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HomeMy WebLinkAboutBuilding Permit #273 - 38 PHILLIPS COURT 10/12/2007 NORTH BUILDING PERMIT o��t�eo qti TOWN OF NORTH ANDOVER c? APPLICATION FOR PLAN EXAMINATION Permit NO; Date ReceivedA�R4reo 01 /� > �SSACHUS�� Date Issued: V C� IMPORTANT:Applicant must complete all items on this page 3' 701M ^r,� '.. LOl:7 7 1 b1'net' v -.�,s° '' ti x a,: ,,;�• ,, t�` r v `a;. nOt '� 3q„a t 5 y.. ? c-..-.s `s• _ a z. i t _v, PItC�PERTI�' 1 ERS t� { :. ,,�n ♦ }.<7 fiyfi „S -' f. nt- i. . y Y dY5 t.3 `t 'Y,. 2 MAP S PA 30E�. O II JG 1S fRI x Ips ©ric�istnc# resk n© f n wk a nasi !33a �x �a Y' TM. . ...,Kr ,, lachme Shop �llage � eS _ oa TYPE OF IMPROVEMENT r PROPOSED USE -Residential Non- Residential New Building Onofam_ ily Addition �o or more family industrial Alteration No. of units: �- Commercial Repair, eplacement Assessory Bldg Others: Demolition Other _'-J _ 'd_dpl'air *' AaI#I e#lar rls �, ""MN,aterst ed Oistrrct Se tic `llieii 5 �-rr aerISewer : DESCRIPTION OF WORK TO BE PREFORMED: `F'-IL. S7`nr-CIL. Cr b: ► s- � Identification Please Type or Print Clearly) OWNER: Name: r,'v irk 9—o--o o R Phone: Address: zm t,�-r t��'"x � t�,,,. ��. '�- .3•` s > ��-t d� � '?t� k �':s.� � ."��,. r �. -: r;,,�`- kex rY. �y�.y ��„ _;' CO�hIT�A-�TOR,��I�Iarne "M:� '§ *F•a-. �x-'C't iE' '-�r `.k" a a'�e Y address s r} a f.�x'" ,,.*�� ✓ x. xn z�`..:� � r y X�5 � Y. s3 t� �Q � �o- cr a� c .�'`"r --i.E. �.. � r r�, � '}q �' ^' 1� i{ K, ARCHITECT/ENGINEER Phone: Address: Reg. No. f FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �?s I 0 �O • o-0 FEE: $ Check No.: 0�3( - / Receipt No.: o NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Adent/Owner Signature of contractor - i 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 OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS . DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition Nov- 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 DEPARTMENT Tbmp urn'pster on site des Y no a 'Locate d at 124 J_lam Street ;Fre Depart`ment signature�date - �: _ Ur E x Y K f COMMENTS 5 r sr l 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 r DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i NOTES and DATA— (For department use I i i i ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 i 1 I I 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 u 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) ❑ 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_ No, Date NaR,N TOWN OF NORTH ANDOVER Y a t Certificate of Occupancy $ _. CHUS t� Building/Frame Permit Fee r$ Foundation Permit Fee $ ek Other Permit Fee , TOTAL $ Check # �� 1 20660 Building Inspector ,i NORTH Town of No. 73 z . 0 over, Mass./—b T - LAKE COCHICMEWICK\,� �ADRATED '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System rrrI BUILDING INSPECTOR THIS CERTIFIES THAT..3..$'-..q.0........ ht.U. . ........C�...! q .......... ei Foundation has permission to a ect.... ................. buildings on .........P �w. Q. &..� ough fr.nM.. ...... tobe Occupied as.. 1........... ....... .. ..... ,.. ...................................................................................... Chimney provided that the person accepting thi permit shall in every respect conform to the terms of the application on file in 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU O ARTS 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 Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. t MORTq TOWN OF NORTH ANDOVER 0 OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 4''bwwn° North Andover,Massachusetts 01845 1SSACNU`��� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings +. Fax - (978)688-9542 HOMEOWNER LICENSE EXEMPTION Pleasey&I DATE: 10 - L 2- JOB LOCATION: 38 -P K-,L --,p s Number Street Address Map/Lot �IS-IR HOMEOWNER /Vvo"rAS At- 13 ro cue f-k c �2 z a 5 acl Z. Name Home Phone Work Phone PRESENT MAILING ADDRESS - ?>3 Th i 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 helshe 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 he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE - a�o APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Foam Honmwwnats Exemption 130ARD(1F \PPEAIS 633-95 31 CONSER\'.1TI0\633-9530 ITE.ILTH 633-95.30 PL.1\VING 688-9535