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Home My WebLink AboutBuilding Permit #737 - 79 BLUEBERRY HILL LANE 6/12/2008BUILDING PERMIT 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No: 7,T7 Date Received AVID $I 6 ACHU Date Issued: IMPORTANT: Applicant must complete all items on this page C A ]OU 777 U-� Pay k, J Piillt r 77-7777- a'- " ST Is tc'u C�T Hor ft VIAP�,NQ' 'im Mc'-' - Vi ll TYPE OF IMPROVEMENT PROPOSED USE Resjiwtial Non- Residential New Building One fami y) Addition Two or more family Industrial Al!gon No. of units: Commercial (Repair, replacern Assessory Bldg Others: Demolition Other peptic �11eI1 1) aln WetlandsW, fl�irs`d 'EY, -`dt W-Wat DESCRIPTION OF WORK TO BE PREFORMED: +,-A- L-� i. 4,V\ -1-"L, ARCHITECT/ENGINEER 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: $ 0O O FEE: $_ / �y Check No.: Receipt No.: !2-1,:?- L�4 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location 71 No. 777 Date NORTH TOWN OF NORTH ANDOVER 3?O� t•`'D I•,�OOL Certificate of Occupancy $ ZZ/ </ — ,S3 CMUSEt� Building/Frame Permit Fee $ --� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ _ Check # s 2 1 2 3 4 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swinuning 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Planning Board Decision: Comments ing Decision/receipt submitted yes 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 No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA - (For department use a ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 o 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 TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT 1,600 Osgood Street Building 20, Suite 2-36 North Andover, Massachusetts 01845 Gerald A. Brown ` Inspector of Buildings HOMEOWNER LICENSE EXEMPTION Telephone (978) 688-9545 Fax (978)688-9542 Please p i DATE: JOB LOCATION: L Q( 1 Number Street Address Map/lot HOMEOWNER ,r4•�c Name Home Phone work Phone ldly i vwn DURC Zip Code The current exemption for "homeowners" was extended to include owner-o=Tied 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 structbm. A person who conslrncts 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, roles and regulations. The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection promdunes and regdurq and that he/she will comply with said procedures and HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners F-umption i BOARD OF \PPE.V_S 6XF-95:11 CO\SER\'.vriOP: 638-9530 HE.ILTH 08-9-540 PL.I\KING 688-9535 m Eg_—* x A v x °o w a cf) v cn O F-4 � t� z A o o w o a2 u E x U G x O O a t o w w w w a� w o w c� u. 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