The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #33 - 338 BERRY STREET 7/6/2010 BUILDING PERMIT Of NORrN q TOWN OF NORTH ANDOVER �? 4``tt_eD 6.60 APPLICATION FOR PLAN EXAMINATION r . x Permit NO: Date Received 14AJ 615 2010 °4 -�• Date Issued: SACHU`�� IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER .�.+a ; t (r-6 r,r Pnnt MAP 210_/of.C; 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 Repair, replacement Assessory Bldg Y Z_ Others: Demolition Other Septic Well. Floodplain Wetlands Watershed District Water/Sewer I DESCRIPTION OF WORK TO BE PREFORMED: J 7,) i' Ags C'. 4,gt, S. X I Z... (R.0 U(G—I-\ c`t rJ P � K� l �b t�F , (-"LeoP 3 �1R� ��au� �F� CC-OAR ��t 2 , � c dentification Please Type or Print Clearly) OWNER: Name. G, Phone: 625�. Address: CONTRACTOR Name. zo f\.'J ;5, fJ Phone Address: }J r, Supervisor's Construction License: ��.. ( Ja Exp. Date: s x;11 1 � f Home Improvement License: / 1 b 1 r j Exp. Date.- ARCHITECT/ENG I NEER ate;ARCHITECT/ENGINEER — Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT—'$1Z00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE ON$125.00 PER S.F. Total Project Cost: $ —7000 ,-- FEE: $ d Check No.: VS4Receipt No.: NOTE: Persons co &ratting with unregistered contractors do not have access to the guaranty fund Signaen /Owner e Signature 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 A 2;L COMMENTS CONSERVATION Reviewed on -7 1o Si nature ` COMMENTS ` HEALTH Reviewed on Signature 5 7� COMMENTS I 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPORTMENT -Temp Dumpster on site yes no Located at 124 Main Street .Fire Departrnent signatureldate COMMENTS ORTI, F � 0 0Andover O C, 10 dower, Mass.,�� COCHI MEwICK 7�AERATED P'P�`,��C� SS BOARD OF HEALTH Food/Kitchen . .PERM IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............. ... .. fi'".. 1/.�.�...... ..................................................... .. Foundation has permission to erect........................................ buildings on ....................1. . ........ 4/.V4.... ........ ��r. Rough to be occupied as...$` .. .70. Chimney provided that the person accepting this permit shall in every 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 MON S S ELECTRICAL INSPECTOR UNLESS CONSTRUC Rough ............... . .. .. ................................................. Service BUILDING INSPECTOR 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. l ORTH TONM of Andover &A- 1 . t I . -A o AK 10 dover, Mass.,_ (aLE „ COCH SCH WICK 7�A0RATEO SS BOARD OF HEALTH Food/Kitchen Septic System .PERM IT T D BUILDING INSPECTOR THIS CERTIFIES THAT �`.. ,.1/..�. . ........ ..... �...... .....,..................................................... ..... Foundation has permission to erect........................I........& .................... buildings on ....................�.�i�.........R�V...4�.......�' Rough to be occupied as...kklzo. Chimney provided that the person accepting this permit shall in every 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 MONTVS, S ELECTRICAL INSPECTOR S UNLESS CONSTRUC Rough ............... . . .. ................................................ Service BUILDING INSPECTOR 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 Andover MIMAP 338 Berry Street June 25,2010 Y yi l 3 e� i s � s r' F }i sw � 4<x �z. ti r }114 41 SY ti 2 D• to Interstates Interstate — Major Roads Horizontal Datum:MA Stateplane,Coordinate System,Datum NAD83, Roads Meters Data Sources:The data for this map was produced by Merrimack g011i Valley Planning Commission(MVPC)using data provided by the Town of Ce Easements Qt tete 1� North Andover.Additional data provided by the Executive Office of �< �'•�� Environmental Afteirs/MassGIS.The information depicted on this map is Q MVPC Boundary ? Q Parcels3 _ L for planning purposes only.It may not be adequate for legal boundary FO p MAKES O regulatory Interpretation.PRTHE TOWN LI NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING } } THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY }t y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT •�o�w �� } ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION �,SSACNUS t 1"=98 ft ^�° 33e8WYiS1 M NORTHANDOM 148]3 ----i i �tirZ �qa $ LOT I j iQ ACS t i 3d i 0 � n , n Sr+ED- F7Ci9T eiLb DWELL Wur $, ,r ., el 5ERRY ' S'C�~ ' NOTE OWED PLOTS AS SWOWK FOR MORTGAGE P wosES ONLY Net In ee.,wl ly Osedry Prmils.7tnirq Yrrionces ON S6ee:a Pends I7E91`�ARA(S A.i390G(ATES, INC. �,o.leaot.:,�,.,.akun.end bait.I w,+Wr f„1 N�otoa ere W 1� itM bwtd.lq a IlXnted eppro,inctoly Ob Slgrn and eonlamt to Rlgntmerd FMolossior dt Land 9wv ers iM ronnq brs Qutunrionol rerp'aOWLS r att,mhs atermine;�n of ron- tem olrsels onn the al I 000 B.oF&W(AIS 1511 me,eau+ementt try; rh • RArcUpV F.GES WAIS RRS •N�yER •hnn co�sbrcied 5W8 Itoysu Street Lovas,mt. 1110Z NOTE: 4-Ek dL/) to.(476)937-11WQ I)m b e tape.,,�,hneed ar the 6xd:m D Pmcrl?r+85l,_'W ChD WRKYOR 1 hef4'ir ccrl0y trot the 4991APP sham on inb tion is not `d W%ky nater'of Ieeotee riU,n o SPeciat 006d humd arm o+Abe., ,n l ederd ethers end Is not in &SEX County _ Ernegeney 4e Imded to be o Prop- �!� ^ngen+cnt Agency/Foderol h�rranc.AdmtnYy- rt Ins sem. ttsr imt:en Nopc y lked Rc(verue plan eos arevi,tr cr ywifir nL,.nd, 23009800hiCmaip"purposes RAYNOBO ** Not to bete Boric Ills va�� 3T7 _ F. � JUNE Iwj cordes Idlenli6rnlion I/.1 Ro.2 996 %Me: J-.60' Pion Rel--ca DAVID 8 D68M4RA18 LSJ.t1L6JJ�y.. — •E�i l .cFRF,u dote 9-14-98 r,,,� �p�an 3889 O[ICfIA L .GC�AJ�9 GFAAA?M.If SONJA`+P.MURPdf4' F1TB h40. 981073 N/ F ZULU ITI&TY TU5f o 148.23 S00 20 W . 1 338 BERRY STREET ASSESSORS MAP 108C, PARCEL 15. 1 .00 ACRES BENCHMARK: SPIKE IN TRF E ELEV 100.00 (assume(j) U' Z 00 W CTS U / ---�57' -QS LIMIT OF SAND 2 TP cA CD C i � p T1 > \,,_EXISI-ING pi RETAINING WALL DISTRIBUTION BOX e0tv C) '0� EXISTING WELL > FXISTIN 1500 GALLON ' GARAGE SEPTIC TANK 0 �z 0 W �11 NEW _-i '3 EXIRMNHpUSE PRESSURE ADDITION BO L 112-p0 WATER SERVICE �120 44 STREET -BERRY Printing Property Page 1 of 1 Print Ownerl MURPHY, GERARD M Owner2 SONIA P MURPHY Address 338 BERRY STREET Map/Lot 108.C-0015-0000.0 Lot Size 43560 sq. ft. Fiscal Year 2009 Land Use Code 101 Last Sale Date 9/15/1998 Book/Page 5179 Total Valuation $575500 Building Type CL Year Built 1900 Finished Area 3230 sq. ft. Assessor Map NorthAndoverAssessorMapl08C_26x36.pdf http://maps.mvpc.org/NorthAndovermimap/ldentify.aspx?datatab=ParcelBasic&id=108.C-... 