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Home My WebLink AboutBuilding Permit #1197-2016 - 30 SARGENT STREET 5/16/2016 Y� I BUILDING PERMIT �oRrH 0��. VED 16.064,, 46 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAM INAT GRZ' :::� y� T /1,'7 '�ldfb Date Received ��qoR Permit No#: q grEo P �� SsgC HU Date Issued: SA1 IMPORTANT: Applicant must complete all item�`dn tbis/page LOCATION cS' S /IV PROPERTY OWNER , w%� Print 100 Year'Strueture yesOno MAP PARCEL:�3 ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 'Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other el d'Septic °UVl Floodplain 0 Wetl'a -d g ❑ 51Natershed Distract Wate>/Sewer -- DESCRIPTION OF WORK TO BE PERFORMED: �..> �C'Z Identification- Please Type or Print Clearly OWNER: Name: ;3-4-1 ��m �W--C— Phone: Address: /�C ,,2 f lj' vI'12��y w Contractor Name: Phone: 9 V, %yJr lJ 3� Email: Address: Supervisor's Construction License: -Exp.-. Date: 4 Home Improvement License: Exp:-,Date� ARCHITECT/ENGINEER Phone: Address: Reg.,:Nq. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED CGSTHASEEFGX.$125.00 PER S.F. Total Project Cost: $ / bb�, FEE: $ -~ Check No.: Receipt NOTE: Persons contracting witli unregistered contractors do not have access-to.'the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Sody Art ❑ .riauning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS it, LACg-S --j CONSERVATION Reviewed on J Signature \. C COMMENTS (, HEALTH Reviewed on Signature COMMENTS c ZZ)ning Board ofA eals:Variance, Petition No: Zoning Decision/receipt submitted yes ',Nanning Board Decision: Comments Conservation Decision: Comments Water& Sewer ConneCtioniSignature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREDEP�FZ�TMEIV }TemnDumnsfieron site yes j� ,A. ,...1- t h. �W .,-�3 W��a,e -� Q1 y s L,-!:..wm..��.,4...t•.a:..s,..,1.�y 0,� ��! t�L c`ated at°1f,2,-4�Nlain�tr' �FileDepaff.tment gature%date_ _ s Dimension Number of Stories: Total square feet of floor area, bash&-awl5derior dimensions. Total land area, sq. ft.: _ ELECTRICAL: Movement of Dieter location, mast or service drop-ii4wres approval of Electrical Inspector Yes No DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ® Notified for pickup Call Email Date Time Contact Name Doa.Building Permit Revised 2014 Building Department ThF 'lowing 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 OTE: 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/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4, Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 NORTH own :.. `' ®ver of 0-- No. h ` ver, Mass �"� �4 COC � O LANE NIC HI WICK �°�' OATEO /•P�� U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT ....... �� '� '� P..;z. ! : `` BUILDING INSPECTOR .... ............ 4............................................................... Foundation hashas permission to erect .......................... buildings on .. . ..��....�./. ... ................................. � � � Rough to be occupied as R``�Cc <r`S J�� • •• Chimney ................................................ ................ ....................................... .. .... . provided that the person accepting this permit shall In every respect conformto 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 Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION FARTS Rough Service ........... ..... •• .............................. •• Final BUILDING INSPECTOR 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. TO'R'N OF NORTH ANDOVER _ g OFFICE OF BULDING DEPARTMENT 1600 Osgood Street,Building 20, Suite 2035 +y North Andover,Massachusetts 01845 Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BETIDING PERMI A'PPLICATtON Please print DATE: JOB LOCATION: Siq e✓1 T 7- Number Number 11Street Address Map/Lot HOMEOWNER Name e Home Phone Work Phone PRESENT MAILING ADDRESS J D 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 110.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 requirements and at he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL p SIV 67eaT 9/ IA)14- Revised 8.2015 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-95+0 PLANNWG 688-9535 f A 1' I IV v V Locationy - f ' fr "� No. Date r • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ + �' Other Permit Fee $ TOTAL $ Check# f� u / -z Building Inspector � J �J1 U