HomeMy WebLinkAboutBuilding Permit #496 - 87 FOSTER STREET 1/5/2007Permit NO: 7
Date Issued:
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received 0 7
I IMPORTANT: Applicant must complete all items on this page I
LOCATION ZZ 7—
Print DE
PROPERTY OWNER _ °�7� -E- a-.1",511 to F wtP-S, S -z
Print
MAP NO.: /t1 D PARCEL: ZONING DISTRICT: /-/
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES n
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ Addition
❑ Alteration
&Gne family
❑ Two or more'family
No. of units:
❑ Industrial
Repair, replacement
❑ Demolition
0 Assessory Bldg
0 Commercial
❑ Moving (relocation)
Other
❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Identification Please Type or'PPrint Clearly)
OWNER: Name:
Address:
fly
`47 S,)
CONTRACTOR Name: Phone: 9�2L-
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: _ Reg. No.
FEE SCHEDULE: BOLDING PE M1T:.$12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost :$ % 60;�� EE: i
Check No.:. Receipt No.:
D.a 1of4
g
0-7
Location -n Ir
No. '•, Date
HORTN
TOWN- OF NORTH ANDOVER
Of .•o ,•,4.0
S
IF
Certificate of Occupancy
$
s "•••" Eta
s�cHus
Building/Frame Permit Fee
$��
®�
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
t f
Check # (012
19919 Az4v
Building Inspector dip—
TYPE OF SEWERAGE DISPOSAL
Tanning/Massage/Body Art ❑
Swimming Pools ❑.
Public Sewer ❑
Well ElTobacco
Sales ❑
Food Packaging/Sales - 11
F1
Permanent
Permanent Dumpster on Site F1Private
(septic tank, etc.
Meter location to
project
NOTE: Persons contracting h unre 'ste d contractors do not have access to the guarantyfund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ertified Plot'Plan ❑ Stamped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING,& DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
0
0
IN
DATE REJECTED DATE APPROVED
0
FIRE DEPARTMENT - Temp Dumpster on site yes no
Fire Department signature/date
COMMENTS
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
0
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required
Provided
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA — For department use
Page 3 of 4
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created IMC. Jan.2006
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
Addition Or Decks
❑ Building Permit Application
❑ 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)
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
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
Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Page 4 of 4
TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
1600 Osgood Street B
• ,-.: �-.. - � � wilding 20, Suite 2-64
BCH "'.Ai, North Andover, Massachusetts 01345
Gerald A. Brown
Inspector of Buildings Telephone (9778) 688-9545
HOMEOWNER LICENSE EXEMPTION Fax f 9?S j figs 4-95.3
!'!rase mint
DATE: /
JOB LOCATION:_
tiumber Street Address
Nlap/Lot
HO,ti1EOWNER_ 97,;-�-
`�7g 8a
H
Name Home Phone
Work Phone
PRESENT MAILING ADDRESS <,/-D ..
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
i acts as supervisor). State Building (Code Section 108.3.5.1)
i
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 h
considered a homeowner. e
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 Tc vn of North Andov
minimum inspection procedures and requirements and that he/she will c
requirements. ply with said proc �uria� and Department
; t
- HOMEOWNERS SIGNA FARE
APPROVV. OF RUILDING OFFICI,kL
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