4/20/2010 North Andover MIMAP 338 Berry Street April 20, 2010 108. 108.0-0013 I Al •. 108.C-0021 108.0-0052 _ .::__' •.:_:" ... ';_••Salo•.•_:", ..•Ai,•.. 108.0-0064 F •....:. SaVy 1.1 11:::>fbr.:• -:. Valu ::-: Sales.::-:::-._. _-' ':: : - -- Sal.111_1 ._.. - ...:. 1, - tiler b •,i'_:>alFi• ':::" ..•,i,_'- ... Salo •,y._ 108.0-0014 11.11: .:::..•._ 62i, ? a.... :.._... .:::�:-:•::-._. Sal, •'Salo•:::__:•::-._. 111_1 i � :_._,F; ; :�s••}3J,cr•.:�__; �• � �•Sab�111.1", 108.0-0065 °,;.:•ati. .•:si,:. ,.1..:}51er:' 1111 Ste_i._•.: 1111 Salo. " ,';..� 1111'-ii.'�.:;::..:-• lass-Dale ,t, •-- t, .:.. ..,.. ..-: .. ....... Salo. ...... ....:.- -- :'Saltr:::_:.:. ::.. 111.1._'Valu::. '111.1.:•' . • al,•• .•:-:�..Saler�� .:::`Sala.•:•:.:•• ._.. 1111-.;• o .t; ..... ....... ....._ . 0 C-0068..- ...... SaVc...,i,_: :`:'•...` i,.: 1111_:._.... •• ::_ .... ... : :. •.. ... ... •:: ,tiler •..:.,•...;.._:---_:. �`-•.....;.,,_:- ?�.........1111: .:_._.�?... ::_: 1 Salo 111__1 Salo-. 1, 108.0-0016 t, Salo.''_:--'._... .: _ ........ _ , -::' •111_1";' ._:_:..N•. .:.•....�..,,i,••-�•1.`111:..�: 1 ..,i'••.: '1`111:"Sabr.•: •ah�':_ __:.._:.�?�1O�S•'8018 -_:-::.:.fit.yh_: : Saler .1_11. 1' 1 �i..:_:_ _ .1111 Sabr..:_::.�._..•_: alo .:_::.•, Sabi 111.1 ..... ,L ::. c� .11.11"4?:•:',..Saler ....... >S�.r.. I .,i,..:``•.:.:_:":.:::•:'Sad .,'.._:::• +. i 108.0-001' 108.(1-0011 :>altt b= i. •?tiler•:.sl<:.. .. :.:: 108.('.-0010 —Rall Line Interstates Koftontai EBasuuee.MA 5'tafeptans Cowdintua Systoni,Datum AAD$$, Interstate Motom Data Sourew The data for€hm map was prWueed by Monimack —Major Roads NORTq Vat*Pians ing Commission(MVM uwng data pro ndsd by the Town of Roads Ot i,ac Nodh Andover.AdditnW data Provided by the Execu€tva Office of Cr Easements ? mat *s OO EnvMnM*utIa AMafs1M{assf#IS 'Yhs tnirarartmtiar etcfz€c4ed err EYtts map ds. - Trails for p*anmAg pu eas omy.tt may not ba adequate for ievat boundwy O fe dew" THE TOWN CFNORTH A14DOVFR 0 MVPC Boundary F' wo 9 MAKES NO.WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING 0 Munlcipal Boundary ♦ ✓'� THE ACCURACY COMPLETENESS,RELkAMUTY,OR SUMAWLITY # s ^ Y OF THESE DATA THE TOWN OF NORTH ANDOVER DOES NOT ❑Parcels # o�q • ASSUME ANY UAIGLITY ASSOMATED WITH THE USE OR MISUSE EBF Hydrographlc Features qj o �j THEE INFORMATION St Streams S ACNUSE -w Wetlands Exempt Lands 1"=98 ft „�E North Andover MIMAP 338 Berry Street April 20, 2010 } 3 qr+' u ° 3 3� �1 Y r 3 1%.. tt Interstates Interstate —Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Roads Meters Data Sources:The data for this map was produced by Merrimack NORTIy ValleyPlanning Commission(MVPC)using data provided by the Town of Co Easements Ot a ,� North Andover.Additional data provided by the Executive Office of ♦t r��e O Environmental AflairsfMassGIS.The Information depicted on this map Is Q MVPC