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Home My WebLink AboutMiscellaneous - 23 GLENWOOD STREET 4/30/2018 23 GLENWOOD STREET / 210/00_6.0-0060-0000.0 i NORTH BUILDING PERMIT o�tt,•° 'bgtio TOWN OF NORTH ANDOVER 0 i A APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �sSACHus��y Date Issued: -,op/0 IMPORTANT Applicant must complete all items on this page Ltr}CATION � I'7 r l P int P Pi=R X OW� max, rlt1t k " k MAP N � 1='ARCI ZaN1N� 'STRICT: � F� HISTORIC DI��I IST �yds - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑ Addition ❑ Two or more family ❑ Industrial ,Alteration No. of units: % 11Commercial epair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other h�d tDistricWFoodpSeptWW� , ' DESCRIPTION OF WORK TO BE PREFORMED:1 041 � Identification 7Please Type or Print Clearly) OWNER: Name:4 S-I-I I� O ec;i- Phon Address: � GI.) I\1 LvC')Q jY A CONTCTC arae hot e s WAddres ` � � Super .;'Constructing License Ex Dat 4g, Ar . c : Exp Toe I°inpront Llcei e o mEx �. ate 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: $ o :) FEE: $ Check No.: .:7`7'2 Receipt No.: �2 6 07 2- NOTE: Persons contractin with unregistered contractors do not have access to the guaranty fund � J Signature of Agent/Owner ignature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 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 ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments r Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street -------------------------------- FIREDEPARfiMENTTei�np Dumpster on site yes ,Located at 9,24 Win'Street Fire; p men# signatureldaery _ , 'coMME �k 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 ❑ 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 Location '93 6:1f, No. Date Z` G 7 r �oRTN TOWN OF NORTH ANDOVER ' Certificate of Occupancy $ . o, .____. .s • �ITS�C <� Building/Frame Permit Fee $ 6 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ✓ 7ft--7 2 20 , Building Inspector 1W�TM �'►sP i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT 1600 OSGOOD ST BUILDING 20 SUITE 2-36 NORTH ANDOVER MA 01845 978-688-9545 978-688-9542 Fax H0=WNER LICENSE EXEVIPTI4N Please print DATE —2> ` J 7 JOB LOCATION b I t n/ W C5 n,//{ �j f7 Number Street Address / Map/Lot HOMEOWNER_I�..Y1 �' l �} C LQ G� t�/� Gjv - S.�Jj ( C��f Name Home Phone Work Phone PRESENT MAILING ADDRESS_ Ct n 1 rj A � i ►- �1 IBJ Cityrrown State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of 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,one or two family dwelling,attached or detached structures attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance 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 minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEWOWNER'S SIGNATURE APROVAL OF BUMDING OFFICIAL NORTH Town of over vert. No. dover, Mass., COC MIC ME WICK 7,95 RATED C2 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 1 I... ./.�5 �.,�......... . . .................................... ..................... .... .... ...................... Foundation has permission to erect........................................ buildings on....� ...... ...ze. ................ Rough /� to be occupied as................4/. ?A6..:�...�-t..G?.a.F...... Chimney S' ��1�r........att�.....1 ..�1U��o.Gv✓.' y provided that the person accepting this permit shall in every respect co rm 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 t UNLESS CONSTRUCTI N STARTS Rough ..... ..... . . 4- BIUI�64F�4GINS�PEC Service 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. IF—sEE REVERSE SIDE Smoke Det.