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Home My WebLink AboutBuilding Permit #196 - 550 OSGOOD STREET 9/12/2006 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION 0�t,,•o ,s quo 2 •6 0 F A Permit NO: Date Received l- Date Issued: �� 9SSACHus�� IMPORTANT: Applicant must complete all items on this page LOCATION 6_,5_0 Occl 0e) �7- Print PROPERTY OWNER q n vi e— rL (A'///`4r M Print � \ MAP NO.: PARCEL: ZONING DISTRICT: I TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE i Residential Non- Residential f ❑New Building ❑ One family ❑ Addition ❑Two or more family ❑Industrial ❑ Alteration No. of units: ❑ Repair,replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Ty a or Print Clearly) p OWNER: Name: JPQ dl bill,/l /J/4 4- Phone: Q�r� Address: S-,5-0 c c 6 e cl 9 !re e 4- CONTRACTOR CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost FEE:$ �� y� Check No.: ��5 Receipt No.: Page 1 of 4 l TYPE OF SEWERAGE DISPOSAL . Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools 11❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of A ent/O g gL Signature of contractor 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 F1 F1 ti COMMENTS FIRE DEPARTMENT - Temp Dum ster on site Yes no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si nature&Date Drivewav Permit Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 Addition Or Decks _ ❑ Building Permit Application ❑ 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) j New ConstructionSin le and Two Family) � g Y) ❑ Building Permit Application PP ❑ 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 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:BPFORM05 Page 4 of 4 ` Location C ��u No Date f j TOWN OF NORTH ANDOVER �t • i Certificate of Occupancy $ Ar tABuilding/Frame Permit Fee $ ncwus Foundation Permit Fee $ Other Permit Fee $ Y_ .: TOTAL $ Check # 1 19580 k: y' Building Inspector oa "oRT e TOWN OF NORTH ANDOVER o� " �< OFFICE OF A BUILDING DEPARTMENT 4 1600 Osgood Street Building 20, Suite 2-64 �4SSACHt15Et4y North Andover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings Telephone(978)688-9545 Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: �f'- i7 - 7 00z JOB LOCATION: 5`0 0 , �Z Number Rreet Address T` Map/Lot HOMEOWNER jec, I Gf/ re-1 Name Home Phone � `� -WeAk Phone PRESENT MAILING ADDRESS �5�'D �S ca C �7 rP A Ve V-1 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to 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,a one or two family 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 codes, by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andovcr Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICI Revised 10.2005 Form Honuviwners Exunption 13G ARD OF,APPEALr,g!3_ 541 S y RO CONSERVA .8 rION r,. -9530 EIFALTH 688-9540 PLANNINGf>8g_ c �flRTH 0 0 s over No. P....�. , o f f dower, Mass. • =.= ° A COCMICMEWICK ^ A°RATED PPa� •�5 S BOARD OF HEALTH PE ...RMIT T D Food/Kitchen Septic System 51716 .. .�. .•.•..�� BUILDING INSPECTOR THIS CERTIFIES THAT.... ............ ; ....................................... ........................... Foundation has permission to erect... g g ................ .. buil ins .....��..��►....... ��!... ...�... ... ... .� Rough to be occupied as....... �►�.. �. ...... . .... . .. ... ....... ............ ............. Chimney thprovided that the erson acEe in this permit shall in every respect conform to the t s of thea lication on file in is office, and to the provisions of the odes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough ® T Final PERMIT EXPIRES I 6 MONTHS UNLESS �TT �-�I �T T T °�^ ELECTRICAL INSPECTOR �J.l�i LESS `� O `+I S 4J i �I � 1 S Rough .. ... ... . ....... . . ....... ....... Service LD G INSPECTOR Final Occupancy Permit Required t® 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.