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HomeMy WebLinkAboutBuilding Permit #167 - Exception 9/6/2008 NORTH BUILDING PERMIT of ,.,..90 $6_�ti TOWN OF NORTH ANDOVER 02 APPLICATION FOR PLAN EXAMINATION 70 v 4 a Permit NO: � Date Received �SSACHUS�� Date Issued: �� IMPORTANT:Applicant must complete all items on this page LOCATION P,rmt� PROPERTY OWNER �0.' '. i Y1G K 1e l Print MAP NO: Q(g) PARCEL: I' ZONINGDISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential NewBuilding One family Addition Two or more family Industrial Altera ion No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other §00c-_W ell Floodplain Wetlands Watershed District. dSewe ,DESCRIPTION OF WORK TO BE PREFORMED: 9, sr ;V% �o Identificati�kv,%C-lXf-,J Pleasee or Print Clearly) e� OWNER: Name: earl()e Phone: J?TS' 975- Og 4f4 Address:--y) �� �a��f �J - AY\,AaV-ef M 4 012 5 CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. ©ate:: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ J . X00 FEE: $ 161 Check No.: o?d�S Receipt No.: .2/4/)S' NOTE: Persons contrac •"it h u g' d contractors do not have access to the guaranty fund Signature of Agent/Ow r` Signature of contractor 12 7- Location No. Date NORTq TOWN OF NORTH ANDOVER 3: � • SOC � 9 Certificate of Occupancy $ Building/Frame Permit Fee $ �F Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ,;2G�y L 9 Building Inspector 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 CONSERVATION Reviewed on -f Signature COMMENTS i TV Z ZiL /Y z4z HEALTH. Reviewed on Signature COMMENTS i 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 DPW Town Engineer: Signature: Located 384 Osgood Stre FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signaturetdate COMMENTS [imension �29xiz umber.of Stories: � Total square feet of floor area, based on Exterior dimensions� otal 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) 1 ❑ Notified for pickup - Date Doc.Building Permit 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 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) y o' ,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 DEPARTMENTMFORM07 Revised 2.2008 NORTH o'" o And.: ,= over T f .......... No. 14L over, Mass.,— 10 lop LA COC NIC HEWIT 0RATED P'1' BOARD OF HEALTH Food/.Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... .V!Yf.....ell; Foundation ......................................................................... has permission to erect........................................ buildingson./ YF 4:aX74"7046, rt- has Rough 4 .. Chimneyto be occupied as.................................z........f.. 1.. . . . .. ...............m................I...................................... provided that the person accepting 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough Service BUILD INSPECTOR 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. ir SEE REVERSE SIDE Smoke Det. CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE.1"=40' DATE.9WO08 Scott L. Giles R.P.L.S. Frank. S. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. � I k LOT 2 14,275 s.f. EXIST.24'DIAMETER SWIMMING POOL N v v O c00n —2 ' 26' __ + 0 w z w ti x LOT 1 28'+1 _- _?5'+1 a PARCEL 26 LOT 3 DECK O PARCEL 28 prop. 11' t t' P N `.'add. add. '- w I EXIST. DUPLEX11Q BR CONC I r C y O DMTWAY i 20' F 73' EAST WATER STREET 1 CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS y>��t� �� OF THE BUILDING INSPECTOR ONLY moo'' S SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING .13972 BYLAWS OF NORTH ANDOVER CONFORMITY OR NON-CONFORMITY �����ALI REFIO WHEN BUILT WHEN CONSTRUCTED. pORTp TOWN OF NORTH ANDOVER ° OFFICE OF A BUILDING DEPARTMENT *e „ = + 1600 Osgood Street Building 20, Suite 2-36 North Andover Massachusetts 01845 1sswcr,ustt ' Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please 1 DATE:. JOB LOCATION: L O" X2. zyF LZ 7 Number Street Address Map/Lot HOMEOWNER a i1Q. Y1G�C �'7 g r 9? o�� -�J 2 Z o SS Name Home hone Work Phone PRESENT MAILING ADDRESS K) , l gq5 City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to am 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 he/she understands the Town of rth-Andover Building Department minimum inspection p _and and that he/she 'd pr�oeedares and requirements. i HOMEOWNERS IGNATURE el APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption 110ARD OF 1PPFA1.S 6R8 9541 CU\SERV.V110\688-9530 NE.0 ni 6x8-9540 688-9535 F i 4 t i e • r i f {i� t Y I } E 4 i Y 5 � k s � 3 { oe I , � << - ? I . Ll E 1 ;�j t x i t r " s r " F 1 cc x 3 i� !F 4 E 7 K Lj li