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Home My WebLink AboutBuilding Permit #653 - 595 SALEM STREET 4/27/2010Permit NO: Date Issued: G// i/ BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received ' IMPORTANT: Applicant must complete all items on this page LOCATION C _ P rkt :PROPERTY OWNER `� � I + V L' eVle. Print MAP 210 /0(0 PARCEL- LV ZONING DISTRICT: Historic District yes Machine Shop Village yes tnoj TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain- WetlandsWatershed District-, Water/Sewer � . DESCRIPTION OF WORK TO BE PREFORMED: OWNER: Name: Kober'- 2, Address: (o (o Sf e- i4(11 CONTRACTOR Name: (moo or Print Clearly) eVve -Phone: Phone: / g 6 t /OSTO ARCHITECT/ENGINEER �) I PF 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: $ '0 0-0 V FEE: $ �b Check No.: 6�? Receipt No.: /Z/0'P NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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: Building Permit Revised 2008 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 CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature Reviewed on Signature. Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes t Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp-Dumpster on site yes no Located at 124 Main Street 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 No 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 2010 Location (,-6 '///0- 7 A No. S" Date TOWN OF NORTH ANDOVER Check # /'-/' () -1P, 2 2 9/ "Building Inspector Certificate of Occupancy $ MU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /'-/' () -1P, 2 2 9/ "Building Inspector m m m m CO) m m _v, C .0 l d COD Cl) Cr)CD Z y 06 r C. MM O CZ =' CO) nco -0 70 0 v CD CDCL O Q CD CD CD ca ccp C CD co) CD CLO y CD i c y O '= Z CD .fit O CD C CD oc w --o m Q H -n • C m Zy m .� C C. o =m -*m• y =a -.a 0 Er CD DA CD -40 003 C', CO3 0 (� O a'� O O y C DD m C =rCOD r iTi a S o . S �� 9 a.. ' ^ m o o. VJ o y C/) �U oa m o Go er. > > y C �d Cn �• VJ ? y � :l� � O\ .r 0 .� R .Ort �.CD ca q o� A o m c:. . CD d ON a VO "SCE �� CD CO)kE RE C7 m m CA V z O 0 49 o H 0 9 IV 7N •� C,/ Z p b� hA ►� Onj )C7 C '^iJ w ,b C C17 ^17 m 13 m i T ;A, o O G 0). a 0 r � Cn pIt O C,/ Z p b� hA ►� T7 y )C7 C '^iJ w ,b C C17 ^17 m r., y T O G O G 0). a 0 r � cn b cn O p n 7y µORT►j TOWN OF NORTH ANDOVER `. OOFFICE OF u.., "•• a L BUILDING DEPARTMENT �, a~ 1600 Osgood Street Building 20, Suite 2-36 North Andover Massachusetts 01845 Gerald A. Brown Telephone (978) 688-9545 Inspector of Buildings Fax (978) 688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE:4-1z 4 JOB LOCATION: (0 e V C'` J-), 130MEOWNER Number �?4 Name Street Address (i Home Phone Map/Lot � --�t 2-09 Io cv Work Phone 65-b -25T_�VE1 PRESENT MAILING ADDRESS �p L [( La Vic 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 Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. � HOMEOWNERS SIGNATURE Aiti-A-A vn APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 A ESA P. Q- 0 (1) C co 77 CD C Q ^► 0 CD -, 0 v ti 0 co cn X �.co -n -n a' N D �' :3. (D X 0-1 -� -p on cu-0NO 0CD Xa C � n� 0 (n C W CL o c 0 x ZI -t CO x -n .%o 0 O co' 3 w 0 U) CD cD z cD CD o n L o C o (D 0 cn -n '11 cr N 2. (DD X - 3 �tQ CD Q N O N o O Q - O in -t CO x -n CD Cn ov�.��=; w3 co' Q N O Q c X< cQ to o 0CO 0 0 3 w 0 U) CD cD z cD CD o n L o C o (D 0 cn