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Home My WebLink AboutBuilding Permit #296 - 301 SUMMER STREET 10/29/2008 BUILDING PERMIT 0f"°oT"qti TOWN OF NORTH ANDOVER 3? ° ''- - �� APPLICATION FOR PLAN EXAMINATION t '° b Permit NO: 99(01 Date Received �SSACHus�� Date Issued: 10 IMPORTANT:zz, I - Applicant must complete all items on this page LOCATIONI Al PROPERTY OWNER Print MAP NO: PARCEL: l7 ZONING DISTRICT: Historic District yes !Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Resi Non- Residential New BuildingOne family Addition Two or more family Industrial Alteratio _ No. of units: Commercial epair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 20 zee S" cz,, \6\ Identif'on PI yRe or Print Clearly) t O,/� OWNER: Name: k `C Phone: � �C�� Address: Icx JUmv\,kw V'aei CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERAV T.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ C �QV V```c`*ev-tG_\ FEE: $ 30 Db Check No.: �� Receipt No.: /G 6 NOTE: -Persons contracting with un (istered contractors do not have access to the guaranty fund Signature-of Agent/Owner Signature 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 CONSERVATION Reviewed on Sianature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Sianature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE',DEPARTMENT -Temp.'Dumpster on site yes no Located at 124.Main Street Fire iDepartment signature/date i - COMMENTS { A Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq..ft.: t 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 �I i i ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 1 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) o 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) ❑ 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 requireuire signn off from Fire Departmentartmentprior to issuance of Bldg Permit t 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 PP a lication Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 i 4 I Location-30/ No. 65, Date TOWN OF NORTH ANDOVER F w Certificate of Occupancy $ �'�s• E<� Building/Frame Permit Fee $ ?l� s�CNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a Check # n 2 644 Building Inspector NORTH � T0 0Andover No. 494 . C% o dover, Mass., O CA C'OCHICHEWICK ADRATE D `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System jp BUILDING INSPECTOR THIS G— CERTIFIES THAT................ ............................................................................................................................... Foundation has permission to erect........................................ buildings on - ... .' ..................................:...................................... Rough to be occupied as....................1.._ r /��..... ��? ;,��r............................................................................................... Chimney provided that the person accepting this permit shall in evfry 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 CONSTRUCT IOC STARTS Rough .r:................:=r .... . ........... Service ...... . ........ . .... BUILDING CTOR 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. NORTH TOWN OF NORTH ANDOVER ,t: •'�+_ * ' °� OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20 Suite 2-36 North Andover Massachusetts 01845 1ss�cwu5t� ' Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION lease yn' t r v0A)u; DATE: 1 JOB LOCATION: .. Str�t.Address Map/lot C n HOMEOWNER � CI`C `1 � ' L�a�%. C ' � � 'CA\ Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwelhngs to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,prodded 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,miles and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she mply with said procedures and requirements. l HO WNERSSIGNATURE MEO APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Howwwoers Exemption 110ARD OF \PPE.U.S 68K 0541 CONSERVATION 68C-9530 ITE.11.;I1i 688-9540 _ PLA-NNING 689-9535 I _ I