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Home My WebLink AboutBuilding Permit #847 - 58 APPLETON STREET 6/21/2007BUILDING PERMIT TOWN OF NORTH ANDOVER J APPLICATION FOR PLAN EXAMINATION Permit NO: "l Date Received 7 OWNER: Name: DESCRIPTION OF WORT( TO BE PREFORMED: Gn0�-cn/� ^Identification Please Type or Print Clearly) rd 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: $ Check No.: &31- Receipt No.: 02(D3 Q(ea NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund J Location JAJ UA -6Y\ <, No. Date ,40RTN TOWN OF NORTH ANDOVER +799 Certificate of Occupancy $ P, 8 CHUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # (,,, 3 -�?- Building Inspector 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 Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT ❑ COMMENTS y CONSERVA' COMMENTS DATE REJECTED DATE APPROVED 01 n Dff q REJECTED DATE APPROVED 0� HEALTH ❑ COMMENTS MIG DATE REJECTED DATE APPROVED F 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NU i t, ana UA 1 A - ( ror department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 No 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 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS 1 Date Building Location ame Permit # Amount ' Type of Occupancy New Renovation �— Replacement �� Plans Submitted Yes No 1:1 (Print or type) Check one: Certificate Installing Company Name .SL�G`�f'4.�!t� 6��'�i Corp. Address -� 1 Cd��Bl/�vv�— Partner. /G Name of Licensed Plumber: Firm/Co. Insurance Coverage: Indicate the type o rance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity E Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance ignatuie Owner 11 Agent El I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of rhy knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusettj&�ate Pluming C90e and Chapter 142 of the General Laws. w-- — f/� By: SignaLure o icense er Type of Plumbing License Title // a zz City/Town icense TNum5er Master APPROVED (OFFICE USE ONLY Journeyman 13 m m x m m x m v m _v, F d C � � d CA Cl) Z .1CA CD OQ n� . r Wo O CZ S y nto -0 O INV o v CDCL o Q d CD CD O CD C CD y. dO y • O CD I � v Cox o -vCD z o CD C CD z r cn V J n 0z cn al 'PIZ C CD C?7RO d S 0 aC",, y m CL C.) yo = d m" y CD a?d = m CD IM C CA o 9m m = o 7R O *� 30 d O 43* - CO! . m =r== V.�y ' N � a,m CL O am y yCj am H d y _ Q �� cca ym o CD CDCA .'C CA CD m „« mo=r o ` cl �_, BV " f ° ,. CDm?r ^D h om0 m m y d dd o.� c o _!D: 0 z 0 itit NAy 0 19 T ttzo • 0 0 PMK ` dp W :;00 M '17 °' "� a C� C �- °�' rte'' 'zK7 'b C n T 7 a 0 to r (/� 'rl a Pt.O 0 • 0 0 PMK ` dp L•� n :IAS• EAM Gerald A. Brown Inspector of Buildings Please 1> DATE:— JOB ATE_ JOB LOCATION: HOMEOWNER TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 Telephone (978) 688-9545 Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION 19p+1„ () Ie( l ct /I �-e �')8'-0gI-333 Name Home Phone - Work Phone PRESENT MAILING ADDRESS 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 *tion 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. _ HOMEOWNERS APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Fomt Homeomtms Exemption 130ARD OF \PPEALS 688-954,1 CONSERVATION 683-9530 HEALTH 688-9540 PLANNING 688-9535