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Home My WebLink AboutBuilding Permit #42 - 36 LINDEN AVENUE 7/14/2009 r►ORTH BUILDING PERMIT o�tt,to ,616 TOWN OF NORTH ANDOVER .16 °. .6 0_ APPLICATION FOR PLAN EXAMINATION Permit NO: %C7 d * ' Date Received_ �-�r�— 9 �SSACHUS�� Date Issued: �� IMPORTANT: Applicant must complete all items on this page LOCATION _36 Print PROPERTY OWNER L113 w Print MAP NO: PARCEL: ZONING DISTRICT: Historic c Distri cty es no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building kelgne family Addition Two or more family. Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed'District Water/Sewer DESCRIPTION OF WORK.TO BE PREFORMED: PI P11 V4 Identification Please Type or P int Clearly) Y) OWNER: Nam A_(\J Phone. Address: l'J , C a di1 6 t N -C.6v 11q V ✓llo s¢®✓ all�'� �4 fhS CONTRACTOR Name: '— Phone: II ,. Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 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 $Cost:Project Pro1' �LJ FEE: $ Check No.: �0 1 Receipt No.: NOTE: Persons contracting with nre 'ste ed contractors do not have access to the guaranty fund signature of Agent/Owner Signature of=contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerTanning/MassageBody 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 OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT i COMMENTS CONSERVATION Reviewed on Signature COMMENTS � 1 HEALTH Reviewed on Signature COMMENTS 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at 124 Main°Street - Fire Department signatureldate _ _ COMMENTS 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 NOTES and DATA— (For department use a { I ❑ Notified for pickup - Date Doc.Building Permit Revised 2009 J' Building Department i The following is a list of the required forms to be filled out for the appropriate permit to be obtained. t 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 1 ❑ 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 I ❑ 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:Building Permit Revised 2008 Location'-,-' No. 1 c� Date NORTiy TOWN OF NORTH ANDOVER O }�a Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ � . s,Kwuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ rt r i Check # r 22214 `'Building InsCector MTM TOWN OF NORTH ANDOVER •` °� OFFICE OF BUILDING DEPARTMENT 1600 OSgood Street Building 20, Snit-2-36 �,' • �'' North Andover Massachusetts 01845 ss�c►aistt A' Gerald A Brown Telephone(978)688-9545 Inspi:gor of Buildings +-. Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Plem yrW DATE: 7 d JOB LOCATION: Number Street Address (? HOMEOWNER L,( ( rJ y�3 _VXY Name Home Phone work Phone PRESENT MAILING ADDRESS A&12- C* Town State Code The curvent exemption for"homeowner"was emu"•to include OWnCr-occupied dwGUmp to two units or lens and to allow suede homeowners to engage an individual for hue who does not possess a license,Provided that the owner acts as supervisor). State Building (Code motion ?08.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to nide,on which there is,or is intended to be,a one or two family structures. A Person who constructs in that one home in a two-year period shall not be considered a homeowner. Theundersigned K R' "assumes TPonsibilfty for compliances with the State Building Code and other Applicable mss,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/ the Town of North Andover Building Departmez mmumum P and and she will comply with said prxadures and �• HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFEIC Ravind 10.2005 Faro HonwWoms Exemption TIOARD OF ti �PPE:'1_S 689-9541 C0NERv.vrio�64 -95 3Q JTE.NLTIJ 689-9540 .L\tii\G 69N-9535 s TAORTH own of : s over 0 0 No. �i A K E dover, Mass., 2 COCHICMEwICK °RATED PPS\ iC� S E BOARD OF HEALTH Food/Kitchen PER I T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... Foundation has permission to erect........................................ b ings on . �.... . .................... Rough to be occupied as ......... Chimney . . . .. . . .. . . . . .. . . . . ... ..................................................... provided that the person cepting this permit shall in every respect con orm o the terms of the application on file in Final this office, and to the pr Fsions 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TS Rough 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 �:athing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det.