HomeMy WebLinkAboutBuilding Permit #853 - 327 SALEM STREET 6/26/2007BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0:_
F4_3 Date Received_4_o ?—
Date Issued: • a
1T11
0
40-11,
09 • 1/
DESCRIPTION OF WORK TO BE PREFORMED:
L'oS
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $/12j5.00 PER S.F.
Total Project Cost: $ (� FEE: $ v` ��
Check No.: �`� � Receipt No.: 0+3 3
NOTE: Persons contracting with unregiere
d ntractors do not have access to the guaranty fund
Signature of Agent/Owner ignature of contractor_4
Plans Submitted ❑ Plans Waivedw0 Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM -
PLANNING & DEVELOPMENT ❑
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
Q
DATE REJECTED
DATE APPROVED
u
DATE REJECTED DATE APPROVED
DATE REJECTED DATE APPROVED
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 ❑
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
Located at 384 Osgood Street
11 k .
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
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
L3 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
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)
❑ Engineering Affidavits for Engineered products
New Construction (Single and Two Family)
o 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
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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Location -> n3 leew SZ -7
No. RSIL3 Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
A
Building/Frame Permit Fee $ MAO
CHUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
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Check#
203�5
Building Inspector
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TOWN OF NORTH ANDOVER
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OFFICE OF
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BUILDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-36
?►,��++no ,.•�;.�
North Andover, Massachusetts 01845 - -
Gerald A. Brown Telephone (978) 688-95445
Inspector of Buildings Fax (978) 688-9542
HOMEOWNER LICENSE EXEMPTION
Please urint
DATE: O—u YkL c3c-� , a-06
JOB LOCATION: 3 a-7 E,
Number
HOMEOWNER I—UL 7 -
Nim
PRESENT MAILING ADDRESS
N,
Street Address
7c) k x
Home Phone
Map/Lot
Work Phone
City Town - - State Zip Code
The current 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)
DEFINITION OF HOMEOWNER
Person(s) who owns a parcel of land on which hetshe 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, Hiles and regulations.
The undersigned "homeowner" certifies that hetshe understands the Town of North Andover Building Department
minimum inspection procedures and and that he! comply wi said pmcedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Revised 10.2005
Form Homeowfts Exemption
BOARD OF APPEALS 688-9541 CO.NSERV:ITION 688-9530 HEU..'111 688-9540 PLANNING 688-9535