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Home My WebLink AboutBuilding Permit #87 - 35 MEADOW LANE 8/2/2007f NoKM BUILDING PERMIT TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION ~ ' - 4i e 2 9� ^a Permit NO: % Date Received s RAT.c "S c` '9 SAGHU`� � Date Issue� IMPORTANT: Applicant must complete all items on this page TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 1,6ne family ❑ addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial i4/Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition /{ 1�ptFrc��}S~' ❑ Other �y }� �w �.+'.d �d' wl "`. - nCcr101DT1nN nF wnRK TO RE PREFORMED: C'G,J dG� OWNER: Name: Identification Please Type or Print Clearly) y _1C j 1vti, e: 97e 6, 9a. V.Z 77 Address: sTS5 x X z 16 Z 4� a 641 (JeltS d:•_: i line Ir►prreaentrc�ise� 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: $ 000 FEE: $ Check No.: 7 Receipt No.:y r NOTE: Persons contractingJ with unreq* lered contractors do not have access to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Private (septic tank, etc. ❑ Tobacco Sales ❑ I Food Packaging/Sales ❑ 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 DATE REJECTED DATE APPROVED Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/S9nature & Date Driveway Permit Located at 384 Osgood Street 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 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 - L3 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 Location�,SS7 Z-01 - j No. S -9- Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 'S 3 2 0 4 5 Y Building Inspecfbr NORTh TOWN OF NORTH ANDOVER ° ,"•" ,,"o OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 Gerald A. Brown Telephone (978) 688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: o 1-7 JOB LOCATION: s j� !J P,,7 &I LN. Number Street Address Map/Lot "O -7,:s' /c7 r �7�- 6'82 - %a 77 61'7 6� - Name Home Phone Work Phone PRESENT MAILING ADDRESS JJ" /-2exic& L,✓ - /U 1qtiC10 vc'-- zLf'jj 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 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. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that heAhe will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revined 10.2005 Form Homeowners Eamon BOARD OF \PPEA1-S 633-95.{1 CU.NSFR\ \TION 638-9530 1TE.\1:fH 688-9540 PLANNING 688-9535 m m X m mm CO2 10 CD n 0 0 CL r dd CL a� � o o p CD CL C' � d CD o M. CD a 0 71 CD CD CA O CA c� 0 C H d n CD 0 �F CD CD ''a, CA CD CA v O Z CD O CCD \1J cn cn n O cn I.I., I cn V zz cn Cco = � s'Cor °r =-CO faoQ y d 0 S m .0 CO3 Sm n C) m CL cm m z =r -w H O� ._.. = alf a y T sago. G C �p an d G y Cos � N?m m 2 > > -co O n co p O 0 H CC2 CD co, . CL o i CD m y m ow m CCID 3 y Lr y CL Q H & m m 3E y V/ y m ' ou O n CDo o CD aI cm .CD C 0 o, o, o. •o n� MC41 0 cn O (c " oCA CJS ?] N ',TJ G �zf G "SCJ G b 7d G 7d O G Irl G (7 � 'fid O G 'r1 G cn b r, 'r1 O z 0 y 0 9 �=J