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Home My WebLink AboutBuilding Permit #99 - 437 JOHNSON STREET 8/8/2009BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page A 4 0* %40RTH 6 'p 6 +4' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 One family 11 Industrial 11 Addition 11 Two or more family ;nl 11 Alteration No. of units: F1 Commercial 11 Repair, replacement 11 Assessory Bldg 11 Others: [I Demolition 11 Other J) a4, Floo w- -'District §M& b,Septl&'�'Dwel 41, d z we 7 13 Wat6r/Se r F 1-17 DESCRIPTION (IF VVUKK I U t5t: t'Kr-rUK[Vlr-U; '4'-Ilerl in— Pri,nt Clearly) M .9 ARCHiTECT/ENGI NEER Phone: Address: Reg. No._ FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $_ --- Check No.: 6;— �'� Receipt No.: '�20 YJ / NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund ..... . ..... 4 4 .,o con-fra-ctor�- ipalure of JJ�,""'S'ibnaitUre'. f Agent/Ow'ne S `4� PROPERTY �OW, ER PARG 7 7 z MAP-,NLV, ,n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 One family 11 Industrial 11 Addition 11 Two or more family ;nl 11 Alteration No. of units: F1 Commercial 11 Repair, replacement 11 Assessory Bldg 11 Others: [I Demolition 11 Other J) a4, Floo w- -'District §M& b,Septl&'�'Dwel 41, d z we 7 13 Wat6r/Se r F 1-17 DESCRIPTION (IF VVUKK I U t5t: t'Kr-rUK[Vlr-U; '4'-Ilerl in— Pri,nt Clearly) M .9 ARCHiTECT/ENGI NEER Phone: Address: Reg. No._ FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $_ --- Check No.: 6;— �'� Receipt No.: '�20 YJ / NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund ..... . ..... 4 4 .,o con-fra-ctor�- ipalure of JJ�,""'S'ibnaitUre'. f Agent/Ow'ne S Plans Submitted Plans Waived Certified Plot Plan Stamped Plans El TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art F] Swimming Pools Well Tobacco Sales Food Packaging/Sales 11 Private (septic tank, etc. Permanent Dumpster on Site F1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT 11 COMMENTS CONSERVATIO COMMENTS HEALTH El COMMENTS DATE REJECTED DATE APPROVED I DATE APPROVED DATE REJECTED DATEAPPROVED F1 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/signature & Date Drivewav Permit Located at 384 Osgood Street FIRE DEPARTMENT r n. s ��46 Located at 124 Main Street rt t Rfre�'D4pa signature/ a ----------- & COM ,,MEN . ........ . 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 21 A —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 c3 Floor Plan Or Proposed Interior Work u 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 ci Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses Ei Copy Of Contract Lj 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) u Building Permit Application Lj Certified Proposed Plot Plan • Photo of H.I.C. And C.S.L. Licenses • Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) Copy of Contract Lj Mass check Energy Compliance Report u 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 I Location No. Date ,40RTol TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee $ CHU Foundation Permit Fee $ w Other Permit Fee $ TOTAL $ ty Check# t5, Building Inspector 0 FM4 i , 9h u W co I -W 0 "TJ 000 ef, * *,,. w u 0 U) u C/) 0 04 m 00 w S. 0 La X C2 v r. :2 u —co r. x. 0 ow 4=2 x 0 E-4 WU u 0 V —cu .5 ID CA z —co ZW P. -W CE 6 z V) 0 E V) 07 0 z FM 0 Ls 00 ci Cc 4=2 0 CD"S ID CA CD 0 COJ :0 07 0 z FM 0 Ls 00 CO) uml CLLU C.2 COD ci Cc 4=2 CD"S ID CA CD 0 COJ :0 E zo CE CL M 0 GO CD r_ CD CD CL CL. ca E.S CO E CL.= co L- Q 0 co :z cm -S CD 0 cl- CL.-C=o ca ca CD cc C'm CO) uml CLLU C.2 COD E CCOL -t� E ti CL ce A M cm cm CD cm 5 C/) z 0 Cf) a M, ti -4� 4 U u 0 4-01 4.A 2 r3 CD 0 E co ts 0 0 cm go c D E CO 0 CD CD LM cx. ca cc CJ *FL r% CD ca ts CD 0 CL. C.3 COD cc CO) LLI U) uj U) cc LLI uj I% Ul uj U) CD CD"S CD 0 COJ :0 zo CL CD 0 GO CD r_ CD .0 CL. CO E CL.= co L- Q 0 co M -S CL. C41 0 CL.-C=o E CCOL -t� E ti CL ce A M cm cm CD cm 5 C/) z 0 Cf) a M, ti -4� 4 U u 0 4-01 4.A 2 r3 CD 0 E co ts 0 0 cm go c D E CO 0 CD CD LM cx. ca cc CJ *FL r% CD ca ts CD 0 CL. C.3 COD cc CO) LLI U) uj U) cc LLI uj I% Ul uj U) Gerald A. Brown Inspector of Buildings Pie= DATE:— JOB LOCATION: HOMEOWNER TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 0 1845 HOMEOWNER LICENSE EXENTTION Number Street Name Telephone (978) 688-9545 Fax (978) 688-9542 MAPI'Lot PRESENT MAILING ADDRESS IXS 7 �,T6 h n s6 P) aA)6 CLmd o L/EJ , 4 , Ma S'-' ,�p�45— City To" Sift zip Code ' The currm exemption for "homeownerC was extended to include owner -occupied dwellings to two units or lea and to allow such hoineo%urs to eagage an individual for hue who does not possess a license, provided that the owner am as supervisor). State Building (Code Section 108.3.5. 1) DEFINn OF HOMEOWNER Person(s) who owns a parcel of land on which hetshe resides or intends to reside, on which them is, or is intended to be, a one or two Amily 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 codies, by laws, rules and regulations. The undersigned -homeowner- certifies that hetshe understands the Town of North Andover Building Department inspection procedures and requirenients and that he/she will comply with sod procedures and requirements. I — I HON1EOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revind 10.2005 Fom Homwwam Emoon 1.10 \RD OF \PPFA1-S6-"-9541 CONSERVNEON688-9530 HEALT11 688-9540 PL.VNNING 688-9535