Boundary ? w O Parcels3' L for planning purposes only.It may not be adequate for legal boundary FO —• 9 defntbn or regulatory Interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ♦ ✓i THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦ s ^ Y OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT # off+ _ • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION ' ,SSACMUS�t 1"=98ft ~�° FORM U - LOT RELEASE FORM INSTRUCTIONS: This fbrm is used to verify that all necessary approvals/permits f relieve Boards and Departments having jurisdiction have been obtained. This doenot rrom the applicant and/or landowner from compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION APPLICANT (,j Jr PHONE k E LOCATION: Assessor's Map Number (� . PARCEL�� SUBDIVISION LOT(S) /. STREET �r\J� 'Q�j�— >C ST. NUMBER ER USE ONLY / TOWN�AGENTS* RENDATIONSO CONSERVATION ADM IN! ATO DATERPPROVED 1' DATE REJECTED_ �d COMMENTS o,4 - 4, s4rua ci e. iop TOWN PLANNER f DATE APPROVED DATE REJECTED COMMENTS FOOELINSPECTOR-HEALTH DATE APPROVED �LHEAYI*k DATE REJECTED PTIC INSPR- DATE APPROVED DATE REJECTED 34 COMMENTS S ) + � PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm SECTION 4-WORKERS COMPENSATION(M-G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......Q� No........0 SECTION 5 Descri tion of Proposed Work check all a licahle New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition f Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: is p.�c,,t� �•r r�� , ��- �e�a �- , � d '� T ?->r-,c i; El� 1 N 5r '1J�i 11 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE,ONhY Com leted by ern-it applicant 1. Buildingrz) (a) Building Permit Fee Multi Tier 2 Electrical Construction Estimated Total Cost of Construction 3 Plumbing Building Permit fee(8)X (b) 4 Mechanical(HVAC) 5 Fire Protection (_1 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1. property as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/Agent Date NO. OF STORIES 7 SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS Z ? 1 ? 2ND 3 SPAN ,�r DIMENSIONS OF SILLS ("t) Z A DIMENSIONS OF POSTS r DIMENSIONS OF GIRDERS �1 DIGHT OF FOUNDATION s ' THICKNESS SIZE OF FOOTING ;�)" X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE \\ V'- ••. JV rL� BOH.FJ OF PFEA!S I . North Andover MIMAP 338 Berry Street June 25, 2010 108. 063 108.0-0013 : :�alu'�:.:ultr•:: =" `.. 108.0-0021 ulti ••:_ ,alit.•.:'::::�alr�.. 108.0-0052 ( gip. .. ._... 108.C:-0064 _ ..._:_. •_..._::: halt :_::. ._..•:.:.::::Balli.:: ...__,I .._._. ._ Valu.•.:::.:..;I; .:_:::• ;••:,_ ...:.�I, .._._. �u•.::::", 108.0-0014 - _. s >J,tr..:�::. ._..•_..:::..._...:'OA6a' .._. ._..•...::::gilt.:: 108.0-0065 •i Aw..:_:_.. _. ..a.. .:_.: 1 108.(1-0015 - .. ......__,I .._._. ._ .._..•.._.al, ... y _ 00-0068....` ...,i,..:,a1tc':."::: ...yi,. •:.sl, t, 108.C--0016 - •..Valu..::::::" ':`•-::..�aVi. ` 101. 9018 _: _:.. •,y :_ 3� ._.:`i; ,:::•:_•'flu_:::.:._.:_G .:�:_:• ,'� :_,.• , ....:•'MJti.•:...:•.:Valu.