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HomeMy WebLinkAboutBuilding Permit #470 - 76 OLD VILLAGE LANE 12/7/2010Permit NO: 40 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued: � U IMPORTANT: Applicant must complete all items on this nage Print MAP NO: PARCEL: Co aZ ZONING DISTRICT: - Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPO ` D USE Residotial Non- Residential ❑ New Building U-6ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Yeration No. of units: ❑ C mmercial 1aAepaiC-,-iv]ga--ce-m—N;)J,❑ Assessory Bldg Others: ❑ Demolition ❑ Other ®Septi®Wel' ®Flooclpla OWetladst j ®'VVate s�lied District , •]�f.YN��I'�•[•l►[•]���rL•)N:�C•1.��,�1.�OC•].�rri � • UY&FAZ io CONTRACTOR Name: Address: /0 Supervisor's Construction License: )��/T Exp. Date: Home Improvement License: �4 Exp. Date: Phone:9433"736 3� ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE: BULDING PE MIT.• $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. .�1 Total Project Cost. $�% �f (2 ,, FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to tide guaranty fund 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 VSE ONLY INTERDEPARTMENTAL SIGN OFF - U FQRM DATE REJECTED PLANNING & DEVELOPMENT ❑ L COMMENTS CONSERVATION Reviewed COMMENTS I/ - HEALTH Reviewedon K COMMENTS DATE APPROVED Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: weit Conservation Decision: 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 Doc:.Building Permit Revised 2008 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 o 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 VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording gust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi ACORD„ CERTIFICATE OF LIABILITY INSURANCE n9noz:1012:YYYY) oaDATE 43 PRODUCER (800) 225-1865 Fred C. Church, Inc. Street al Wellman Street Lowcll, MA01851 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSR 800.225-1865 INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURERA: Peerless insurance Company Joseph Gys dba Abco Construction 10 Meghann Lane Lowell, MA 01852 INSURER 0 INSLIRERQ INSURER M GENERAL UABNITY INSURER E EACH OCCURRENCE $500,000 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR In F INSURANCEPOtJCYNUMSER POLICYEFFECTiVE POLICIIEXPIRATION LIIA11S GENERAL UABNITY _ ... _ EACH OCCURRENCE $500,000 COMMERCIAL GENERAL LIABILITY PR $ 50,000 ' CLAIMS MADE rx-1 OCCUR MED EXP errs $5,000 PERSONAL a ADV tKWRY $500,000 A CCP8251803 4/26/2010 x/26/2011 GENERAL AGGREGATE S 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S 1,000,000 PRO1 71 LOC POLICY JECT AUTOMOBILE LIABRITY COMBINED SINGLE LIMB S ANY AUTO (Ee aociders) BODILY INJURY S ALL OWNED AUTOS SCHEDULED AUTOS (Per P—) .. .. . . BODILY INJURY .. _... HIRED AUTOS :...._ NON -OWNED AUTOS (Per acdd@M PROPERTYOAMAGE S (Peracddwd) GARAGE LUIBILRY AUTO ONLY - EA ACCIDENT 5 OTHER THM EA AIC S ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE S OCCUR FICLAIMS MADE _ AGGREGATE f S f DEDUCTIBLE $ RETENTION f WC STATIC OTH WORKERS COMPENSATION AND FR E.L. EACH ACCIDENT i EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTiVE F -.L. DISEASE- EA EMPLOYEE S OFFICERANEMBER EXCLUDED? tfyes, describe under SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS JOB - 55 Florence Road, Lowell, MA - evidence of workers compensation to be sent directly by insurance carrier fax#978-ax7-7103 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUNG INSURER WILL ENDEAVOR TO MAA. