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Home My WebLink AboutBuilding Permit #750 - 57 MARBLEHEAD STREET 6/17/2008BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: -7,90 Date Received 6- / 9-00 Date Issued: (a - 10;� - 4* IMPORTANT: Applicant must complete all items on this page � LOCATION .3 "J NIAVYU-At, Ot N&- RwWf, M041 dltyYr Print PROPERTY OWNERS Y CSS Prirf MAP NO: de ~PARCEL0o—(,& ZONING DISTRICT: Historic District yes no Machine Shop Villaoe ves no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer4�" DESCRIPTION OF WORK TO BE PREFORMED: I VIS Ir�t ✓ Grn. I ✓ CC&;0 Identification Please Type or Print Clearly)SG I /I- A" OWNER: Name:_ ay'r' . N%Ot,SS.Pu,- Phone: g 7 j) &A - Address: 5- 10 VAt JAZtl A/0 i16fL t d CONTRACTOR Name: Address: Supervisor's Construction License Home Im Exp. Date: Fyn Rata> ARCHITECT/ENGINEER Phone: J 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: $ FEE: $ v�d Check No.JIT-93 Receipt No.: ?— SZ NOTE: Persons contractingg= itt unregistered contractors do not have access to the guaranty fund of contractor___ _ 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 o 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) j ❑ 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 2.2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer �Tanning/MassageBody Art Swimming Pools 3 r Well Tobacco Salesr Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster 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 ` CdMMENTS 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: Locatea 664 USgood Street FIRE DEPARTMENT , Temp Dumpster on site yes no Located at 124 Main Stree$ _ Fire Department signature/date COMMENTS 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 No Location i'l d t!J`ti ?f•4r/�' No. Date _ G� NoWTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $— Foundation Permit Fee Other Permit Fee TOTAL Check # !� 21252 Building Inspector CA m m CO) m mm C2 H .O C � o d y Cl) CD n Z y CD T2. r � � o OAA.� y. i� �CD CD CD O CL cr d CD CDmw o coo C CD y� CD CL CD O y O I CC CD Gj 0 C FRO a d � O • h O Q CO) O.O SO y CL =�On m C7 m e� CL m . Z N• .2 y .. o. VJ IS oCDm m a S CO � � f> o oZ y oo • m ' t0 05 dc CD OCD cn H o m n ® V 1.j/�C N n cn n �. N �C� H � m dH A � g O CD oDC3 go .� r►��-} � � O . OCD ^► cn CD cn ca CDr �C CL .0 d CD 1/••�� ' 1CD R cn t) CD n C/) n 0 Pi /•� 4� 7n cn ro � n n? qc Cr M m n o qo Q CD 0 Ca r�..{ cn n � a� tz O GOD z b 0-4o O w 41 a O C TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings HOMEOWNER LICENSE EXEMPTION Pleasep�ii DATE: Telephone (978) 688-9545 Fax (978) 688-9542 JOB LOCATION: 7 Number Street Address Mapa-A HOMEOWNER l't U (C ,IL A, Name Home PRESENT MAILING ADDRESS Work Phone City Town State Zip Code The current exemption for "homeowners" was extended to include owner-o=ipied dwellings to two units or less and to allow sack 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,"homeownef' 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 n HOMEOWNERS APPROVAL OF BUILT Revised 10.2005 form Hom—m ms E nmption BOARD OF V'PF:'1LS 698-9541 C0NSERN'.Vr10\ 638-9530 ITE.U.M 688-95.30 PUN"NING 68S-9535 ��0 � ^ U 757 l �-.- N ?C r N 3 R C--,o,- ...:..... . � pox o � . b i 3 (V o 1 1 p 1 rt; t�N O ��0 � ^ U 757 l N ?C r N 3 R