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Home My WebLink AboutBuilding Permit #1175-16 - 28 HEWITT AVENUE 5/1/2018 LT BUILDING PERMIT Qf ss�ao • • 3� �°,e• TOWN OF NORTH ANDOVER y APPLICATION FOR PLAN EXAMINATION # - Permit NO: G Date Received Date Issued: to SwCH�3s� IMPORTANT:Applicant must complete all items on this age , r. i1 l LOCATION Pri t Y' PROPERTY OWNER o�� d� Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no �. Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑ New Building ❑One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial KRepair, replacement I I Assessory Bldg i i Others: ❑ Demolition ❑Other i �Septic ! 1 Well i<floodplain i ,Wetlands r Watershed District , a Water/Sewer Lf-0 J-N Ce- 10 ICA 01 e W Identification Please Type or Print Clearly) OWNER: Name: 0 11 k. I J 0 J4 Phone: Address: 2q W l Ale. CONTRACTOR Name: 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: $_ '_000 FEE: $ _V Check No.: Receipt No.: 6 NOTE: Persons con acting ' unregistered contr c ors do not have access to the guaranty fund _ .,, Signature of AgentlOwner Stg a#ure of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools F1 Well ❑ Tobacco Sales ❑ Food Packaging/Sales n 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 ❑ ❑ COMENTS CONSERVATION ❑ ❑ (p f COMMENTS r DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Located at 384 Osgood Street V FIRE DEPARTMENT -Temp Dumpster on site yes no - Located at 124 Main Street Fire Department signatureldate COMMENTS Location f No. Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ =G� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# �; ! Building Inspector NORTH -own of �.. : _ Andover 0 », y` 0 iat ver, Mass, s- x1l o COC NIC„l WICK y�• JArEo �Pa,�gS U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System J •h /ODD��f THIS CERTIFIES THAT .................................. � f . BUILDING INSPECTOR........... .............rr................................................................ has permission to erect buildings on Foundation Rough tobe occupied as .............. .................. ................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and 1 Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. RoughFinal PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONT TS Rough i ....... Service 4e ' BUILDING IN PECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. TOWN OF NORTH ANDOVER OFFICE OF _ BULDING DEPARTMENT 1600 Osgood Street,Building 20, Suite 2035 +1 North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: JOB LOCATION: , j J � Number Atreet Address Map/Lot HOMEOWNERR(� Q 'A �Zo a - I Name Home Phone Work Phone PRESENT MAILING ADDRESS A) City Town State Zip Code The current exemption for"homeowners"was extended to include owner occupied dwellings of one or two family dwellings and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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 dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.(780 CMR Section I IO.R5.1.2) The undersigned"homeowner"assumes responsibility for compliance with 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 requireme nd that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE _GL oev APPROVAL OF BUILDING OFFICIAL Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535