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HomeMy WebLinkAboutBuilding Permit #675 - 100 ANDOVER BY-PASS 5/1/2018 BUILDING PERMITcf No TF1 qti TOWN OF NORTH ANDOVER c? °`tt' `ryb=° �°� APPLICATION FOR PLAN EXAMINATION '' 70 Permit N0: 7 Date Received Are �•P`�h CHUSES Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION /00 1 y�jA,1440aee— Print ' PROPERTY OWNER Print MAP 210 PARCEL: ZONING DISTRICT: Historic District yes no 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 Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: v Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund signature of Agent/Owner Signature of contractor Plans Submitted Plans Waived Certified Plot Plan Stamped Plans 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED i PLANNING & DEVELOPMENT 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 11: Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes �_ no Located at 124 Main Street Fire Department signaturefdate COMMENTS FORTH No. 67-S � Ca NL r' . x o LAKE dover, Dass., 1. GOCHICHEWICK AERATE D PPR\ 1' x l• BOARD OF HEALTH r, Food/Kitchen I :5 K r i Septic System THIS CERTIFIES THAT.. '. C'�^r' �7Y'a"�°� "�` * c� �f �' � G�' f�' B ILDING INSPECTOR U ,�.......................... ... .................................. ' """ Foundation has permission to erect.......................... ............. buildings on ....... .... ... Rough to be occupied as.......... .,,.,,,, © t2i+rll G'�C°° flu''�r Chimney ......................................................................................... ...................... provided that the person accepting this permit shall in every respect conform to the terms of the appl cation 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ............. ....................r� . .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on etRough Wall Premises — Do Not Remove Fina, No Lathing or Dry g4fall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SUDS Smoke Det.