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Home My WebLink AboutBuilding Permit #156-13 - 45 SAWYER ROAD 8/27/2012 O� NORTH q BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION _ Permit N0: Date Received �sgSSNraD gCHus��.�5 Date Issued: Z— IMPORTANT:Applicant must complete all items on this page r x. r 4n npt t `l�Cl h f f 1'� O W Y-) t.PRORERTY,`OWNER} �'V 1 Y1 _ -. n _ . _ - _ _ Pnnt� _ i :PARCEL. ZONING3®ISTRICl:� His`_tonc Qistnct' ' yes. no Machine,Shop Village:^ yes no. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildingne amil� Addition Two or more family Industrial Alteration No. of units: Commercial e eplacement Assessory Bldg Others: emolition Other Septic ` 1Nell - y Floodplain. VI%etlands' ;WaterstiedDisfrict, r �,.. .,r .� ,. v •i2 ,.. r: Watee/Sewer,, DESCRIPTION OF WORK TO BE PREFORMED: Y1 V4 } A � Identification Please Type or Print Clearly) OWNER: Name: —y I ►J Phone: Address: CONTRACTOR- Name Phone `Su ervisorlsrConstruction�License Exp Date Re. I :Home�lmprovementlL'icense:. .: taExp 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 Project Cost: $ `7 5� FEE: $ Check No.: p ST(a Receipt No.: RS 6 999;' NOTE: Persons contracting with unregistered 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 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes PlanningBoard Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street .EIRE DEPARTMENT.= Temp Dumpster on site. yes no. Locate_ d at 124 Main Street t Fire-Department'signature/date COMMENTS Dimension i 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) Q Notified for pickup - Date i E Doc.Building Permit Revised 2008 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 o 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 ❑ 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) o Engineering Affidavits for Engineered products DOTE: 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 o 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 ®TE: 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 2.2008 Location No. Date z t Z • TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $_ Y— Y Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# J�Y ZL 25648ilding Inspector NORTH own of �.. t Andover, 0 h ver, Mass o K5 > A04ATED s u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .. �Pte..... . . .:.G?.� .. ............... BUILDING INSPECTOR ..... .. .... ................................. _ y� Foundation has permission to erect .......................... buildings on ....-/S �a'. .. �: o'�. .... .... .............. .... ....... ................... Rough tobe occupied as .................. i �!... ............................................................................. Chimney provided that the person accepting this permit shall i every respect conform to the terms of the application Final on file in this office, and to the provisions of the Co es and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TARTS Rough Service .................. .. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE "oxrH "OF NORTH TO ANDOVER 3= 6�lP R,sa 40 F p - M OFFICE OF BUILDING DEPARTMENT Osgood Street Building 20,.Suite 2-36 North Andover,Massachusetts 01845 SA�HUS�. Gerald A.Brown Inspector of Buildings Telephone(978)688-9545 HONIEOWNER-LICENSE PX TIO Fax (978)688-9542 BUIDING PERMIT APPLICATION Please print DATE.-___g JOB LOCATION: J'� NumberO Street ddress 1��Map)�_ot - 15OMEOWNER I&Vn ( 9R) 790 1 fl NameHome Phone `� Work Phone PRESENT MAILING ADDRESS 1 3 City Tov.7nV I S Qfa Lwte. Zip e Cod:, The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less a r to allow such homeotiz ers to engage an individual-for hire who does not possess a license Provided acts as supervisor). State Building (Code Section 108.3.5.7) r1 p vided that the owner DEFINITION OF HOMEOWNER Person(s)who awns a parcel of land on which he/she resides � be a one or intends or two fanul to reside o y structures. A person , n which there is oris P who construct � intended to con sidered. s more red a homeowner. that one home in a two-year period shall not be The undersigned"homeowner"assumes responsibility for compliances with Applicable codes,by-laws,rules and regulations, the State Building Code and other t 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, g P went HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688.9541 COI\TSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-953i