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Home My WebLink AboutBuilding Permit #189 - 24 CROSSBOW LANE 9/7/2007 I$UILUINU rr-MIVII I i� v TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION JF Permit NO: Date Received ��ssgc►+us�� Date Issued: d IMPORTANT Applicant must complete all items on this page a� s qi r?' s, '� "� ys a '8 `� r' -$ �` »rrc .�" 5 ;+s �a � �}r . �� "'h�•� `�^x xx%q k� x�a � �' � ve � �.:. ' 3..+� �� r � E, 52 �1m��r� � * LIT r; )Wl�IC � �P 3 t� Y / f)Sc T✓ JY��'� '. K,¢,T. ;�" 9f � ��+,="�j�' k��4� S'— ��y�a ��'a �,�""•r^'- �r ��' M.. p�.r�a� t r �s� yM =.� qi�5� t ,^}�� `k� .qy{ ��'"� � /��/ ,,..#an: _fr TYPE OF IMPROVEMENT PROPOSED USE Residential, Non- Residential ❑ New Building )90ne family ❑ Addition ❑-Two or more family ❑ Industrial ❑ Alteration No. of units: 0 Commercial 7C Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other � x x ,k's„".' .t ,,,5 tF d ''`0I �3 ar l tr�� eta s wy ; eta #;jry- aq ::l+ � Y � a a7 was „, izv .k ; i DESCRIPTION OF WOR TO BE PREFORMED: A06E� r� :l lo . N �. III Identification Please T pe or Print Clearly) OWNER: Ae,*'o Phone: Address: �S '` ti� - "t a .,. t xs yam' z iF sk ,y fat Ae .a r�� v syn5 sem'''^ h'°`n�,;' ° .,�”✓,*,c. -a �y f s�;w ' s+ .s 1st f c s'r's .'s w: F +� +x1 s n �tfo� i9i31 � � .3L`6'Vryiv�i� �;,s F�- ^D 71 >.,i za :` �:. 'ss * 'W2 '6' a ?,? �s x��1�,� s � s 'i k.0 zFeh➢ 3y. 4 � : "�� -�' _„s x � �r�.� � " .' x r.. i. �$' ,....�.. 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: $ /Ott• FEE: $ Check No.: Receipt No.: 0 b NOTE: Persons contracting with unle 'stet d contrac do not have access to the guaranty fund Snare� Aer�t/Or .. . <", '; naturesI cntao r Location No. Id I Date "/ D �. NORTH TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 205 `/ 5 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well I 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS a DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS s Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Si nature & Date Driveway Permit Located at 384 Osgood Street 7.7 FociraetEDGl e# 1'`: Ma"in Sftet t : r n 2s 3t rreo � � g s ' s, per,rrent��gatu.r�ecl:e. e.Yz)µyg s. E L Y, *3 e ,c,-s' y Yt. cz"Rit ;�w+ w c� .,.,-a w ; .3 ,x t'✓ �s� c S 3 '� ti :ro �,. -ia.'" RZ 77 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 21A—F and G min.5100-s1000 fine NOTES and DATA- (For department use i i ❑ Notified'for pickup - Date ---.-.. ......._....----- ---.........- . Doc.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 j o Building Permit Application ❑ Workers Comp Affidavit I; ❑ Photo Copy o 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 o Workers Comp Affidavit ❑ Photo 'Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ! o 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) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses { o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Li 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 i Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2007 NORTH Town of 2 Andover O No. LAK O dover, MASS., o A. - COCHICHEWICK ORATED PP0: 5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..........Ae.opt.............. ....... ................................................................................ Foundation has permission to erectA- ac ................................ buildings on .............02.21......0 .l.0...A0.�........... Rough t to be occupied as........ �A.. 1,. .......*- ..... .....9.......... .. Chimney �...provided that the perscepting this permit 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 Final PERMIT EXPIRES IN. 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUSTARTS Rough Service 7BUILDING 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. s► � ti r •w• �'.�/ w . '• ,i i� :•� �'3�17C��x. . ...,, Vis. =* ... �.�_.!r. - z N V � ♦ ♦ ' ` F' ♦♦+4114 � 40 ♦ ♦ �► w . + . .. w 4W 4W 0r- �'� .' •} it yy `t a 007 xy- lft � s Y t 1� • . A d 5 Kp r � DEERE " 40 7 E' i Noerq TOWN OF NORTH ANDOVER °•t"`°:1"° OFFICE OF BUILDING DEPARTMENT 4 ' ; + 1600 Osgood Street Building 20, Suite 2-36 ., 0184 North Andover,Massachusetts 5 ss�c►wgs Gerald A.Brown ` Telephone(978)688-9545 Fax (978)688-9542 Inspector of Buildings HOMEOWNER LICENSE EXEMPTION Pleam DATE: -7 L& -7 JOB LOCATION: jjNumber Street Address Map/Lot HOMEOWNER IvL'i4F Se4et As 4A tr%& Go►Q S71 q,16- 7 Name Home Phone Work Phone PRESENT MAILING ADDRESSfo!5. » n► , City Town State Zip Code The curreni 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) DEFINMON 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 consider a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Apphcable podes,by-laws,rules and regulations. The undersigned"homeowner"certifies that hetshe understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 0011 HOMEOWNERS SIGNATURE APPROVAL,OF BUILDING OFFICIAL Revised 10.2005 Form Homeownen FimmpOon BOARD OF kPPE:LS 6."-9541 CON`ERN'.1RON 688-9530 11E.\LT11 698-9540 PL.INNING 688-9535