HomeMy WebLinkAboutBuilding Permit # 4/28/2016 tkoraT
B6 GILDING PERMIT D '0"6
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
PeDate Received
rmit No#: X)
iL �Z�L/
Date Issued:
IMPORTANT: Applicant must complete all items on this page . ......
LOCATION
Print
PROPERTY OWNER W1 (,,Lt &J�A c",i)w ( , G:�-, 1, —
Print I 00,Year Structure yes no
D C District yes, no
M.AP PARCEL�' ZONING Histori Distri'
Machine Shop Village yes no .
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
El New Building [I One family El Industrial
El Addition [I Two or more family Ei Commercial
El Alteration No. of units- El Others:
El Repair, replacement El Assessory Bldg
El Demolition 0 Other
DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly Phone:
OWNER: Name:
Address:
Contractor Name: Phone:
Email:
Address:,
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCH ITECT/ENG I NEER— 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: $ X
A
Check No.: '- Receipt No.f .. trading with :
istered contractors do not have access to the guaranty fund
1
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Setivex ❑
Tanuing/Massage/Body Art ❑ Swituming Pools ❑
Well ❑ Tobacco Sales
❑ Food Packaging/Sales ❑
Private(septic tank,etc. Pennanent Dumpstex on.Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING DEVELOPMENT Reviewed OnU)Z
1 Signature. uz��
COMMENTS
a) clau
CONSERVATION Reviewed on � � � (� Si nature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals:Variance, Petition No:
boring Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer Connection/Signature&Date
Driveway Permit
DPW Town Engineer: Signature:
FIRES®EN {, 7'tVjE Located 384 Os ood Street
a ren �FtNTjTernp ®umpster on sites es fg , ri� f H
Locatediat1�24Ma�ri,/niStreet
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C 0C ATED P? C7
PERMA U BOARD OF HEALTH
Food/Kitchen
Septic System
THIS CERTIFIES THAT .... .......
... ... . ..................... .......................... BUILDING INSPECTOR
........ p Y
has permission to erect........... ............... buildings on ... .� Foundation
to be occupied as ...........(00N.'.3ke..... .......
. ® Rough
Rh ... ..1.......... .. Chimney
provided that the person accepting this permit shall in eve respect conform to the terms of the pplication
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final
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
MONTHS ELECTRICAL INSPECTOR
UNLESSI SJART Rough
Service
Final
BUILDING INSPECTOR
ccupancy Permit Required to ®ccupy Buildinz GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — ®o Not Remove Final
No Lathing r Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
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#145 JOHNSON STREETo� PETER 9cyG
NORTH ANDOVER, MASS. Aandover GoocwiN
Prepared for q NO..48133
WILLIAM & JULIE CROCKER inc. 9 '
qt lAN
SCALE: 1"=40' DATE: 11-5-13 1 East River Place, Methuen, Mass.
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Parcels ' , for planning purposes only.It may not be adequate for legal boundary
O definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
13 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
V t3 THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ',..
OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT
ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
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0 MVPC Be Zoning Overlay Zoning
E3 Municipal Boundary 0 Adult Entertainment Distric Businei s 1 District
[(Machine Shop Village Ove Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD63,
u.Rail Line rA Watershed Protection Dist M Bushirs s 3 District Meters Data Sources:The data for this map was produced by Merrimack
Interstates 0 Historic Mill Area M Busine.s 4 District pg1i71{ Valley Planning Commission(MVPC)using data provided by the Town of
.....I 13 Medical Marijuana M Genera Business District aQ' i4a0 x ""� North Andover.Additional data provided by the Executive Office of
._SR Downtown Overlay District IE Planne Commercial Dev �d+t brb O� Environmental Affairs/MassGIS.The Informalion depicted on this map is
Roads a Historic District Corrido Development Dist L, for planning purposes only.It may not be adequate for legal boundary
Osgood Smart Growth(40 -+.Corrido Development Dist 4 --- "" M definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
k-,EasementsHydrographic Features 10 Con-Ido Development Dist 16 MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
Ini 0 1 District THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
El Parcels Streams Industri d2 District 'A t * OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
Wetlands kIndushi 13 DisIna .��, o �P ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
Nindustd I S Disidcl 9q THIS INFORMATION
Exempt Lands Beside,ce 1 District �,� °'4-Too�° °(y
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der ce4 District
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