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Home My WebLink AboutBuilding Permit #39 - 52 BANNAN DRIVE 7/14/2009 BUILDING PERMIT "°oT" qti 6* TOWN OF NORTH ANDOVER , p APPLICATION FOR PLAN EXAMINATION Permit NO: ✓ Date Received �gADAATlD "�q5 Date Issued:_7 �� 0 Ssgc►+U IMPORTANT:Applicant must-complete all items on this page LOCATION BAN/ 0 Df . Print' PROPERTY OW a L_id2;: L 4. Print MAP NO 3 PARCEL: ZONING DISTRICT: • Historic District yes no _- Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building nefamiI Addition- wo or more family Industrial Alterati 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: (� D c-�L AA _ Identification. Please Type or Print Clearly) OWNER: Name: �c_p T� - (z y,2- 3`l2 Phone: �1 � �~C�X71 Address: CONTRACTOR' Nate: �:_ . Phone: Address. Supervisor's Construction;License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No:_.:. FEE SCHEDULE:BULDING P MIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Co.... $ f FEE: 9� 1 $ Check No.: Receipt No.: ;21 NOTE: Persons contracting wi nre iWedoactors do nothave access to the guarantyfund _ignature of Agent/Owner ignature of contractor Location L.2 LSM AIC IY No. ?`1 Date 711,19 � &GRT" TOWN OF NORTH ANDOVER 16. + ; ; Certificate of Occupancy $ Building/Frame Permit Fee $ AC MUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22213 X7 Bg6dinginspector 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 Durripster;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 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 signature/tete COMMENTS " F 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 I i ❑ Notified for pickup - Date Doc.Building Permit Revised 2009 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 a 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 o 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 IAORTH OANM Of dover No. over, Mass., 211'vlaf LAKE COC ".r...C. 7,4 ATE D #P"V BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT BUILDING INSPECTOR .....Cy......................... . ................................................................................................................ Foundation has permission to erect......................................... buildings on ... ......54.1.y.Ns.-v...�/'n................................... Rough tobe occupied as.........................907-.0.r.9.41091.. ........................................................................................ Chimney provided that the person accepting this 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 CONSTRUCTION &T RTS Rough ...'000 ...................16;......... ............................ 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. TOWN OF NORTH ANDOVER I Wo OFFICE OF BUILDING DEPARTMENT 1600 Osgood Stree4 Building 20, Suite 2-36 C C.. North Andover'Massachusetts 01845 sswatstt Gerald A Brown Telephone(978)688-9545 Inspector of Buildings • Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please vft DATE: UL t JOB LOCATION: S N(JjAtJ b Plt V2: Number Street Address HOMEOWNER 'bO�P m-,� G yP4- Name Home Phone work Phone PRESENT MAILING ADDRESS �^D- L�> 14 N W LA 0 t UL City Town State zip Code The cmzeat= mptron for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homwwncrs to engage an individual for hire who does not possess a titre, that the owner acts as supervisor). State Building.(Code�tioa 108.3.5.1) DEFINMON OF HOMEOWNER Pem*r-)who owns a parcel of Ind 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 be cansrdered a homeaavaer. Y period shah not The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and mga ations. The undersigned-homeowner"= es that he nnderstaiods the Town of North Andover Building Department mlmmnm mon p cow with said procedures and HONWWNERS SIGNATURE n APPROVAL OF BUII DING OFFICIAL Revmad 10.2005 Form Aomwwnms Eumpfim 110ARDOF TPF:V_SGSR-9531 CU.\SERV.YPIO 638-9530 1.i. E.11 TH�i88 95 30 p 1_ - i _