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HomeMy WebLinkAboutBuilding Permit #616 - 10 FOSTER STREET 3/22/2007 %AORTH BUILDING PERMIT OFSt�Eo TOWN OF NORTH ANDOVER 3? °� ° t , 'A APPLICATION FOR PLAN EXAMINATION * _ 1. h I T r O Permit NO: 1 Date Received7eo �•9 �RA SSACHUS Date Issued: IMPORTANT: Applicant must complete all items on this page �r i x l¢,% 1�`�G rl' iff U s. 43111 � �"� �nr�t. k& ��I;�ORIO1S Rl�fi y est' r �`��•. ^' IIINsIGT �� � 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: emolition ❑ Other Paersh�d s ri d sem e l �V. cod lAl [a r _ DESCRIPTION OF WORK TO BE PREFORMED: /Z:�K-:-5'V-dzJL Identification Please Type or Print Clearly) OWNER: Name: ,�/�e�a- AAa�c�r' Phone: Address: °'!RRA �W � 1/lei r�,l� Nr :", /-- � r tIeSS /f 41, 5 s s r y ,Y kdk R' y -77Hone f r© erect , ARCHITECT/ENGINEER r- 1 0-14 � 1�e- Phone: Address: r I- at, 4" i bL— 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: $ xi-�'r (_Q__ FEE: $ Check No.: / �' I� Receipt No.: ( co 2, NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner - Signature of contractor.'' ' Location 16 �S No. Date ' MORT� TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ cNus Building/Frame Permit Fee $ s� Foundation Permit Fee $ Other Permit Fee $ s TOTAL $ Check # 647 20062 v Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan Stamped Plan 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 DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments z Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FI DEPARTIVEN ` Temp urnpstern sltyes �� no Loc�a e at 12, yMai ret t, z �' Ftre'Departmen Nslgnaturef�to h �rM 14 W �N; 4 kT ( QIVIMEN F, t 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 'i I i ❑ Notified for pickup - Date ,;;. Doc.Building Permit Revised 200' 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 ❑ 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 Addition Or Decks ❑ Building Permit Application ❑ 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 ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include 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 Appeal! 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 �A RTH Town of _ 4 over Y.:.4�. �r�♦.:t No. ° 0 LA dover, Mass., • Z • O �- COCKICKEwICK Q P \V CRATED 3 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • l THIS CERTIFIES THAT BUILDING INSPECTOR .. . ........�.................................................. Foundation has permission to erect........................................ buildings on...z......f 04..+U6r ........07......................... Rough to be Occupied as......DC-0-10.........0..f..!.. 1�?�l'� �. Chimney �.,.. 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 3 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI ST TsLdApa- ......... ELECTRICAL INSPECTOR Rough Service ... .... . ... . .. ... ......... BUIL INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove R Rounal 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. Joie 3 '�1TTUTT7/JTu>fGCbjLl2 o�'.lGfiz acucs�x�r z' BOARD OF BUILDING REGULATIONS _< License: CONSTRUCTION SUPERVISOR Number:,CS 075327 Birthdate. 09%01/1967 Expires 09/01/2008 Tr.ho: 2198.0 Restricted 1G s ROBERT BIRD 56 GLEASON RD `' ,.•` G READING, MA 01867 Commissioner TOWN OF NORTH ANDOVER NORTH Building Department 04 .f�e 0 6 'e��0 1600 Osgood Street Building 20 Suite 2-36 t North Andover MA 01845 IC VW - ee" Tel: (978)688-9545 Fax(978)688-9542 °� C««Ca.K• •�,4SSgTC HUg•��r� Build, emoMen Afffdav�t DATE: OWNERS NAME& ADDRESS D t'OSZ'P r Sf PROPERTY LOCATION DESCRIPTION CONTRACTORS NAME&ADDRESS P X[:ct �a 01 S 17,G D P SIGN-OFFS D.P.W./WATER- "Z�- SEWER GAS , ;� S. v�2r �o ELECTRIC T3 k, TELEPHONE C LE I .. T S Z/ OLICE v FM EXTERNIlNATOR DUMPSTER-O TREE -� DIG SAFE NUMBER o :7 l.io nrrr rMrwrn rwmor,nTnr► n Amr'"V.t•>r\