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Home My WebLink AboutBuilding Permit #37 - 805 JOHNSON STREET 7/17/2007 BUILDING PERMIT c� r10RTl1 q �tt,_eo 6. 1•G TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: " Date Received Arno Date Issued: .• SSACHUS ___407 � t 4 -LZ IMPORTANT-Applicant must complete all items on this page .LOCATIQNN rant PROPERTY OVI/iS1ER.a Pant - MAP NC7 PARCEL, ZONIN DlS R1CT I.listodc:Dlstnct yes:.. 11/Iach ne Shop Vi!lage eyes, oA TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units:, Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sepfic VeN�.' �Fjodplalr 1letlands Iterslaed Dfitrid .:: WateU5ewer . . . �x DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: CG Phone: TZ1 ,5q Address: 11 _11, R CONTRACTOR me' Plaone.- 77 Address: , Supervisor's..Construction;License- Floc ae IM! p.r Vernent License EDate:. 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: $ �� (� —� FEE: $ Do � Check No.: a Receipt No.: (90�0 NOTE: Persons contra 'zg with unregistere ontractors do not have access to the guaranty fund te�of.A -_ 9n urgent/Owner ��- �.��.. 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 i I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS ZoninvwBoard 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 #Rf DEPARTMEN Tein Dura s#er ori si#e P P Yes �no Located:at"124 MainStreet' Fire,Department-signaturel.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 i 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 o 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 Location 'Por 'Tv�ir�Sar No. Date -0 T N�RTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ s�CNUs<� Building/Frame Permit Fee $ y Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # O 204L '1 -- Building Inspector NORTH Town of 0 ------ dower, Mass.,07- 11. ' 09- C% T O LAKE COCHICHEWICK V 7 ADRATED pP�\ �C BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �w BUILDING INSPECTOR THIS CERTIFIES THAT.... ................. '.......q \. .. .... .... ............................. .................................................. Foundation has permission to erect..... ......_...................... buildings on ..............��..... ... .�.��M».......4�.. Rough to be occupied as ... .w.* .............................................................................................................. chimney provided that the person accepting this p shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final -.- PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ON TS Rough ................... Service CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. f NORTH TOWN OF NORTH ANDOVER •' 0 OFFICE OF F BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 �1 ne North Andover,Massachusetts 01845 sJACNUg� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please p� DATE: JOB LOCATION: �jNumber Street Address Map/Lot HOMEOWNER 9 471 1F Name Home Phone Work Phone � f PRESENT MAILING ADDRESS /<Fes,/ S�- 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 sash homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code$action 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which helshe 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 helshe will comply with said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homemvt►=Exemption BOARD OF 1 HAI S 688-9541 CONSERC:ITION 688-9530 IE U-'rif 08-9540 PLANNING 688-9535