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Home My WebLink AboutBuilding Permit #547 - 0 PLEASANT STREET 3/26/2008 NORTH BUILDING PERMIT o��ttac TOWN OF NORTH ANDOVER .sr 4�"• F-� i6 OL O - APPLICATION FOR PLAN EXAMINATION Permit NO: 5 Date Received,., R �SSACHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page �a" § " Pi"C'�:J� '�1t7"1 WIN Glis s {.�°'+a 'moi '"' ,r+ Nr a-�aF € w MAP '` k `T' i=L> O_I I G D 5 Hastor c�strict fi � e yes ex , .v �� ..� �� ,.�.��.V,.�� - _.�_ : .�R '�} � lap"*�� 5#►np 17ilia,�e� , e� 4 np TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other #fie ttc,n Well >� tadpla�r� eartlstershel Distract v -�. w :War/ewer � 3 DESCRIPTION OF WORK TO BE PREFORMED: r` /2urld u- n ce- SS/a n S�m ti� 7–o wit Cu-L/a 7 �o ✓✓ Identification Please Type or Print Clearly) .OWNER: Name: 7-1-1 d�C� Phone: Address: rC0` Ill C�QR f ditir <57 �� L1 v� '# .a;. &�� 4 tea" aSupei r� Cdrastr tiW-h L eiteei7 771 w ' .X} y i .. .:: .. v'-s .. — '' ,4 W „ "t,t:,;aff _.}^h"ya"se, •x Hor�aenprovmentieasecpate° x ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED C ST BASE ON$125. PER S.F. Total Project Cost: $ FEE: $ 6b a,Uil Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have accesf to the guaranty fund graaturador �w", A 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 r ❑ 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 r Addition Or Decks ❑ Building Permit Application Li 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 it ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to.lnclude 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 i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerSwimming Pools Tanning/Massage/Body Art I` Well Tobacco Sales Food Packaging/Sales Privatese tic tank etc. � P � Permanent Dumpster on Site 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 )0 Zzy /S r � M Y7 ,04 e— �' ' ✓�1 _ DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street zF1REEPAFTMENT T�rnpuaaasterrasatees a„ ::, �,L'ocated;at��4�NLam street � � � ..Trent gnatoreate t .:w _ x✓ 11 Ya c} 'wc';51'&p""t aC0M1VIENTS� 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 Town of North Andover NORTH E#� q Building Department �,° ``D 1,61 600 1600'Osgood Street c North Andover MA 01845 �. s Tel: 978-688-9545 Fax: 978-688-9542 O coc.icwwc« IV It DEMOLITION OF BUILDING AFFIDAVIT �.9 q°'VATIC) SSACHUS� DATE o� G� ------------- - , OWNER'S NAME &ADDRESS w.✓ D yv0 2 7V-1 11106 a<,,Z— LOCATION 2LOCATION OF PROPERTY TO DEMOLISHT<�i'/G,� DESCRIPTION Mc/t/alvt 6- Id-- �1oi NAME &ADDRESS �G-ct �cc�,.✓ Q� CONTRACTOR'S i � �47-i v� ✓r 77, �6XFv � ��.�r�reF DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: SEWER: r DEPT OF CONSERVATION HEALTH DEPT: Septic 0 Well ❑ GAS ELECTRIC TELEPHONE CABLE TAXES POLICE FIRE a t �,2, ;._ ��c� EXTERMINATOR DUMPSTER-ON/OFF STREET I Y_U c k le,d >7 41&6L� DIG SAFE NUMBER U DATE REC'D BLDG. INSPECTOR I Doc.form demolition of building affidavit FORTH c 0 0Andover I No. sq C, o y dover, Mass., •� ' O LAKE 1• T A- COCNICMEWICK V 7�S RATED Pl? �y E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 71: ...... .....,/..Vv............. �0��....-......................��.../J/1.C�1/Z. • �I �/ _ Foundation J/ L . ......r.... A.GI........ ... ��f!. Rough has permission to erect........................................ buildings on............. ... ,•, 1�� Chimney to be occupied as.....DI .SV.-P"a......... . .................... ey . .. .. . . . . . . ..... provided that the person accepting this permit shall in every respect conform 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 PE E)PIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNL CONSTRU TARTS Rough ew..s......... Service BUILDING INSPECTOR Final Accu it Required to OcLupy 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. SEE REVERSE SIDE Smoke Det.