•`":::"Valu ,t, 108:f' ;_: __.::. ell) 108.0-0017 Mk s. 108.0-0011 16. Valu. =- 108.C:-0010 -•-Rail Line Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Interstate Meters Data Sources:The data for this map was produced by Merrimack — Major Roads tiORTF1 Valley Planning Commission(MVPC)using data provided by the Town of Roads Ot c ,.,,rO North Andover.Additional data provided by the Executive Office of Ci Easements ? �� O Environmental AffairsfMawGIS.The information depicted on this map Is Trails 3' L for planning purposes only.It may not be adequate for legal boundary O A� definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER C3 MVPC Boundary 9 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING O Municipal Boundary 14 i K THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦iil'�•J� ^ # OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ❑Parcels •oma+r r • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrographic Features .J> o+_r.. �" THIS INFORMATION Streams ,SSACNUS�t� =r Wetlands Exempt Lands 1"=98 ft „�, Residential Property Record Card PARCEL_ID:210/108-C-0015-0000.0 MAP:108.0 BLOCK:0015 LOT:0000.0 PARCEL ADDRESS:338 BERRY STREET FY:2010 PARCEL INFORMATION Use-Code: 101 Sale Price: 275,000 Book: 05179 Road Type: T Inspect Date: 06/22/2005 Tax Class: T Sale Date: 09/14/98 Page: 0055 Rd Condition: P Meas Date: 06/22/2005 Owner: Tot Fin Area: 3230 Sale Type: P Cert/Doc: Traffic: M Entrance: X MURPHY,GERARD M Tot Land Area: 1.00 Sale Valid: Y Water: Collect Id: SGC SONJA P MURPHY Grantor: MC CULLOM Sewer: Inspect Reas: M Address: 338 BERRY STREET Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/° Indust-B/L% / Open Sp-B/L% / NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 9 Main Fn Area: 1918 Attic: NBHD CODE: 5 NBHD CLASS: 5 ZONE: R2 Story Height: 1.75 Bedrooms: 4 Up Fn Area: 1312 Bsmt Area: 1918 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 3 Add Fn Area: Fn Bsmt Area: 600 1 P 101 S 43560 1.000 197,326 Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: DETACHED STRUCTURE INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 3230 Str Unit Msr-1 Msr-2 E-YR-BIt Grade Cond%Good P/F/E/R Cost Class Foundation: CN Bath Qual: T RCNLD: 333220 Kitch Qual: T Eff Yr Built: 1980 Mkt Adj: G1 S 375 0.00 1900 F F 50///50 5,800 1 Heat Type: HW Ext Kitch: Year Built: 1900 Sound Value: VALUATION INFORMATION Fuel Type: C Grade: G Cost Bldg: 333,200 Current Total: 536,300 Bldg: 339,000 Land: 197,300 MktLnd: 197,300 Fireplace: 4 Bsmt Gar Cap: Condition: G Aft Str Val 1: Prior Total: 575,500 Bldg: 378,200 Land: 197,300 MktLnd: 197,300 Central AC: Y Bsmt Gar SF: Pct Complete: Att Str Va12: Aft Gar SF: %Good P/F/E/R: //100/84 SKETCH PHOTO 34 5 9 1918 SgFt . Fu 13 6 31 1312 SgFt 25 c � 40 F 338 BERRY STREET Parcel ID:210/108.C-0015-0000.0 as of 6/25/10 Page 1 of 1 Dimension Number of Stories: + Total square feet of floor area, based on Exterior dimensions. G 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) ❑ Notified for pickup - Date f Doc.Building Permit Revised 2010 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) ❑ 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 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 2008