HomeMy WebLinkAboutBuilding Permit #924-12 - 88 HILLSIDE ROAD 6/25/2012BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 9pl� 2 -
Date Issued:
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Date Received
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TYPE OF IMPROVEMENT
PROPOSED USE
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Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial
Others:
Repair, replacement
Assessory Bldg
Demolition
Other
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ARCH ITECT/ENGI NEER Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT: $1Z00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.0o PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting W'thf� . dered contractors do not have access to the guarantyfund
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Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning/massage/Body Art
=SwimmingPools
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 DATEAPPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
Reviewed on
Ili-.Actoll �-J) 'IV\ 102� " C
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Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signatur e & Date Driveway Permit
DPW Town Engineer: Signature:
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"O'MMENT
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 21 A —F and G min.$100-$l 000 fine
NOTES and DATA — (For department use
L3 Notified for pickup - Date
Doc.Building Pennit 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 En * gineered 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
Li 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)
E3 Copy of Contract
• Mass check Energy Compliance Report
• Engineering Affidavits for Engineered products
NOTE: All d.umpster 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 2.2008
Location
No. 45�a �,, - Date 6/zr//Z—
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Building/Frame Permit Fee
C
Foundation Permit Fee
Other Permit Fee
$
TOTAL
Check # -Zz�
25448
Miding ln�pector
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PubliC—VOriable Width ST
TOWN OF NORTH ANDOVFR
OFFICE OF
IBUMDING DEPARTMENT
Osgood Street Building 20, -Suite 2-:36
North Andover, Massachusetts 01845
Gerald A. Brown
Inspec-tor of Btu`ldings Telephone (97�) 688-9545
Tax (978) 688-9542
HOMEOWNER -LICENSE EXENjPTION
-BUIDING PERYHT APPLICATION
Llease prin
DATE: --
JOB LOCATION:
qKC
Number Street Address
Map/Lot
150MEOWNER
escx 979
Name �e
Home Phone Work Phone
PRESENT MAILiNG ADDRESS
vp—( 111 2L
)G
S 36 C & %0
Zip Code
The current exemption fbr'%omeowners,,
to allow such hOTr)eojj was exterided to include Owncr-occfipied dw
__ r
acts as supervisor). . pers to engage an kadi vidual-for hire who does not poss ellk-,-S to two Units -Or JeS.S anCl.
State Building (Code Section 108.3.5. 1) ess a license, provided that the owner
DEFINITION OF HOMEOWNER
Person(s) Who Jqwns a Parcel of land on which he/she resides or intends to resi
be, a one or two farm.ly structures. A person who constructs more th de, on which there is, Or is intended to
con . sidered. a homeowner. atone home 'in a two-year period shall not be
The undersigned "homeowner" a
ssulnes responsibillity fo 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
minimurn inspection Procedures and, require
requirements, s nd that be/she will comply with,said procedures
and
HOMEOWNERS SIGNATURE A
APPROVAL OF BUILDING OFFICL&L
Revised 7.2009
Form Homeowners Exemption
130AP'D OF APPEALS 688-9541
CO3\TSERVATION 688-9530 HEALTH 689-9540
PUNNING 688-9535
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2240 Aspen 625 Sq Ft/Per Ft 10."2
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