HomeMy WebLinkAboutBuilding Permit #699 - 548 SHARPNERS POND ROAD 4/30/2007Permit NO:
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATIQJI FOR PLAN EXAMINATION
Date Received
V/neo ; •ry
TYPE OF IMPROVEMENT
PROPOSED USE
Reside tial
Non- Residential
❑ New Building
ne family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
j �y� ,r Y J b ' Rt rF' Ek' P �Q 4E �js
� e�' y�;�^i� � �"✓7 � x
. DESCRIPTION OF WORK TO BE PREFORMED:
u v\ cif / / S X3 zl O V,41--
OWNER:
r4L
Please Type or Print dearly)
OWNER: Name:` 14,E
Address:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT: $y2.00 PFQR $90QQ.�OFHE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ j U jJ�FEE: $ 06
Check No.: Receipt No.: o? �l
NOTE: Persons contracting with unregis e o,7tractors do not have access to the guaranty fund
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
�'���
Public Sewer ❑
Tanning/Massage/Body Arty ❑
Swimming Pools ❑
Well
' vFood
Tobacco Sales
Packaging/Sales
11❑
Private (septic tank, etc.
i
Permanent Dumpster on Site❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
R
a
DATE REJECTED DATE APPROVED
CONS ERVATIO
P,
COMMENTS f WI(A S AKL -10-'4- OTC9-- ( CD)
--� -- -- ----
EALTH
COMMENTS
DATE REJECTED
f ❑ r�
WE
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
Located at 384 Osgood Street
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
0k c" L9 r,- ��/�
Ll Notified for pickup - Date
............................. ........................... ............... . . ................................................................................................. ........................................................... ................................................... ........... . ........................ . .. ............. ......................................................
Doc.Building Pen -nit 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
❑ 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 51 r�
No. r� Date �' -0
r j
N°RTM TOWN OF NORTH ANDOVER
' Certificate of Occupancy
$
• o� �. ';
sACNUs <�' BuildinglFrame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check #�1
20159
-�
Building
Inspector
Ca gORT d,H
,1 9
TOWN OF NORTH ANDOVER ''9s •' Eta'
sacHus
BUILDING DEPARTMENT
1600 OSGOOD ST
BUILDING 20 SUITE 2-36
NORTH ANDOVER MA 01845
978-688-9545
978-688-9542 Fax
HOMEOWNER LICENSE EXEMPTION
Please print
DATE 0�� \
c— 'r,—
JOB LOCATION �> N )S
Number
HOMEOWNER r
ame
PRESENT MAILING ADDRESS
Ci /�
ty
Street Address
r-_C \
Home Phone
rrko yt \ P- \
State
Map/Lot
- ��A"—
Work Phone
Code
The current exemption for "homeowners" was extended to include owner -occupied dwellings of
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 he/she resides or intends to reside, on which there is or is
intended to be, one or two family dwelling, attached or detached structures attached or detached structures
accessory to such use and/or farm structures. A person who constructs more than one home in a two-year
period shall not be considered a homeowner.
The undersigned "homeowner" assumes responsibility for compliance 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.
HOMEWOWNER'S SIGNATURE� X_4� lei
APROVAL OF BUILDING OFFICIAL
r;
. C i
O `
C y
O C
CJ
:M
CLCCv
M
moo
z
`o
E�
m c �
m
Z
h ..
Aw44
a Z
c
m �
'w ts CD vi�o
V ` m c E
o 'O'm3 Ma
(n
cm m
Cc o
mo
y s W
A E10 _
m o C
ccs
mm oc
t t o o►
S.oz c a
m � m
cma
OCL m a
0
$ COL. m
COD z
of c
V� a
x � C
H z Sa m 5:
0
z
O
U
O
CD
Z
O
D
CA
CD
CO3
.CD
a
CD
c
0
CD
ccM
C43
O
V
.CL
h
C
O
O
C
cc
y
r—I
O
CD
C.
COD
C
O CM
C
O C
o -v
m m
CD CD
oil�
CD
0 0
0.
�a
"t C
JO
.0
O
Z
CDCL
y
C
LLI
0
LLI
cc
W
W
19
W
U)
CR
a
0
w
w°
�2
U
w
a
w
d
w
asQ
a
a°G
w
w
Cl)
cn
r;
. C i
O `
C y
O C
CJ
:M
CLCCv
M
moo
z
`o
E�
m c �
m
Z
h ..
Aw44
a Z
c
m �
'w ts CD vi�o
V ` m c E
o 'O'm3 Ma
(n
cm m
Cc o
mo
y s W
A E10 _
m o C
ccs
mm oc
t t o o►
S.oz c a
m � m
cma
OCL m a
0
$ COL. m
COD z
of c
V� a
x � C
H z Sa m 5:
0
z
O
U
O
CD
Z
O
D
CA
CD
CO3
.CD
a
CD
c
0
CD
ccM
C43
O
V
.CL
h
C
O
O
C
cc
y
r—I
O
CD
C.
COD
C
O CM
C
O C
o -v
m m
CD CD
oil�
CD
0 0
0.
�a
"t C
JO
.0
O
Z
CDCL
y
C
LLI
0
LLI
cc
W
W
19
W
U)
3