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
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