HomeMy WebLinkAboutBuilding Permit #479 - Permits #479 - 38 TURNPIKE STREET 12/29/2005 1
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Location
. Date
TOWN OF
1 0 NORTHANDOVER
0
Certificate
B AilPermit
Foundationi
O,ther Permit Fee
TOTAL
Check #
Building Inspector
TON"' OF
NORTH
i
i
BUILDING DEPARTMENT
6
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„`911
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SECTION 1-SITE
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01
Number
Dimensions:
s
1.6 WELDING SETBACKS
Front Yard Side Yard Rea,r Yard
....ReT "'re,d Provide 11 red Provi&d,
Provided
.5., Flood Zone Infonnsfion. L8 " l System,
munici 81 01 On Site no
,NT Histonc District Yes No M
Owner2.1 of Rmord
Name(Print) Address
,
for Service:
.,
a. d
� r
Signature, Telephone
Owner2.2 of Record:
Name `Pnnt Addressfor' �` ,
` ra
Supervisor:Licensed Construction
License Number
Ad,dress
ContractorExpiration Date
Signature Telephone
3. Registered Home Improvement Not Applicable 11
Clompany Name
M�
.' .„
Workers n i n Insurance affidavit must be completed and submitted, it
i nialof the issuance of the
:'
New Constniction ilia iten
Accessory . . t Other r f i �'f
M'.n v'k ,
Brief Description offroposedWork-,
11A_ V Ve, 1 .05,11,
-SECTION 6-ESTIMATED CONSTRUCTION COSTS
"n1u�a
'�� � tl ;t Cost of r t ONLY
emit licant
Buildingq i .a a t Fee
MultillAier
ElectricalEstimated Total Cost of
Construction
Building, is fee,( (
. :
5 Fire Protection
tal
6 To
uCheck Number
AUTHORIZATION51 SECTION 7a OWNER
OWNERS AG.ENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as w r. t'i a ri; east `subject p�r
"�
lry aifthorize 'to act on
My i
half,in all matters rebative to work authorized,b,y is buildfiigrelit appli Kati ti.
r �g1lature of 0,wner eats
DECLARATION"SECTION 7b OWNERJAUTHORIZED AGENT
gas Ovaier/Authofized,Agent of subject
property
Hiereby-declaret the statementsand,ara ti p on the fol-egoing applicatimn, tnie and . t T to the best ofmy knowledge
a .
ief
Print Name
M"si ture of Ovai
al M er ent Date
. OF STORIES IZ
BASEMENT OR SLAB
DtMIENSIONS OF, POSTS
DIIMTENSIONS OF GIRDERS
HEIGIff OF FOUNDATION THICKNESS
SIZ *OF F00TfNG
_
MATERIAL
IS BUILDMI ON SOLID OR FILLED L�Wl)
BUILDING CONNECTED NATURAL GAS LrNE
l
i4oRTH
7rown of i%jadover
:w
0 i�
No. �.
�i
.r = doves Mass.,
� L
COCHICHEWICK
BOARD of HEALTH
Food/Kitchen
Septic System
BALDING INSPECTOR
TH I RTI TMT... ..... KW. . ......... .. ........... ..... ..
oii7atiol3
11 fsTr
hay p s i o ere ... . �.+... bull ' ... .. .�. .. .. .. .....,.+ . .... .....
�. � . ... Rough
o be occupied ... , .+.+..+.+.. Chimney
... . . .... ., .,.. ... ...................
dehatie orfi toeepting this permft shall i very res ett co orm to r s of the application on file in Final
this office, and to the provisions of the Codes and By- vas relating to the Inspection, Afteration and Construction of
Buildings In the Town of North Andover. 3
PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
P- E- P E-�,T- IRES N 6 MONPIr- HS
T N'71
CON:'43-�U CSTA�TS ELEC"MCAL INSPECTOR
- Rough
Service
is
INLS P ECTOR
Final
Reauzpred o Oc Bud. GAS WS 'CAl.
Rough
Display in a Conspicuous Place on the Premises Do Not Remove Final
No Lathing or Dry Wall T Be Done FIRE DEPARTMENT
Until Inspected and Approved by the uil in Inspector. Burner
Street No.
x Smoke l SEE REVERSE SIDE
t.
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t
FORM U - LOT RELEASE FORM
INSTRUCTIONS:S: This form is used to verify that all necessary approvals/permits from
Boards and Departments havingjurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliancewith li k l or requirements.
.............APPLICANT FILLS OUT THIS SECTION
APPLICAI ITAe'—`Z� PHONE 7
3
LOCATION: Assessor's Map Number
PARCEL
SUBDIVISION LOT S
STREET EET ' ,.� ST. NUMBER
OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS
TOWN PLANNER DATE APPROVED
DATE FETED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATEAPPROVED
DATE REJECTED
COMMENTS
TS
PUBLIC WORKS -SEWERfWATER CONNECTIONS
DRIVEWAY PERMIT
FIFE DEPARTMENT
T
RECEIVED BY BUILDING INSPECTOR�--- --- _............. .__ DATE
TOWN of NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
y } � J
Osgood Street
IN
North Andover, Massachusetts 1
I
Gerald A Brown
Telephone 7
Inspector Fax '� g �9 t
sp g
HOMEOWNER LICENSE EXEMPTION
}
Please Penv
rim
DATE: epz
s
JOB LOCATION: .�
Number Street Address Iiaplot
HOMEOWNER 1,7
Dame Home Phone work Phone
PRESENT MAMING ADDRESS a /1(f .. �-
City Town State Zip Code
The current exemption for"homeowners"'was extended to include owner-occupied dwellings to 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 1 .3. .1
DEFMTt N OF HOMEOWNER
Person(s)who awns 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 hvo family structures. A person who constructs more that one hone in a two-year period shall not
e considered a homeowner.
The undersigned"homeo nee" 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 Forth Andover Building Department
z nimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
HOMEOWNERS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Form Hoineo nets Exempfion
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