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Home My WebLink AboutBuilding Permit #181 - 35 WALNUT AVENUE 9/5/2007 pORTH BUILDING PERMIT TOWN OF NORTH ANDOVER fi APPLICATION FOR PLAN EXAMINATION n e Permit N0:. LS Date Received 3y p°RArlo SSACHUS� Date Issued: ^ .v IMPORTANT Applicant must complete all items on this page ZAS 'RC3PERCFl01INEFt TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building AOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial Repair, replacement [IAssessory Bldg 0 Others: ❑ Demolition ❑ Other �y 1_1 at�i'r`�eY� rF'.. DESCRIPTION OF WORK TO BE PREFORMED: Rr 4l�LrH� ,�xi'!i��,a +�.,h� c✓ ctr��1¢c�c� d�r�,ol4xt��i11 Identification Please Type or Print Clearly) OWNER: Name: �ua For,4a,�i Phone:(47Z) 83•� �/ Address $S w cifier- 7.rS�' � a � CO`N = Phone < Address: Superu�so %' -stf,action L>�ense x Date c w a, L n 6 k �N � a r ��,�, �'�.,✓" ms's�: �� '�� „�, m, Hrme%rnprd�emesitLacenpr Oate4 , 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: $` (o DCS FEE: $ Check No.: J S13) 1<2 Receipt No.: 0Q10 NOTE: Persons cont^ cting ith e de6iWractors do not have access to the guaranty fund Signature of Agent/Owrrt Signature of contractor 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 RTMENT OFF _ U FORM DATE REJECTED DATE APPROVED I PLANNING &-DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ . ❑ COMMENTS DATE REJECTED DATELAPPROVED HEALTH ❑ ❑ OMMENTS 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 Located at 384 Osgood Street :FIRE DEPAt2TM4ENT Dunn stet on"site w P p yes no ;Located tet`124 't, Frre ©e artrnentes� m �, p .. gnatureldat4 r . COMMNfiS x e v �tw 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.s100-s1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date .................................................................................................................................................................................................................... _ Doc.Building Pen-nit 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 o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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 o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) L, Copy of Contract o Mass check Energy Compliance Report o 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 No. Date • S �oRT►, TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ y .o•,T•o'�o �sS�►cHustt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ R Check #�✓ 2056x/ Building Inspector V40RT#j Town of Andover No. t7M Co dover, Mass., 49'6 0 L A COCHICHE WICK BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �� . THIS CERTIFIES THAT............a.4............ ............................................. BUILDING INSPECTOR ..... .... ..... .......... ...... Foundation has permission to erect........................................ buildings on .........S.r.......LN3. ........ ............ Rough I KA 0 ma) Chimney to be occupied as.... .................................................................................................. of shall in every respect conform to the terms of the application an file in provided that the peilZacalj � .....a......... W 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 3 6 100W PERMIT EXPIRES IN, 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS 0 STARTS Rough 1pillosimillow...... Service ........... ................. .... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SlpE�j Smoke Det. NORTH TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover Massachusetts 01845 �SSACMUS�� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please g[nA DATE: 1 16 JOB LOCATION: �� W4` S4 ' /VD. yz-/� A - Number Street Address Mapa& HOMEOWNER AU,61qA1 rdNTPINtr 97 8- q 75-oWV Name Home Phone Work Phone PRESENT MAILING ADDRESS 6 /m f As 4b0 V� City Town State Zip Code I The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to Am 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 and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeow m Exemption I I BOARD OF WPEALS 633-9511 CO.\SERV.1RO\638-9530 HEALTH 698-9540 688-9535