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Home My WebLink AboutBuilding Permit #244 - 550 WINTER STREET 9/29/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION p%ORTFl o� So , qti `tt 67 0 o PermitNO: / Date Received s •ZSt'¢ 's `; p4<xKKKIrK � Date Issued: 2 Q °RST.° ty 9SSACHUS�� IMPORTANT: Applicant must complete all items on this page LOCATIONr— Print PROPERTY OWNER Print MAP NO.: L6)9-/,,4 PARCEL: z ZONING DISTRICT: i TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Resid ntial Non- Residential ❑New Building ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ eration No. of units: epair, replacement ❑ Assessory Bldg ❑Commercial ❑ Demolition f ❑ Moving(relocation) ❑OtherI ❑ Others: ❑ Foundation only DESCRIPTION OF WORK O BE PREFORMED yr C y. f� i 1 / , ✓' ,rte .�� fish)t �r Identification Please Type or Print Clearly) OWNER: Name: Phone —� Address: fiC �rf�sit cam' .S�- � 1��.'��!%ci' ✓cif �/dry/l� CONTRACTOR Name: Phone: Address: R Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$�z3D; De,) 63 FEE:$ ; Check No.: A04, / Receipt No.: Page 1 of 4 I I TYPE OF SEWERAGE DISPOSAL Swimming Pools El Art ❑ Public Sewer F1 ❑ Tobacco Sales ❑ Food Packaging/Sales El ❑ ❑ Permanent Dumpster on Site I� 7 Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 4111/1i Signature of Agent/Owner -/,�� Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS i DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ i COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on s',t yes bo 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/Signature&Date Driveway Permit i I I 1 ' i 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 a a 0 Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 Building Department The followingis a list of the required 4 q ed 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 II ❑ Surveyed Plot Plan i ❑ 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) i ❑ Mass check Energy Compliance Report (If Applicable) 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 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 Y/-, 1/476 No. ,�.�� Date F NORTq TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ p� s�CHU Foundation Permit Fee $ ` Other Permit Fee $ TOTAL $ Check # &/ 19632 Mildng Inspector The Commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal P.0.Box 1025 State Road,Stow,Na 01775 PERMIT Date: North Andover Permit No Dig SafeNnm er (City of Town) (If Applicable) In accordance with the provisions of M.G.L.14 8 Chapter_]_Q_as provided in section S 7 ( M R 34 Start Date This Permit is granted to: Full name of person,Firmor Corporation Permissionto locate dumpster for construction/renovation/demolition of building. Comments: dumpster must be . 25 ' from structure if unable to place with required Restrictions: clearance dumpster must be covered with plywood or tarp end of work -day at (Give location by street and no.,or describe in such manner as to provied adequate identification of location) Fee Paid$ 50 .00 z .� '' � Fire Chief This Permit will expire fz s°f S'gnatur -of offical granting unit) Offical granting permit (Title) '.+;"T" TOWN OF NORTH .ANDOVER OFFICE OF BUILDING DEPARTMENT 0 Osgood Street Building 20, Suite 2-64 9 ' "*'A5 North Andover, 1Nlassachusetts 01845 +CHuae Gerald A. Brown Telephone 9? Inspector of Buildings P (. 8)688-9545 Fax (97,S) 688-95.}3 HO'�1EOWNER LICENSE EXEMPTION Plcasc print DATE: JOB LOCATION: Number Street Address - Map/Lot HOMEOWNER Name Home Phone Werk Phone PRESENT MAILING ADDRESS Y- tIL City nom X041— _z c�s� )ry sTownnState 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 Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNI ERS SIGNATURE .APPROVAL OF BUILDING OFFICIAL Rcsed 10'005 — Frn'm RMILN)wncis Exemp(ion I ?O.aRDOFA FVI-,1LSh;?'i-'1`dI CUti511tV.\fl0\r,;;4-•1;i�) f �. 5 PANNING• hy- F NpRTM TO" of No. Z�y �t�: L o dover, Mass., IwyO A X E r/z COCMIC EWICK AERATED S E BOARD OF HEALTH Food/Kitchen PER T T D 0 Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ...O.Allff.....'.6 �'. �.. . ... ....................:.:........................................ Foundation has permission to erect........................................ buildings on ...... .. ...�r... .... �. '�... ......... Rough to be occupied as.... .'.� . .� ........... ....ew?i �.�. ..../.. .0. ...�......,�.... ./� . .�'.: Chimney ' it eve r s pct confo�m fi the terms of h lication o Ile inProvided that the �on c�ptln Is pry p PP 4 Final this office, and to the rovisions of the des and By-Laws relating to the Inspection, �t�r�ti ns f P o� Buildings in the Town of North Andover. %!i j W� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 45Xt r I'v hw*A Rough Final G PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCijr TI ARTS Rough ............ .. Service BUILDING OR 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 B6 Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.