Loading...
HomeMy WebLinkAboutMiscellaneous - 63 VILLAGE GREEN DRIVE 4/30/2018N d / V'�ttflo � •ry� TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 1600 Osgood Street, Bldg. 20, Suite 2035 North Andover, MA 01845 978-688-9545 Gerald Brown, Inspector of Buildings May 24, 2016 To: Livna Arich Fr: Gerald Brown Re: 63 Village Green Drive Dear Ms. Arich, Per a site visit to the above address on May 20, 2016 this order letter is to address construction being done without proper building, plumbing, and electrical permits. A stop work order has been posted on the property and will remain there until the proper permits are in place. Please direct your licensed and insured general contractor, plumber, and electrician to come to our office to file the proper permits as soon as possible, which will then ensure proper inspections of the work being performed. Please call our office at 978-688-9545 with any questions. Sincerely, Gerald Brown Inspector of Buildings TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 1600 Osgood Street, Bldg. 20, Suite 2035 North Andover, MA 01845 978-688-9545 Gerald Brown, Inspector of Buildings May 24, 2016 To: Livna Arich Fr: Gerald Brown Re: 63 Village Green Drive Dear Ms. Arich, Per a site visit to the above address on May 20, 2016 this order letter is to address construction being done without proper building, plumbing, and electrical permits. A stop work order has been posted on the property and will remain there until the proper permits are in place. Please direct your licensed and insured general contractor, plumber, and electrician to come to our office to file the proper permits as soon as possible, which will then ensure proper inspections of the work being performed. Please call our office at 978-688-9545 with any questions. Sincerely, Gerald Brown Inspector of Buildings Ar 'T>Pd P�r� �I `Gl �iC , in j c te � ��- (�g/ v� �kje- TOWN OF NORTH ANDOVER NORTFr Office of the Building Department o� q , Eo , ti o�m Community Development and Services o� y�yt- '' 70 1600 Osgood Street, Bldg. 20, Suite 2035 North Andover, MA 01845 + i 978-688-9545 �RA7¢D IPP .�5 �SSgcHUS Gerald Brown, Inspector of Buildings May 24, 2016 To: Livna Arich Fr: Gerald Brown Re: 63 Village Green Drive Dear Ms. Arich, Per a site visit to the above address on May 20, 2016 this order letter is to address construction being done without proper building, plumbing, and electrical permits. A stop work order has been posted on the property and will remain there until the proper permits are in place. Please direct your licensed and insured general contractor, plumber, and electrician to come to our office to file the proper permits as soon as possible, which will then ensure proper inspections of the work being performed. Please call our office at 978-688-9545 with any questions. Sincerely, 41/ Gerald Brown Inspector of Buildings Llv,,,j c, icln 5/24/2016 NOR � `,OVER Massachusetts Fwd: 63 village green drive Town of North Andover Mail - Fwd: 63 village green drive Gerald Brown <gbrown@northandoverma.gov> To: Maura Deems <mdeems@northandoverma.gov> Maura Deems <mdeem s@northandoverma.gov> --------- Forwarded message ------- From: Melissa Duggan <cloe 90210@yahoo.com> Date: Mon, May 23, 2016 at 6:29 PM Subject: RE: 63 village green drive To: "gabrown@townofnorthandover.com" <gabrown@townofnorthandover.com> Tue, May 24, 2016 at 8:51 AM Hi Gerry, I met with you the other day about number 63 i live in number 61. she did hire an exterminator that came on saturday. friday a licensed plumber showed up he shut off the water the guys she has working there nailed up the cabinets. and that put a hole in the pipe in the wall. She had the handymen back on sunday to fix it. My concerns are when i first saw the place upon her letting me in was that there were hanging electrical wires in the living room, and -in the basement. there were buckets in the kitchen above the cabinets and towels absorbing the leaks, there were leaks in the bathroom. there was black mold in the bathroom. She has had handymen doing all the work in there and upon me finding out today that they put more holes in pipes that confirms my fear that they arent quailified to do this work. Her handyman that is doing the flooring informed my neighbor Daniel medina about the new issue in the kitchen. Daniel