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIgDREPRESENTATNE p ACORO 25 (2001108) Clicnt #.ItFj �(st # 10-11 gl Cert 4 ©ACORD CORPORATION 1988 171 IjigilLrax Ili-/- D/n/ZUiU IU:ZU:UU AM PAUt J/uuJ Pax Server CERTIFICATE OF. INSURANCE ISSLELXVIL 05-04-2010 1101.1c1, N"UNIBE.R POLICY 'I H1scER,rjFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY PRODUCER AND CONFERS \'ORIGHTS UPON 'r[IEC:ER'rlFi('A-rEtIOLDER. THIS LXPIRA'140-N DATE CERTIFICATE DOES NOI'A-MEND. EX FEND OR ALTERTHE COVERAGE N (.Mm: D 1);1 Y AFFORDED BYTHE POLICIES BELOW. CWIPANJES AFFORDING COVERAGE FRED C CHURCH INC' PO 1307 1865 LOWELL IMA 01853 0-;.M PAVN Y ;k HARTFORD UNDEimurEm INSURANCE CO LF rTER INSURED GYS, JOSEPH DBA ARCO CONs,rRLJCTION — ER COMPANY CLAUS MAD- OCCUR. 0o.%IFANY c LETTER 10 NIEGIJANN LANE LZ-TIT;R D I-OW[L.I.. i%,I/\ 01851 COVERAGI-S, q 0-1%Ip.k1;Y LETTER E THIS IS TO CERTIFY THAT THE ]'(-)I.ICI--S OF INSURA-NCE LISTI-D BELOW HAVE BEEN ISSUED THE INSURED NAMED ABOVE FOR I-IJT.POLICY PERIOD INDICATED. *\O':'WI-IlfS FANDIN(J ANY RFQUIRLMEN r. FERN OR CONDi*r:ON OF AN Y CON TRACI'OR OTHER DOCUNIEN­F\Vl F11 RESPEC F TO) WHICH 'I Ills CrRTIrICATEMNY BE ISSUED OR MAY I'FrO'AIN. THE INSURANCEAFTORDEM 3Y THE POLICIES DESCRIBED HEREIN is SUBJECT TO AI.L THE TT-R.,os. CO 1 YPI: 01; INSLRANCE 1101.1c1, N"UNIBE.R POLICY POLICY I.I.NWIS Mit EFFI, C rm,ri,", LXPIRA'140-N DATE N (.Mm: D 1);1 Y V-\ I ;'D I': y Y GLNI ,RA L 1, IA 1311. 1 T Y PICIDc :,S -comp w.\, CLAUS MAD- OCCUR. I'M60NAL & ADN'. IN!U.'0 \\.N; R*-;,�: CC'N 1-RACF;oR'S No) F I-ACH QC.�.VRRKN�A, I -IRE DA.,11:V..E (A,:., 5,; MED. KXPL'�SK tA:, if AL'ION1013111 LIABI1.11Y 1 %I;T AT -1,::`.C:: CD A:, 1VL RY cps 1*,-om 11::1 tPL, Ac6J-.,jw NC)N-O4VNFD A� 70q :J. -CAGE L!A-MATY F,XC ESS LIABILITY rACII C)CURRENCE S - L -MM EUA I -ORM AV -4. R0`ATE - OFIII R MAN i.*N1,',RI:I-:.A OINM STA-LTCCRY I-IN::Ti X A WORKER'S CONIPF.NSATION DISEAqFFtD: ;CYLIM11' 6S60UB- 05-01-2010 05-01-2_011 0448N539-10 E-NIPLOYER'S LIABILITY NSLASF-UACH EMPI-ON LE Si()().()c),r 0'111 ER '11 ir SOLE PROPRILIORA'AR'l NER(S) ARE INCLUDED --I:.XC.'I.I,Dl--]) X DESCRIPTION OF OPERATIONS Loc,% im. irrms THIS IS 10CEPTIFY'111AF F NAVBFENiSSLED TO 1*[][-- (NSURI:DNAN1'-::) -\30V!-.:-O)I INDICATED. NO 11\1 E'ES 1 A N:):N(1 AXY1,F"QT:IREMFN:" T1 It N1()iC.0NDI11t1NC)I-- ANY CON FRACT OR () I'll' 'R DOCUVEN:, 'A :Ti; R7-sirc,!, 1,0WHICH ;,I.,Is 01Z N IA Y PE.RFAIN. I I I I INSII*P:\N('-7 BY 111 IU POLICIES DESCRIBED I 1;-:R FiN IS SI: T -IJ FUF I () A1.1. 1*11.17 TER Nis. EXCL: :S 1( INS ANI' P():A:1:S. :X' -1:1S SHOW . NNIAY 1:AV'BY PAIDC.I-AiMs ll IIS RKPIACI:S.%Nl 1,111OR (LIMFICAIE, ISSL 1-1) 10 JjfECIA [IFIC,ul" 1101.1)ER AFFECTIM; %NORKERS COMP CONI:RAGF CANCELLATION S1101-1-DANX OFT11F.A110VI: DESCRIBIA) III, CANCELLED HEI -ORE fill: 'EXPIR.%rm atiETin-in:(jr. ljji� I:SSI ING COMI'AM NILL I' Ni)['A\()R TO'NIAII. 16 0.M N urri-EN N011cf.