The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #150 - 90 HIGH STREET 8/24/2007 (2) BUILDING PERMIT Of "ORT" A TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ( n : p Permit N0: 1U, Date Received � � Date Issued: L21, (� �SS4cHuss� IMPORTANT:Applicant must complete all items on this page LOCAT1ONPnnt :PROPERTY 0', -NER Oznnt a MAP NO.; PARGE ZONING DISTRICT: His#drc Distnc# yes Machine."Shop /illage ,yes. n 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 Septic lla/ell Floodplain:, Vl/etiands VI/atershed Distric#: Water/Sewer. DESCRIPTION OF WORK TO BE PREFORMED: k� 1 YarSL.� Identific on Please T e or Print Clearly) OWNER: Name: X11=,� Phone:Cq'rk- ( Address: Ro 1�1L-%+ N-r CONT C RA TOR Name. Phone:, Address; .. Svpervasor'sGonstr�actJon,L"acense _._ Em,',; Date",r Horne ImprovetnentJLicense; Exp. Date; 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: $ 1 S& X ?_ _ — Check No.: /S--' Receipt No.: . NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Sig�atute of A en�/� 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 DATE APPROVED PLANNING & DEVELOPMENT COMMENTS REJECTED DATE APPROVED CONSERVATION - . COMMENTS1h, DATE REJECTED DATE APPROVED ' HEALTH.-- COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments il Water & Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street ftRE DEPARTMENT Temp:Durn pster on site yes no , Located at'a24:.Main Street Free Aepartrnent;slignaturie/date. COMMENTS I 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 4/40 ❑ 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 o 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 II 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 p ler 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 /b , ' d(/► 's?� No. Date 0 d NaRT� TOWN OF NORTH ANDOVER F ° Lp x Certificate of Occupancy $ ��s'•"°' NUE Building/Frame Permit Fee $ JACS Foundation Permit Fee $ w Other Permit Fee $ TOTAL $ Check # 205 � O 13k 77�' It 06ilding Inspector -NORTH TONM of _ ._. Ahdover No. / Sao �. _ dover, Mass. ISO LAK COC MIC EWICK 7�S RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �� BUILDING INSPECTOR THIS CERTIFIES THAT.......a�:4.......... !.. ..Q....... Foundation has permission to erect........................................ buildings on .A.0...... .otuk...... .......�.......................... . ..... Rough to be occupied as � � �t........C, 1 !A•!............ / Chimney � ; .............. provided that the person acc pting this permit 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 O PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRU S Rough Service BUILDING INSPECT 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. NORTq TOWN OF NORTH ANDOVER F:;•t;`'° � OFFICE OF BUILDING DEPARTMENT *. s + 1600 Osgood Street Building 20, Suite 2-36 456 North Andover,Massachusetts 01845 ss�cHuss Gerald A.Brown ` Telephone(978)688-9545 Inspector of Buildings d Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please odut DATE: A�)!�L-A 1Sw'] JOB LOCATION: Number Street Address Maput HOMEOWNER t Ccn��*s-fns Lcrn Az!�,:,wi4- Name Home Phone Work Phone PRESENT MAILING ADDRESS lO \I Ly` 1 \ r City Town State Zip Code 1 owner i w o units or less The current exemption for homeowners was extended to include ed d to tw is xempU -occup dwelling 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) DEFINfl OF HOI FMOWNER 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,riles and regulations. The undersigned"homeowner"certifies that hetshe 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 SI - APPROVAL OF BUILD=NC Revised 10.2005 Fmm HmwwWn Em M00n BOARD OF \PPEALS 688-9541 CQ\SERVARON 633-9530 ITEAurii 698-9530 PL.1\vING 683-9535