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HomeMy WebLinkAboutBuilding Permit #92 - 347 WOOD LANE 8/6/2007 BUILDING PERMIT OF NORT11 0.1.4, D.w,b OHO TOWN OF NORTH ANDOVER _ Op APPLICATION FOR PLAN EXAMINATION Permit NO: ?�i_ Date Received 9 °�•°•�-•• '�'` Date Issued: IMPORTANT•Applicant must complete all items on this page CATJ N, 'PROPER TY,OW1VEFt ar a �n,t MAP NO `PARCEI. ZD�1ING:DI�l R1CT .;Histor'ic D�str�ct ft .� cs a '. x< r Wachirae ho VVIllagefY.S e ' 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 Septic " x ` /ell Foodplai t � 'Wetlands WatersFied Oistr+ct` 11Vatersewer, N. - ' DESCRIPTION OFWORK TO BE PREFORMED: x ,�Cf� atm /rt'. ®1� '' off; o S` �9/rl 11t.17 - X:,, Identification Please Type or Print Clearly) OWNER: Name: Identification „1� d A ler Phone: 107rr Address: r✓ONRAOTOR Nanaei t r l ' Ptaane Address ti - ; upervasor's. Ccnstruot ;L a i toetse Ezp Date -� ZiHorne Irnp pyem+�nj'' cerise exp date . ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.-BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ fe FEE: $ / Check No.: / 0 � _Z_;�/D GJ �/� Receipt No.: ? NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund a n�a f A entlOwner r WA!A ;g7F ,s.�9 Signature of contractor , w, I i 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 i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH , COMMENTS t. 1 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 j Located at 384 Osgood Street 11 E DE AR-MERIT� Terx p Dlar�apst roar melte es treated at" 4Iatn Sfroe#' = F Fire -sl V7 A m -14 � •i" �"V` �, � � '$ " 2"'�" M a�Yx M l� Dimension Number of Stories: Totals square feet of floor area based on Exterior xterior 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 o 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 i 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 DEPARTMENTMFORM07 Revised 2.2007 Location No. Date � D MaR,M TOWN OF NORTH ANDOVER 0 w 9 Certificate of Occupancy $ CMU stt� Building/Frame Permit Fee 1$ d4F Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2046; Building Inspector NORTH Town of No. 910 ' Ido �` dover, Mass., T D c LAKE .l COC KIC KEWICK V �ds RATED 1 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... ......... .... ....... .........................................W ... .......................... Found ation has permission to erect........................................ buildings .. . . ........ .d ....4Rough to be occupied as../.'7...... ..........*......... ..R. 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 I �ID PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST, ONS STARTS Rough ....... Service B INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final Na 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. 0 N!2 FD 5 4 2 2 Date 3.7 40RTil TOWN OF NORTH ANDOVER 0 RECEIPT CHU ..................... This certifies!Lal ................. ............ haspaid...................................................................................... for.....Dj P .................... Received by +... .... .... .......................... Department...... .. .................. ...................................... WHITE: Applicant CANARY:Department PINK:Treasurer MORTh TOWN.OF NORTH ANDOVER i= OFFICE OF �: ``�+ , ••OOH BUILDING DEPARTMENT �o ; • 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 1SSACMUS�� Gerald A Brown Telephone(978)688-9545 Fax (978)688-9542 Inspector of Buildings HOMEOWNER LICENSE EXEMPTION. Please vriat DATE: zil © 7 JOB LOCATION: 000 1Y)A1 Number �Stre��ett Address map/Lot HOMEOWNER &6" q= ��rl Name Home Phone Work Phone PRESENT MAILING ADDRESS ewep Ql) /� ZL92e v 6'A A/// 0/0 City Town Stats 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) DE WITION OF HOMEOWNER i 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,rules and regulations. I 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. HOMEOWNERS SIGNATURE APPROVAL OF B=ING OFFICIAL Revind 10.2005 Form Homwwaen Emaptim BOARD OF \PPE:ILS 688-95 11 CO.\SE R\'X ON 643-9530 ITEA1:111(M-9540 PL.LN'NING 684-9535 t I