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Home My WebLink AboutBuilding Permit #632 - 85 SOUTH BRADFORD STREET 3/30/2007Permit NO: Date Issued: 31-4-010-7 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial IJ Alteration No. of units: ❑ Commercial ie'Repair, replacement ❑ Assessory Bldg V'Others: ❑ Demolition ❑ Other utS(;RIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: le -1 CZr1.Yr Phone: 7J% 10'k3 95v-0 Address: 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: $ 2 Saa . FEE: $ sz Check No.: X0.20 Receipt No.: R 006P - NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of AgertC?wne'�Slgna#ure oaf cortratto r- 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 DATE REJECTED PLANNING & DEVELOPMENT ❑El DATE APPROVED COMMENTS - DATE REJECTED DATE APPROVE1 CONSERVATIOkR��'"o V:�b COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED ❑ ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit 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 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 ❑ 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 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 i NORTq TOWN OF NORTH ANDOVER pE4,�,8u ". OFFICE OF .top BUILDING DEPARTMENT a + 1600 Osgood Street Building 20, Suite 2-36 Too cg# North Andover, Massachusetts 01845 Gerald A. Brown Inspector of Buildings HOMEOWNER LICENSE EXEMPTION Please g&A DATE: -Q '4�-X o 7 JOB LOCATION: HOMEOWNER Telephone (978) 688-9545 Fax (978) 688-9542 Number Street Address Map/Lot TyG Name /,/ r,&I-y (? 7P 0 ? � 50-o Home Phone PRESENT MAILING ADDRESS �5� S.�/�—i7 Work /y. "A- OCC4�- 1, 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 helshe 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 APPROVAL OF BUILDING OFFICIAL / Revised 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERV.- TION 688-9530 HEALTH 688-9540 PLi1\NINPG 688-9535 04 10 11' 43 W W." x O Cf)oco C4 GOD A •Z �g� c :;c o 0 co � x 'oma o G w 0-4 cp z C/)cn x LLJ CLM CD O CD L _O V Z CD C. O CO) � C O O� CO) O ;� O G W CD m m O O O t O� OQ CL O L CL �Q C CO � c Ccc .� CD ca C Z ts CD CL �..± CO) c C C _W W N c c �g� c :;c o 'oma O C CC2 CO.3 d� V� A co m O � Ea m _o :z D J o 0 O C�co �. ' ts cm ti CD cCLI E O �y N h 3 w Qf A _ H N E m O '00 = �J CL C.3 m rh H m CM C Q 'O . COD p,ct •_ m O v wN Z p W O = ` O CL cm c Q m ` m c ID �CCQ co W C Owy.0 y m 6 A �E C.2 .v� O W C.) CO a _ W t $Czwm .I CD O CD L _O V Z CD C. O CO) � C O O� CO) O ;� O G W CD m m O O O t O� OQ CL O L CL �Q C CO � c Ccc .� CD ca C Z ts CD CL �..± CO) c C C _W W N Location 7/— No. Date Check # 0 2- C-1 2 0 53 Building Inspector TOWN OF NORTH ANDOVER 4, 00 Certificate Occupancy $ of CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0 2- C-1 2 0 53 Building Inspector