- Io I III: CI:[? III 1CA H: 1101DERNAN11:1) 10 Il IE HL -r FAIIA ItE [0 MAIL SU If NO I KA: -SHALL IMIU!4: "0 OIUAGA MIN OR oVANN KINDII-o-, PWAIEM CWSTM -CINER. ACCORD 25-S tT'") I i:'AC0I(D CORPORIk FION I") The Commonwealth of Massachusetts _ Department of Industrial Accidents f Office of Investigations 1 Congress Street, Suite 100 y�r Boston, MA 02114-2017 0 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name Address: Aren employer? Check the appropriate box: 1. a employer with 4. ❑ I am a general contractor and I employees (full and/or art -time).* have hired the sub -contractors !. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are a corporation and its S. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Please Print Le CY 7?3 776 Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10. ❑ Electrical repairs or additions 11. ❑ Plumbing repairs or additions 12. oof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. ., A Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undq the pa�s ankenaltigs of perjury that the information provided above is true and correct Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR, 70' Edition Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two- Family Dwelling SECTION 8: ADDITIONAL APPROVALS 1. Ballardvale Historic District Commission: 2. Board of Health: 3. Conservation Commission: 4. Design Review Board: _ 5. Electrical Permit Number: 6. Fire Prevention: 7. Planning Board Lot Release: 8. Preservation Commission: 9. Zoning Board of Appeals: _ Date: Date: Date: Date: Date: Date: Date: Date: Date: SECTION 5: CONSTRUCTION SERVICES 5.1 Li sed Construction Supervisor (CSL) ) / 7pI License Number Exp' ation ate/ Name C - lder O List CSL Type (see below) Address sir 2 Type Description U Unrestricted (up to 35,000 Cu. Ft. R Restricted 1&2 FamilyDwelling Signature M Masonry Only RC Residential Roofing Covering Telephone�� 7 7� WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation `Z D Residential Demolition 5.2 lyteer d H&ne I Movement Co Registration Number HIC omp Name or a is ant Npme xP x it tion Date Addr ?'% �1 3373�Of� Signature Telephone S C . N 6: WO RS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... No ........... ❑ SECTION 7a: OVv3aft AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGFKT 4R CO OR APPLIES FOR BUILDING PERMIT I, , as er of the subject property hereby authorize to act on my behalf, in all matters relative to work au t zed by t s ild ermit plication. Signature of Owner Date SECTION 7b: OWNER' OR A16THORIZED AGEN DECL RATION as Owner or Authorized Agent hereby declare that the statements d 'in f4 ation o he foregoing application are true and accurate, to the best of my knowledge and behalf. s Print Name ZLt7 Signature of Own or tho ed Agent I D to (Signed under th p ' and penalties of perjury) NOTES: 1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program and Construction Supervisor Licensing (CSL) can be found in 780 CMR Regulations I I0.R6 and 110.R5, respectively. 2. When substantial work is planned, provide the information below: Total floors area (Sq. Ft.) (including garage, finished basement/attics, decks or porch) Gross living area (Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/ porches Type of cooling system Enclosed Open 1z, The Commonwealth of Massachusetts FOR Board of Building Regulations and Standards MUNICIPALITY Massachusetts State Building Code, 780 CMR, 7t' edition USE Revised Building Permit Application January 1, 2008 This Section For Official Use Only