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HomeMy WebLinkAboutBuilding Permit #94 - 35 CRANBERRY LANE 8/6/2007BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received + 76 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential D New Building 0 One family El Addition 0 Two or more family D Industrial 0 Alteration No. of u6its: El Commercial El Repair, replacement 0 Assessory Bldg Others: El Demolition 11 Other Ji'W 6666di' 7 DESCRIPTION OF WORK TO BE PREF R ED: N161- oL 2-9")9 44L 1:18m Sa� 7,19� As Jcf- L o�l— .4C147017- Z14 //-? ZkeY64*A_W?- ?eaL Identification Please Type or Print Clearly) OWNER: Name: jormw t oi#Amg�_sioaZU Phone: 19W- 99,6- 4r6,A- ARCHITECT/ENGINEE —Phone: C17k. 1. 26. 6S6.7- — Address: .S:i4ma- 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: $ FEE: $ Check No.: Receipt No.: 'A0 Y- b NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Location X, -v - No. TL Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL s q �-Dll o"D Check# 2 0 4 6 4 Building Inspector '0 I Plans Submifted 0 Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWE AGE I-ISPOSAL Public Sewer Tanning/Massage/Body Art E] Swimming Pools Well 11 Tobacco Sales 0 Food Packaging/Sales Private (septic tank, etc. El Permanent Dumpster on Site P THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM 11-� DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT n 11 COMMENTS /'PATE REJECT—ED D-ATE APP-R—OVED VCONSERVA' COMMENTS DATE REJECTED DATE APPROVED HEALTH El —E] COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/Sj-qnature & Date -.1— Located at 384 Osgood Street D 1 eway.Permit 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 MGL Chapter 166 Section 21 A —F and G min.$ I oo-siood fine -No ILI 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) E3 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) o Building Permit Application Li Certified Proposed Plot Plan u 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 Li 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 Gerald A. Brown Inspector of Buildings DATE:— ��, .1 - -0-1 TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 0 1845 HOMEOV94ER LICENSE E?(EMPTION Telephone (978) 688-9545 Fax (978) 688-9542 j2ooic- 0��.1601 00 0jo JOB LOCATION:— SY C -R&61 pc, 1mr 4LO-OS1 - 0 .06 70 -00go, a Number Street Address maptLot HOMEOWNER P"M A n§9640rrS4A 14EF-IJ V. 91 R*- 6 S-9. 0,904D Name Home Phone Work Phone I - PRESENT MAMING ADDRESS SE"CRANIlf-trRyLA, A"VjER N A=g- 0 1 fr4,C City Town State Zip Code The current exemption for "homeowners7 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 *don 108.3.5. 1) DEFINU OF HONMWNER Person(s) who owns a parcel of land on which hetshe resides or mtends 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 "homeowW' assumes responsibility for compliances with the State Building Code and other Applicable codes, by laws, rules and regulations. The undersigned -hoineowner- certifies that he/she undersUnds the Town of North Andover Building Department inspection procedures and require h and that he/she will comply with said procedures and requirements. HONIEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Peviad 10.2005 Fom Hmwxam ExomAon BOARD OF \PPEALS 688-9541 C0NSERV.vri(,)N,' 688-953() ITEALT11 688-9540 PLANNING 6,88-9535 rA �o 0 0 0 4E cto 0 Go Cld A it u x yx x 0 LU cm -co X, -co C I 'o > Cc =CD ox Y yx LU CC2 A C I 1 744V610 C/) 0 Cf) z 0 u Cf) Cf) 2 u 0 40. 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