HomeMy WebLinkAboutBuilding Permit #609 - 460 CHESTNUT STREET 3/21/2007Permit NO:L�
Date Issued: -�
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received—L' 1- 0
TYPE OF IMPROVEMENT
❑ New Building
❑ Addition
❑ Repair, replacement
0 Demolition
s
PROPOSED USE
Residential
`One family
❑ Two or more family
No. of units:
❑ Assessory Bldg
❑ Other
Non- Residential
❑ Industrial
❑ Commercial
❑ Others:
DESCRIPTION OF WORK TO BE PREFORMED:
U SP a s c raly —
y., Identification Please Type or Print Clearly) q 6 P
n1A/AICD• KInmev _<�—vi-5 Phone: UU
ARCH ITECTIENGI NEER Phone:
Address: Reg. No.
Is FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
`� D Z) FEE: $ � Z O
Total Project Cost: $ � i
Check No.:
f Receipt No.:
NOTE: Persons contractin ith gi tered contract rs do not have access to the guaranty fund
Signature of Agent/Owner ignature of contractor
e
Location 4o r—he(;:7 l 1—
No.
po Date �g' ErD
,40RTN TOWN OF NORTH ANDOVER
0 s
v
Certificate of Occupancy $
•"'` C'
�'SscM�SE< Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
f
2 t C�,
C►C�� r
Building Inspector
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
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
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 ❑
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
IAI_A_- n ^ — -
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
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
o 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 Appef
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
F
"r" TO1VN OF NORTH ANDOVER
OFFICE OF
y BALDING DEPARTMENT
1600 Osgood Street Building 20, Suite 2-64
HU
56. �y VorthArtdover, Massachusetts 01345
Gerald A. Brown
Inspectorof Buildings
HOMEOWNER LICENSE EXEMPTION
Pease print
DATE: ~%
JOB LOCATION: ,�--5�--
�t niber Strcet Address -- "`—
Telephone (973) 683.94=
Fax 073) 6,s4-944
ti'[up/Lot
HOMEOWNER-�-S�wS ��� �
Name Home Phone
Work Phone
PRESENT MAILING ADDRESS
City Town State
Zip Code
The current exemption for "homeowners" was extended to include owner -occupied dwellings
to allow such homeowners to engage an individual for hire who does not poto two units or less and
ssess a license, provided that the owner
acts as supervisor). .State Building (Code Section 108.3.5.1)
DEFINITION OF HOMEOWNER
Persons) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is i
be, a one or two himily structures. A person who constructs more that one home in a two-year
considered a homeowner. intended to
y period shall not he
'The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other
Applicable codes, by-laws, rules and regulations.
The undersigned " hoproccd er" certi i , she understands the Town of North Andover Building Department
minimum inspection procedures an requireme t and that he.'she will comply with said procedures and
reyuirements.
110-NlEOV1NERS 'ilGti'ATL RE
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