Building Permit Number: Date Applied: Signature: Building Inspector Date SECTION 1: SITE INFORMATION Residential Commercial ❑ Other Description: 1.1 Property Address: -7tj /� Oui 1.2 Assessors Map & Parcel Numbers Map Number Parcel Number 1.1 a Is this an accepted street? yeses/ no 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (sq ft) Frontage (ft) 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c. 40, §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public ❑ Private ❑ Zone: Outside Flood Zone? Municipal ❑ On site disposal system ❑ Commercial- Service Size Check if yes[] SECTION 2: PROPERTY OWNERSHIP' 2:1 Owner' of Record: (/ Name (Print) Address for Service: Signature Telephone SECTION 3: DESCRIPYION OF PROPOSED WORW (check all that apply) New Construction ❑ Existing Building d Owner -Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work 2: SECTION 4: ESTIMATED CONSTRUCTION COSTS , Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ 2. Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee 3. Plumbing $ 0 Total Project Costa. (Item 6) x multiplier x 3.. Other Fees: $ List: 4. Mechanical (HVAC) $ 5. Mechanical $ (Fire Suppression) 0"_1 Total All Fees: $ 6. Total Project Cost: $ J/ �� r Check No. Check Amount: Cash Amount: Pago No. of. Pays ASCO ROOFING & CONSTRUCTION CO.. CONTRACT LOWELL, MA 01852 HIC # 108424 e Super Contractor License # 092469 978-937-5840 or,978-475-7514 R) , f PROPOSAL SUBMITTED TO PHONE/ DATE - 9 STREET l JOB -NAME CIV, STATE AND ZIP' CODE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: 7 V V .4 yf 7_�.. t cj. j C J. We'Propwl heriby to jurnishimataccordance and labor, — complete in ith.'above` specifications , for the sum of: c1cillors (S Payment to be mods as follows: All material Is guaranteed to be as specified. All work to be completed in a workma Ilk* manner according to, standard.prattic". Any alteration or deviation from a= .,//Authorized . katlans involving extra costs wilt be executed only upon srif . written orders. and Signature' will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our, control. Owner to carry . fire. tomodo Note:jhls proposalmay be and other necessaryinsurance. Our workers are fully covered by Workmen's Com i , withdrown by us'if 'not .accepted within—day*. fi. A ...... .. Ameptanim of Propimi, -The above prices, specification and conditions are satisfactory and are: hereby. accepted. You are authorized A.,_2, 11 , 4 L to do the work.as specified. Payment will be made as ootlined above. Signatur Date of Acceptance 0 O Im 0 Y w2 Cf) cn O P-4 o cisv w° a�' U w O U G rn w�' 7 w w U w a°' Cl) G w4 O U O o w ii. w ._ a w cw o. z b cn Q cn a 2 1-- W H W V CO c o co c c i ..c y �CJ o. c w o CD c N C/1 E Q C/) CD c (� :® CJ o c � N c� z C2M L CD U� CD 3 � Cf)(y N Of m � N c :c m �m CA w 0 .w 0 L c U CLU y O' VJ N CD N Z cmwaO •CD O C d C7 =0 N Z .p 'O r C y=... •� O +� O y .a= O C Z .E c.3�Ncm O C N NON O H �� O a��m C4 2 U 0 O TIT P 0 O 4 O E O O v Z O CL O C H C O cm O CO) � O CO3 — CD m m 43 CD 3� 0� O O O cc a ca c .a O = c ♦-' O v J •� co CD V y C c cc CA cl U) W W 19 W U) Location7/�-- No. Date NORTh TOWN OF NORTH ANDOVER • o ; . Certificate of Occupancy $ JCMUsT.' Building/Frame Permit Fee $ zvjf Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #�. 23769 Building Inspector