lives at number 59. Melissa Duggan 978 290 0996 https:Hm ai l.googl e.com /m ai I/ca/u/0/?ui =2&i k=aeO2b3b5c4&view= pt&search= i nbox&m sg=154e2d 1 cf171 a628&s i m l=154e2d 1 cf171 a628 1 /1 5/24/2016 13292947 10209098230751245_550230720_n.jpg https://m ai I .googl e.com /m ai I/ca/u/0/M nbox/154e2d273el eec37?projector=1 1 /1 5/24/2016 13278070 10209098229591216 1627740135_n.jpg https:Hm ai I.google.com/mai I/ca/u/0/M nbox/l54e2d273eleec37?projector=1 1 /1 5/24/2016 13295311_10209098233031302 1373868945_n.jpg https://m ai I.googl e.com/mai I/ca/u/0/M nbox/154e2d273eleec37?projector=1 1/1 � � � mv F– � � � � § 70 n £ � � / § k Z ) $ E E 02 \ 9 0 C) g'.4 M 0 > v 20M LA k Lq » ■ � w 0 $ 0 \ � n 0 ( § = o m I � .. 0 � 2 n 0 0- rD I 2 k yn Official, Use Only ClrrmnonUJeO.iti4.�%% 01" Ma acku6ae Cs . Permit No. 2_c �ePartment 0 —7 ire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical,Code (MEC), 527 CMR 12.00 (PLEASE PPI_NT IN INK OR TYPE ALL INFORMATION) Date:. February. 14, 2011 City or Town .of: North Andover To the Inspector of -Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ' Location (Street & Number) 63 Village Green Drive Owner or Tenant Property Management of Andover Telephone No. (978)683-4101 Owner's Address P.O. Box 488_,Andoyer, MA 01810 Is this permit in conjunction with a building permit? Yes ❑ No ❑x (Check Appropriate Box) Purpose of Building Residential_ Utility Authorization No. _, v'•=i'i �::1s;u / �roits Z`.i"re^.r:aCi:d ❑ i "dgr d ❑ .11 U. v= li3('teY'S New Service na Amps _ / Volts . Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders and Arnpacit), Location and Nature of Proposed Electrical Work: Fmrgency repairs to service Completion of the following table may be waived by the Inspector of Wires. (No. of Recessed Luminaires No. of Ceil: Susp. (Paddle). Fans + v Attach additional detail ifdesirect, or as required by the Inspector oj wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless_ the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited_ proof of same to the permit issuing off -Rice.. CHECK ONE: INSURANCE K] BOND ❑ . OTHER ❑ .(Specify:) X_certify, under the pains and penalties ofperjury, that the' information on this application is true and complete.. FIRM NAME: Crowe & Sons E1e.ctrical Cor LIr NO,1-1 41-68A Licensee: b. James B . Crowe Signature LIC. NO.: 1 1 A (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: - 6 6 96 Address: 576 iddlesex Street, Lowell, 4a 01552 Alt.�el.N0.: �-6696 "Per M.G.L. c. 147, s. 57-61, security work requires. Department of Public Safety "S" License: Lic. No. SS Q0 0010 51 OWNER'S INSURANCE 'WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby v,aive this requirement. I am the (check one) ❑ owner ❑ owner's agent. O-wner/Aent 5.00 SigatregTcle hone`o. JfT'�yZ: No. Total Transformers KVA No. of Luminaire Outlets (No. of Hot Tubs +Generators %'VA 1\To..of Luminaires. Above. In- (Swimming fool ❑ ❑ �i nd. 6rnd. o. or mergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners . (FIRE.:ALARIMS .. No.. of Zones No. of Switches No. of Gas Burners No of.Detect:on and L., Initiating Devices No. of Manges No. of Air Cond. Total Tons No.. of Alerting, Devices Heat Pum (dumber Toms KW P No. of Self -Contained No. of Waste Disposers ..:_ _ _ _._..:_.....-._,-....._..._....._..._.__.. Total Detection/Alerting Devices No. of Dishwashers (Space/Area Heating KW Local 0 Municipal ❑ Other Connection No. of Dryers 17 Heating Appliances KW �� Securify Systems:'- No. of Devices or Equivalent No. of Water No. of No. of Data Wiring: Heaters Signs . Ballasts No.'of Devices or Equivalent No. Hvdrornassage Bathtubs 5 No. of Motors .Total HP: x elNo -mfDe c eso r `, ✓Ling:1� I^ PJC. C' T,o.. „_„nitr:.crC7.. O'I'HER: Attach additional detail ifdesirect, or as required by the Inspector oj wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless_ the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited_ proof of same to the permit issuing off -Rice.. CHECK ONE: INSURANCE K] BOND ❑ . OTHER ❑ .(Specify:) X_certify, under the pains and penalties ofperjury, that the' information on this application is true and complete.. FIRM NAME: Crowe & Sons E1e.ctrical Cor LIr NO,1-1 41-68A Licensee: b. James B . Crowe Signature LIC. NO.: 1 1 A (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: - 6 6 96 Address: 576 iddlesex Street, Lowell, 4a 01552 Alt.