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Home My WebLink AboutBuilding Permit #735-15 - 100 JOHNNY CAKE STREET 3/31/2015 t%ORT BUILDING PERMIT-- 0 TOWN OF NORTH ANDOVER' 0 APPLICATION FOR PLAN EXAM I NATIO-N`,,' 1VL Permit No#:-V s Date,R'eceived,i,•a�- RA °Rwre°r•Qa �e .. �SSACH�S�� Date ateR6ceived-.i,,a-Date Issued: IMPORTANT:Applicant must complete all items,on,this"page TIII •ar,r , tMNI L I fis,All 9� &U-,5r, F71' VOWNE H?W IP4 '01 -6117T a 7c, MAP F 7"T , IN dbiS'-T,RlHEstoncQistnct =' yes: - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Ej One family El Addition El Two or more family El Industrial 0 AI ration No. of units: 0 Commercial -Frl�epair, replacement 0 Assessory Bldg El Others: El Demolition El Other t E,Septic E01, , gin, 0 w6tb :Watershed VV r. d"District M7 -A DESCRIPTION OF WORK TO BE PERFORMED: Iden ific Please Tape or Print Clearly �-7�7 OWNER: Name: Phone: Address: V7 C,bIntffib-torN-, 7—Z A d' r 'S nt�47 Supervisors ,Construction -xp� 1 e ' , ,,,s Mr ZZ 71 0 01 entr,,L en. 01 A, ARCHITECT/ENGINEER Phone,. Address: Reg-,'No. FEE SCHEDULE;BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTALESTIMATMCOST-BASED ON$125.00 PER S.F. 162 Z> 0 Total Project Cost: $ O Check No.: Rbceipt1N0.- ... 7 NOTE: Persons contracting with unregistered contractors d&fi0t,,have-.access to th aranty fund li Signature ofA h t/, ,'wn, Sigri5tureAd JtlA.- Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Tv 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 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 e Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street IFIRE DEPARTMENT : Tremp ®umpstor on site. ,yes,__. no' Loeatetl at 1241 M_ Stree -- __ Fire Departmentagnature/date C=OMMENTS 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 Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 Inte 'or Work ❑ Engineering Affidavits for Eng',neered 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) o 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) a Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products VOTE: 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:Building Permit Revised 2014 Location /10 Q ! F No. —?.5— Date • - TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ 3b r.•- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# /�y7 � 1 r Building Inspector a r 1 NORTH - o - h ver, Mass, A-.Q COCNICNl WICK 7,Q A�R�t7ED I' C) S V BOARD OF HEALTH' Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .................................................................. ........ ................ ... ..... ................... BUILDING INSPECTOR has permission to erect .......................... buildings on ..........rte ...........)................... Foundation . � 0 ... .. ....... ..:...:.l.L: Rough to be occupied as ....... .�..�. ........................................ 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STA TS Rough � � Service E"�` Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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 s4 _ Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.