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Home My WebLink AboutBuilding Permit #157 - 24 SALTONSTALL ROAD 8/28/2007 NORTFI BUILDING PERMIT °�'J"SD TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: ?� Date Received LJ RA �SSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page " R, N ahtre..�lop, �l�filage TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition [I Two or more family 11 Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other tland5 Dis k t DESCRIPTION OF WORK TO BE PREFORMED: 2 c- T ` s e Identification Please Type or Print Clearly) OWNER: Name: Phone: Address 114 mi 01, �.-ak RIO, .k *- :P � 1TCTOom R Nae ih .rot s y r : x+ - 'fix 3,y �'" y '� xrd. 5 3 EXI3 �1�3erV1aOAl S4strl ti® Leo Se Qwa A igg 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: $ c7 FEE: $ Check No.: Receipt No.:1-205, � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �i�nature oft��ent%Gwne ��a� � .,� ` fi, _._ S�gnature 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 ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS r w 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 D IR ��PARTME�17 Temp u�xtpster�n sit �reS no �O�afed at 1.24lUlaln �''F 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.$100-$1000 fine NOTES and DATA— (For department use) E i I I ❑ Notified for pickup - Date _......._..._.__......_. ........................................_.....__.........._...._...........__........_................... Doc.Building Permit Revised 2007 i 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) I ❑ Engineering Affidavits for Engineered products i 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 Clerks office must stamp the decision from the Board of Appeals required the Town Cl p s if a variance or special permit was e In all case p P 4 of Deeds. One co and roof of recording recorded at the Registry PY P applicant must then et this g Y that the appeal period►s over. The app g must be submitted with the building application Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 s � . Location No. Date AORTN TOWN OF NORTH ANDOVER i y Certificate of Occupancy $ 'Ss�cMU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ = at'l - TOTAL $ .Check # /,23P9�' 20542 Building Inspector C .NORTH Town of And No. �s , C, o '� dover, Mass. -�" O COCHICHEWICK y�. ' ' �d RATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ �. . ............ .�.. .`.'.�!"�.......... Foundation has permission to erect........................................ buildings on ....... ...........�....... f ..... Rough to be occupied as Chimney . /... . . .......... .................. .� � �. provided that the person accepting this perm shall in every respect conform t5 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR LESS CONSTRUCTT ARTS Rough ................................ Service BUILD CTOR Final Occupancy Permit Required to ®CCupy 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. ESEE REVERSE SIDE J1 Smoke Det. �• L� SuboiW$60 Of /Oh V '00W r on parr, filed ni,*h R r Cert of Atte Ab.IZ06 h1orth Reqlstvy DIstrfct 6fEssex covq Scale AO feet Fo an rnch Ralph A Brasseur: C.L. - 1 ,� %`� I � •.a W: ��'�.S,'i!,!'�(��i�.��..id6iVR..+dwr•+��'li�w•�.w�A. 7 - ZOA rj i f f`i b ti ltf rs�' ,P 91 �• 4 R_.sa�,6J t��k S•�• ,�;� bs Baa? 208 Q' 1119.E t2 10 NORTH TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 4 �►'�;;;,o North Andover,Massachusetts 01845 �ssAc►wss< Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please pri DATE:.(L 'C7 JOB LOCATION: � - NumbeJr F Street Address Map/L,ot HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less aid 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) DEFINITION 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 considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. " f The undersigned homeowner"certifies that he/she understands the Town o North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. r HOMEOWNERS SIGNATURE { �� a APPROVAL OF BUILDING OFFICIAL Revind 10.2005 Form Honowms Exemption I.BARD OF \PPE.US 638-95=11 CONSERV.IT ON 638-9530 ITEALT11 08-9540 PLANNING f,S8-9535