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HomeMy WebLinkAboutBuilding Permit #623-15 - 10 WOODRIDGE DRIVE 1/23/2015 NORTH BUILDING PERMIT o�<tLeD bgao TOWN OF NORTH ANDOVER 032 APPLICATION FOR PLAN EXAMINATION ~ A * i � •� �' Permit No#: _l S Date Received R,A7eo �5 Date Issued: IMPORTANT: Applicant must complete.all items on this page A LOCATf,ONI _ _ - (/ Rd- r -- not � T- PRQPERTY OWNER .-- - - --? P int ar,Structure yeSg no. _PARCEL: MAP' _ ZONING4 ISTRICT: _ Histonc,iDistnct yes n©; x ,-- w, _ Machine Shop Village yes no 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 T r_y__ ❑ Septic ;'Well p`Floodplain ❑Wetlands_ q Watershed ',Distract DES RI,P®ON�OF WO, K TO BE PERFORMED: -ai 1" az_� ulaf PfJ6J( g- rvwg Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: G�� _ Contractor'Narne �i .hone: _ Address C/ Q �{� Supervisor's Construction License — �5_� _. Exp: Date `Homell'rnprovemert ARCHITECT/ENGINEER Phone.- Address: hone:Address: Reg. No. ` FEE SCHEDULE.BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. e Total Project Cost: $ l � !fid FEE: $ � Check No.: (,1G; 4/ Receipt No.: � <<� NOTE: Persons contracting with unregistered contractors do not have cess.-to the g my fund 11 ature of Agent/Qwner _ _ Signature of contra`" or _ _ r...-1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ [Well YPF'OF SEWERAGE DISPOSAL ublic Sewer ElTanning/Massage/Body Art ❑ Swimming Pools ❑ ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 F.. DPW Town Engineer: Signature: Located 384 Osgood Street �FI,RE «'EPARTMENT Temp Durnpster on site yes _- _ — LOcated,at 124'Main= _— --- -_ Brio �Sfir..eet Fire _ a artmen,-s� nature/date A_ - ap z, _ .- 9 COMMENTS; 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 i i II4 f i I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pen-nit Revised 2014 i 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/Cross Section/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 i 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:Building Permit Revised 2014 II Location No. t '19 Date o - s TOWN OF NORTH ANDOVER Certificate of Occupancy $ �7 Building/Frame Permit Fee y�2 }R ,7 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ y, Check# �J r 2844 Building Inspector NORTH own of ndover O - .w" 0 h ver, Mass, Aw COCMIC Mt WICK y1. �,9 A°Rwreo ►�p�,��5 S V BOARD OF HEALTH Food/Kitchen PERMIT T L 'D Septic System THIS CERTIFIES THAT Ga� �: :. . ..1 �-5:....:.. BUILDING INSPECTOR .................................. ........................:.......................... has permission to erect Foundation Rough g ... ..� ..( .4 :'l ,F„..)b�'........................ .......................... buildings .... .... to be occupied as ... 5 ./.5' 5!f.��1.11. /.....A .. . .: �f f?.�s.:'.�!.. !:`.y7..f,�.. .�1. Chimney provided that the person accepting this permit shall in every respect 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 Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STA TS Rough Service .................. ....... ::,,............. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. I •:rfli�: CS-001821 ' DA'VIDPGULEBAN, sqr 428 PLEASANT ST "N ANDOVER MA 0194` . 1010212016