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Home My WebLink AboutBuilding Permit #606 - 586 OSGOOD STREET 3/31/2006OE NORT{f .�.y F 9 9SS�CNU`+E4 Permit NO: &J Date Issued: ' TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received: - d� IMPORTANT: Applicant must complete all items on this page LOCATION 5 S � ��6 ,{ `J Pr, t PROPERTY OWNER ►A"0 _ &-Ae a" �e�6 e�► air Print MAP NO.: 2 1 0 PARCEL: 10 ZONING DISTRICT: TVPV ANT" TTCF (ITV RTTTT.TIMC AiCTn-pir "IRTRICT VFC n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 'Addition ❑ Alteration Al'One family ❑ Two or more family No. of units: ❑ Industrial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Commercial ❑ Moving (relocation) ❑ Other ❑ Others: ❑ Foundation only .DESCRIPTION OF WOKK I'O BE PRE OKM D 1kdc\(tybr of ove o gf o -i'�>^T eh'Fty Way WAS 0"a",,re Cv`i�v�nr\ s 0 -kA 5r,1AAk 0�(Ae8 coc.*T 6,n W\aSQY\(� OWNER: Name: Identification Please Type or Print Clearly) S�" ature l0 0 SGvo� . CONTRACTOR Name: Address: �k o� V Phone: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. • $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost :$ w vox10.00=FEE:$ Q°- Check No.:Receipt No.: Page I of 4 TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art ❑ wmmn i SiPools ❑ g Public Sewer ❑ Tobacco Sales Ll Food Packaging/Sales 11Well ❑ N ❑ 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 Agent/Owner Signature of Contractor Plans Submitted X 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 ❑ ❑ ❑ Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS 10 t CONSERVATION COMMENTS e HEALTH COMMENTS DATE REJECTED DATE APPROVED DATE REJECTED Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer connection signature & date Temp Dumpster on site yesno Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 DATE APPROVED 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) Page 3 of 4 Doc: INSPECTIONAL SERVICES DEPARTMENT R13FORM05 Created 1MC. 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) 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 No. Date TOWN OF NORTH ANDOVER Check # 0 1 ��- 9 (16 9 Building 1�-s-p—ecTb�r 4 I Certificate of Occupancy $ C IN Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0 1 ��- 9 (16 9 Building 1�-s-p—ecTb�r 4 I i I 4- 6 z WD W ;iw,� Q CD CCDL CD CO) ON 0 cr- CL= c=j LU u CR OFE = COD CO) Im =®"a F.74 W =!a 0 L- = ca OL4- u z u w w w a4 04 zu CIO z w 0 0 u O a4 cm z P-4 u CD P-4 r*4 0 C) V) c D w W-4 w —co 0 0 0 0 w° cis cn cn co ;iw,� CD CCDL CD CO) ON AD 16 cr- CL= c=j LU u CR OFE = COD CO) Im =®"a E F W =!a 0 L- = ca OL4- ;iw,� CO) CD .9 CO) CD L- CL CD CD 0 cc ZC CIO CO3 to YI r�l CD CD CD 0 L— CL 0 CL cm< ca 0 z Q CD CL CA) CO) uj U) 1% UA uj ce ul W CO) CIO z 0 u O cm P-4 CD r*4 C) D CO) CD .9 CO) CD L- CL CD CD 0 cc ZC CIO CO3 to YI r�l CD CD CD 0 L— CL 0 CL cm< ca 0 z Q CD CL CA) CO) uj U) 1% UA uj ce ul W CO) 0 7- *10 Isevi IoO3 lox masonry V,9,Vl 7-4A8YOO -Aolr oov4 or ool"z AoV IN Ar,04-MeAr-f Awj"e. p2rdIncr Afla Tel: 978-688-9545 Town of North Andover Building Department 400 Osgood Street North Andover MA 01845 HOMEOWNER LICENSE EXEMPTION Please print. DATE 3) 313 12U O �p JOB LOCATION Number g4OR71f Of tY�•v a �ry0 1O 9 • °o�w may. �q4 ,SSA[HUS� Street Address Section of Town "HOMEOWNER D0.vn Number Home Phone Work Phone PRESENT MAILING ADDRESS Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six 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 109.1.1) DEFINITION OF HOMEWOWNER: 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 to six family dwelling, attached or detached structures ac- cessory scessory to such use and and/or farm structures. A'persori who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) 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 No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirempts. _ HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFIC Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0 Construction Control.