HomeMy WebLinkAboutBuilding Permit # 6/29/2016 FORTH
BUfLDING PERMIT
TOWN OF NORTH ANDOVER 0 ,
APPLICATION FOR PLAN EXAMINATION
Permit NO: .. x e, a
Date Received ( < .;�.ro � �.
° � ATOD P�
Date Issued—, CHU
IMPORTANT: Applicant must complete all items on this page
240 Charles Street N. Andover' Ma 01845
LOCATION tt
Greater Lawrence Sanitary Ds{nc[
PROPERTY OWNER
Print
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes n6
Machine Shap Village yes nor
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
0 New Building ❑ One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
1-1 Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District
❑ Water/Sewer
Rehabilitate 4ea exsiting pumps motrs and drives and install new eddy current couplings. Replace main utility transformers and switch gear
Identification Please Type or print Clearly)
OWNER: Name: Mr. Richard Weare Phone: 978-685-1612
Address: 240 Charles Street N.Andover Ma 01845
CONTRACTOR Name: (Methuen Construction Co. Inc Phone: 603-328-2234
Address: 40 Lowell Rd Salem Nh 03079
Supervisor's Construction License: cS-106567 Exp. Date: 03-11-2018`
Horne Improvement License: Exp. 'date:
ARCHITECT/ENGINEER CDMSmith Phone: 1-617-452-6000
Address: 75 State Street Boston Me 02109 Reg No _
7 '4„S ( � C1* ,is
FEE SCHEDULE:BULD11 PER�IIIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ .� ... _ FEE: $ _
Check No.: � A Receipt No.: 2
MOTE: .Persons contracting with unregistered contractors do not have access to the guarantyfund
Signature of Agent/Owner Signature of contractor
Plans .SUbmitted El Plans Waived El Plot Plan El Stamped Plans Ll
TYPE OF SEWERAGE DISPOSAL
Public Sewer L
Taim
ing/Mass
age/Body Art FSwimming Pools ❑
Well Tobacco Sales
11 Food Packaging/Sales 0
Private(septic tank,etc. ❑ Pennanent D-umpster on Site ❑
THE FOLLOWING SECTIONS FOR OFF110E USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLM\�NiNG DJEVELOPMJ ENT Reviewed On _ j jtt11eu1
COMMENTS
CONSERVATION Reviewed on �gnature
Signature
COMMENTSJ
Reviewed on Signature
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Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Manning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/
DPW Town Engineer: Signature:
Located 384. Osgood Street
FIRE DE-PARTMENT - Temp Dumpster on site Ves no
Located at 124 Main Street
,Fjrre Department signaiture/date
COMMCf�9TS
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O LAI(. I.COCNICHEWICK V
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BOARD OF HEALTH
Food/Kitchen
P E L D Septic System
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THIS CERTIFIES THAT ......... BUILDING INSPECTOR
has permission to erect .. buildings on . Foundation
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to be occupied as ... .. . .. ....4f&... . .... ... .:. ... �. ... ... .. . . Chimney
provided that the person accepting this permit shall in every ect conform to the terms of the application Final
on file in this office, and to the provisions.of the Codes and By-Laws relating to the Inspection, Alteration and
Construction of Build' s i he Town of No h ndover. m PLUMBING INSPECTOR
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114 CA VVt A�ew
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VIOLATI® f the Zoning or Building Regulations oils this Permit.%AV,i
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MONTHS ?@P06
PERMIT EXPIRES IN 6 ELECTRICAL INSPECTOR
UNLESS CONST Rough
Service
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BUILDIN SPECT R
GAS INSPECTOR
Occupancy Permit Required to Occupy Builclin Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
NQ Lathingor Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.