�el.N0.: �-6696 "Per M.G.L. c. 147, s. 57-61, security work requires. Department of Public Safety "S" License: Lic. No. SS Q0 0010 51 OWNER'S INSURANCE 'WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby v,aive this requirement. I am the (check one) ❑ owner ❑ owner's agent. O-wner/Aent 5.00 SigatregTcle hone`o. JfT'�yZ: c (f1mmoniveabli. o f Mamackajett6 Official Use Only �] Permit No. 7q.6"— 2erartmeld o f Jire - ervice6 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC); 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Nove-mber 7, 2007 City or Town of: North Andover To the Inspector of Wines: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 63 Village Green Drive Owner or Tenant Village Green Association Owner's Address PMA (978) 683-4101 Is this permit in conjunction with a building permit? Purpose of BuildingRe s id en t i a l Existing Service 200 Amps 120 /240 Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: l Telephone No. Yes ❑ No ❑ (Check Appropriate Box) Utility Authorization No3663236 Overhead ❑ Undgrd ® No. of Meters _ Overhead ❑ Undgrd ❑ No. of Meters _ ter socket reDlacemen -- Completion of the following table may be waived by the Inspector of I41ires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires AboveIn- Swimming Pool ai•nd. ❑ rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. InDetection and of nitiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Total Number ..... Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs Y b No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail"if desired, or as required by the Inspector of Mires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfonnance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE x❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Crowe & Sons Electrical Corp. LIC. NO.: 17168A Licensee: James B. Crowe Signature LIC. NO.: 1 16 A (If applicable, enter "exempt" in the license number line) Bus. Tel. No(978)453- 696 Address: 576 Middlesex Street, Lowell, MA 01851 Att. Tel. No.: (978)251-M3 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SS CO 001051 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature. below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ 55.00 Signature Telephone No. 5 P kt�rm,� vlti 11 -f(( -D-7 pt -i 9920 Date....p�.:..-....�./.. "� TOWN OF NORTH ANDOVER .-.r o p PERMIT FOR WIRING This certifies that.......................................�E...(, .8 .................................... has permission to perform ...../ .......... l� ..... wiring in the building of..........e1lml-1AvIkAlk�......................................... at .... �,?.,?J....%r. ...l..g-��............. . North Andover, Mass. d Fee ..... 57J.. �.... Lic. No...,tj ...........ZRICAL IN ELE SPECTOR Check # .4 7% �.-.. C/ Do1%% // tL O mdMA�.Lfleaiti7. OI� I�a6jaCi7.U.deLt;S eLJepartment o� ire Serviced BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORiVIATI0N) Date: February. 14, 2011 City or Town ;of: North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street R, Number) 63 Village Green Drive . Owner or Tenant Property Management of Andover Telephone No. (978)683-4101 Owner's Address P.O. Box 488 -.Andover, MA 01810 Is this permit in conjunction with a building permit? Yes❑ No ❑X (Check Appropriate Box) Purpose of Building Sc ,',. A. sins New Service Amps _ / Volts Residential - volts Number of Feeders and Ampacity Utility Authori✓ation No. ZlY 4a aaVuQ, L� uIn(dard Overhead ❑ Undgrd ❑ No. of Nieters No. of Meters Location and Nature of Proposed Electrical Work: �Fmergency repairs to service Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans. No. of Total T ransformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators I;V A No. of Luminaires Swimm' inQ Pool Above In- b grad. arnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS . No. of Zones No. of Switches No. of Gas Burners No of Detection and No. Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alertine.Devices No. of Waste Disposers Heat PumpPiumbe.. rTons_ KW � No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers heating Appliances, Security Systems:" No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP ITelecommunications Wiring: No. of Devices or Elgui val:^4 OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in .force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE �] BOND ❑ . OTHER ❑ (Specify:) I certify, under the pains and penalties offerjury, that the information on this application is true and complete. FIRM NAME: Crowe & Sons Eer trical Cor A.,, LIC. NO.