORTH ANDOVER 3�0 i M�•�•o h�0 •4 9 Certificate of Occupancy $ cNust CHU k ' Building/Frame Permit Fee $ 0 s� Foundation Permit Fee $ Other Permit Fee $ �yTOTAL $ Check # Ise -?4 2,1957 wilding Inspector Q a� O p U z w° :oma U w O U � L 'o Q G w° V) p U z w° :oma U w O U � a2' w w C4 V) co w O E c w H w a O cn o cn o m c :oma C=, C N C) y `�( � C I v m CL O v C.5 E c Y 5�_ Z 0o o CL � p� C ev � O �O r� v J W F: m c :oma C=, C N C) y `�( � C I v m CL O v C.5 E c CL � p� C ev � O �O r� v J W F: r•> �a h 0= 10 c .. p ** ! m c o.m E :gym a N CODCAL cm CA t vl H C CO O COD A �•0 Ac O CLU cm - US- y vS� �C_ [ � C � CA ;aCL •O O � 0 C�_ � m avo #�o.�Z O �cCl- cc-D2 o c CL Q � :cmc -o = m :opo N F. o vim L_ I C O ~ •y umlr.-L, O C Z ac E Cyo LU C.2 0 jEcm O H 0,9 L3 CD 0 CL 0 9 1Q= 7 2 G .0 M= g $ ay=..coo i y cm I O "0 CD .CO2CD 0 co CD CD g m m 3� L � CL .m CMQ19 C O C cC Cc C.3 J .ts 0 CL COD 0 c Z ai C C LLI LLI 19 CO2 W W W :oma of E a y `�( C I v m CL E c r•> �a h 0= 10 c .. p ** ! m c o.m E :gym a N CODCAL cm CA t vl H C CO O COD A �•0 Ac O CLU cm - US- y vS� �C_ [ � C � CA ;aCL •O O � 0 C�_ � m avo #�o.�Z O �cCl- cc-D2 o c CL Q � :cmc -o = m :opo N F. o vim L_ I C O ~ •y umlr.-L, O C Z ac E Cyo LU C.2 0 jEcm O H 0,9 L3 CD 0 CL 0 9 1Q= 7 2 G .0 M= g $ ay=..coo i y cm I O "0 CD .CO2CD 0 co CD CD g m m 3� L � CL .m CMQ19 C O C cC Cc C.3 J .ts 0 CL COD 0 c Z ai C C LLI LLI 19 CO2 W W W Gerald A. Brown . Inspector of Buildings Please p6g DATE: W0110 JOB LOCATION: , -7-0 . �L'l '6 Street Address TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION Number J Name Home Phone PRESENT MAILING ADDRESS J 6W �4 City Town State Telephone (978) 688-9545 Fax (978)688-9542 l�gifa olklf i The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less and to glow such homeowners to engage an individual for hire who does not possess a license, prodded 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 helshe 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 "homeawnel" certifies the,LWshe understands the Town of North Andover Building Department minimum inspection pwcedures and7. and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revind 10.2005 Form Homeowners Eamon ilci_\1tD()F \PPE:V.S 689 95 t1 CONSERV.VRON ((-9530 HEA 1'1108-95-10 PL.-N\[NG 699-9535