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Home My WebLink AboutBuilding Permit #427 - 226 SALEM STREET 11/27/2006 I TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION O� Permit NO: Date Received 7 1e41 ATID Date Issued: — D SACHUs��g IMPORTANT: Applicant must complete all.items-on this page - - LOCATION6�aIem 06 ,- Print PROPERTY OWNER �'°'�' i Print MAP NO.: /) PARCEL: 10 ZONING DISTRICT: j TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ k l TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential I ❑New Building ❑ One family 0 Addition 0 Two or more family ❑ Industrial ❑ Alteration No. of units: Repair, replacement ❑Assessory Bldg 0 Commercial ❑ Demolition 0 Moving(relocation) y ❑Other ❑ Others: 0 Foundation only DESC PTI OF WORK O BE PREFO ED o/EP-7 41 Identification Please Type or Print Clearly) OWNER: Name: `�- Y Pone: Address: S G Gv 3 CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: t ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED � BASED ON 5125.00 PER S.F. Total Project Cost :$ FEE:$ Check No.:-44,l �l Receipt No.: Page I of 4 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public'Sewer ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ i ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. Electric Meter location to proj ect NOTE:. _Persons contracting, ith_unr ist, d. ontractors do,not have access,to.the guaranty) d_ . v Signature of Agent/Owner Signature of contract /Plans Submitted ❑ ans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 FIRE DEPARTMENT - Temp Dumpster on site yes no 14V Fire Department signature/date 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 Drivewav Permit Building Setback(ft.) Front Yard Side Yard Rear Yard Re uired Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created 1MC.Jan-2006 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- ' o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ 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 Pian And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) 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 L3 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 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:BPFORM05 I Page 4 of 4 Location No. a� Date koil 0 HORT1y TOWN OF NORTH -ANDOVER '; 0� . o , 14, j f 9 + Certificate of Occupancy $ . - : + s CRUS Building/Frame Permit Fee $ c 'd Foundation Permit Fee $ Other Permit Fee $ '3 TOTAL $ Check # 1 9832 Building Inspector tkoRT#q Town of Andover 0 No. Val ' - C% LAKE Mass.,,.��a�•dG - L 4411, ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT-UT&MG.4.........RAN r...J.W............................................................................................ BUILDING INSPECTOR Foundation has permission to or" ..." buildings on ......:&Uowt......�r v�.... Rough tobe occupied as..............!R0......1� -1 Y. ......... ....... ......................................................................................................................... Chimney provided that the person accepting this p4 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 q fow- PERMITEXPIRES IN 6 MONTHS Final `TOR ELECTRICAL INSPECTOR UNLESS CONSTRU TS Rough dens ............. ........................ .................. 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. '°Hr" TOWN OF NORTH ANDOVER e3�� OFFICE OF BUILDING DEPARTMENT 1600 Osgood W,. Street Building 20, Suite 2-64 �cHuct�t�, North,"dover, Massachusetts 0 184 Gerald X Brown Inspector of Buildings Telephone (978)688-9545 Fax ig-,8)684-9542 H0:�1EOw'�;ER LICE'�iSE E�CE1iPTIOiV !�!ea,e print DATE: (o JOB LOCATIO., . �1e N7T umber Street;lddress --- �T ;4f ap,iLot — EiOl�1EO�i�'T�ER N,, jj�� <.e, I alhe Home Phone Work Phone PRESENT MAILING ADDRESS i City Town S e 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 doe acts as supervisor). State Building (Code Section 108.3.5.1) s not possess a license,provided that the owner I DEFINITION OF HOMEOWNER i Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is i be, a one or two family structures. A person who constructs more that one home in a two-year Mended to considered a homeowner. y period shall not be The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes, by-laws, rules and regulations. The undersigned"homeot.jner"certifies that he,"she understands the Town of North Andovcr Building minimum inspection procedures and requirements d that he:she will comply with said procedures andDepartment requirements. HO rEOW-\ERS SiGNAI'LR \PPROVV.OF RC1[.DfN*G()FFiC ,kL i• :m linnu•r,n<r:F:�.:;r;�-iir.n � Ii