=1 7�i68A Licensee: James B. Crowe Signature JJ LIC. NO.:�68A (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.- 453-6696 Address: 576 Middlesex Street, Lowell, Ma 01552 r All. Tel. No. — 0 6 9 0 "Per M.G.L. c. 147, s. 57-61, security work requires. Department of Public Safety "S" License: Lic. No. SS Co 001-051 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive 'his requirement. I am the (check one) ❑ owner ❑ owner's anent. .Owner/Agent Signature T clephone No. ; pER-Iyfl7 . SS.flO i rd yv Date .... :r `../..' .-�'�.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING � o wE- r 5�m eon ID Thiscertifies that.........................,.................................................................... has permission to perform ..... �72'� wiring in the building of .... (� 3 V I ctrl �'�"EjiJ f ...... , North Andover, Mass. Fee................. Lic. No.............. ............. ; ..!........................... ELECTRICAL INS PECTOR` Check # 0-72 5 R MWrEW6 N -o? Commnonwealth o f /V/aasacku.Jetb 2erartment of ire -3ervicee TLE BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 7 7�S Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK - All work to be performed in accordance with the Massachusetts Electrical Code (MEC). 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Noyeinber 7, 2007 City or Town of: North Andover To the Inspector of Wiles: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 63 Village Green Drive Owner or Tenant Village Green Association Owner's Address PMA (978) 683-4101 Is this permit in conjunction with a building permit? Purpose of BuildingRes ident ial Existing Service 200 Amps 120 /240 Volts New Service Amps / Volts Number of Feeders and Ampacity Telephone No. Yes ❑ No ❑ (Check Appropriate Box) Utility Authorization No3663236 Overhead ❑ Undgrd ® No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: Meter socket replacement Con,nletion of the following table may be waived by the Inspector of Wires. Attach additional detail if desired, or as regtarea by the impecun <p vo 11 -S. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfonnance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE El BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Crowe & Sons Electrical Cor LIC. NO.: 17168A Licensee: James B. Crowe Signature. LIC. NO.: 1 16 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978 453-6696 Address: 576 Middlesex Street, Lowell, MA 01851 Alt. Tel. No.: (978)251-8573 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SS CO 001051 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature. below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ 55.00 Signature Telephone No. No. of Total No. of Recessed Luminaires No. of Ceil.-Sus . (Paddle) Fans P ( Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In -El Swimming Pool grnd. 2rnd. o. o Emergency ig ting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. o Detection and No. of Switches No. of Gas Burners nitiating Devices In No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices Heat Pum Number Tons KW ........... No. of Self -Contained No. of Waste Disposers p Totals: ...... Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection Dryers No. of Dr y Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of WaterKW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as regtarea by the impecun <p vo 11 -S. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfonnance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE El BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Crowe & Sons Electrical Cor LIC. NO.: 17168A Licensee: James B. Crowe Signature. LIC. NO.: 1 16 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978 453-6696 Address: 576 Middlesex Street, Lowell, MA 01851 Alt. Tel. No.: (978)251-8573 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SS CO 001051 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature. below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ 55.00 Signature Telephone No.