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Home My WebLink AboutBuilding Permit #706 - 34 SAUNDERS STREET 5/1/2007BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: s a O`t<L[G �by'�VD (• O O Z. 9 A�4 7e p�RAT�D SPP �'�y TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Buildingne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Ci Septic ❑ Well D Floodplain G Wetlands ' ar ❑ 1-atershed Disfhct Wa*'- S, ewer W L DESCRIPTION OF VNUMM i U tit rMW-UMMtu: / Identification Please T: OWNER: Name: A,. 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: $ $ Check No.: Receipt No.:—,,,? 44 f NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si nature..of Agent/Owner 4 r Signature of contractor Z 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 COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED 11 DATE REJECTED DATE APPROVED ❑ ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer Connection/S Located at 384 Osgood Street Lgcated � '124 I lam Street:; .ire 04' partmo-nt sign atureldat Comments Comments Date Drivewav Permit r- 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 NOTES and DATA — For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Locatiom No. $ Date — 4 ,.ORTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ E<� Building/Frame Permit Fee $' ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # J 11 Building Inspector Gerald A. Brown Inspector of Buildings Please print DATE:— (978) 688-9542 ATE: TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 HOMEOWNER LICENSE EXEMPTION Telephone (978) 688-9545 Fax JOB LOCATION:_ 3� SAu/)p.72S sr /,,WM 'Amo /x Number Street Address Map/Lot (978)688-9542 HOMEOWNER Aq K AI -16 _ X41-1 - IA -FT /4A7P;/J E, -,W fc4 472 o /- 2 Phone ' ' Work Phone PRESENT MAILING ADDRESS 3 q- SAorn.Ps s rr 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, rules 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 will comply with said procedures and requirements. C HOMEOWNERS SIGNATURE _ J APPROVAL OF BUILDING OFFICIAL Rid 10.2005 Form Homeowners Exemption BOARD OF APPEALS 638-9541 CONSERVATION 683-9530 HEALTH 688-9540 PLANNING 688-9535 s W Io YI U) 19 W W 19 W N c o O � o ` d C y O I cm C C = y CD Q■� � -0 CO Z U w m m x CL~ f' G C O e0 O C cn Z O Om U w" o � a ii Cn n Ea w a a°G w x r8 6 U) cn W Io YI U) 19 W W 19 W N c o o ` d C y O I cm C C = y CD Q■� � -0 CO Z U m m •nom CL~ f' G C O e0 O C Z O Om C/) o � cc 0 oa bmCL.CL. 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