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Home My WebLink AboutBuilding Permit #777 - 103 FULLER ROAD 6/2/2010 BUILDING PERMITOF NORTH q `tt�eo hbi ti0 TOWN OF NORTH ANDOVER 4, ''- = Z- APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ��SSACHUS Date Issued:—/Z— 2—'10 IMPORTANT:Applicant must complete all items on this page LOCATION Ago Fit 'L r c. Print / PROPERTY OWNER ,//4-^ IZ ��c.0 a� -C114nif 4 "/ rh16ttt 'q 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: 12,o cp 9 Identification PleaseType or Print Clearly) OWNER: Name: / / ,��A/�% .c —< ,J -J -! LJ o�✓ Phone: 3 2 f-- 6 Z-7J 3�5 Address: Z 93uLe--It ^402v—& Awj- -'ek of cs i � CONTRACTOR Name: css -%, epe4Z, ,C Phone: � 7 ,ry . a-z/ <-3 2 Address: k' 4/ S,64 f,'Al.;f S /-` ,/ y'.. �.��1 �..,g. c�/ ',5 s Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: 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: $ 4 7 C,-v FEE: $ � Check No.: � Receipt No.: 7- NOTE: Persons contracting with nre .stered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Location/ b� le""f, No. `-^ Date 1, - 7,- 10 �p�TM TOWN OF NORTH ANDOVER F s 9 Se1 Certificate of Occupancy $ Building/Frame Permit Fee $ �- Foundation Permit Fee $ Other Permit Fee $ L TOTAL $ Check # 232 ; Building Inspector 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature r COMMENTS HEALTH Reviewed on Signature COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I i Planning Board Decision: Comments 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 signature/date 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 ❑ Notified for pickup - Date ....---........................_.._..........._.............._.._...._..............^.._.....................-_..........................._------......-....__.._..--......_._. Doc.Building Permit Revised 2010 ti 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 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 2008 Cesati Roofing and gutters Chris Cesati 978.374.5379 - cell: 508.633.357 ; f 28 Heseltine Street•Bradford,MA 01835 fLicensed - Insured - Free Estimates PROPOSAL PROPOSAL NO. SHEET NO. DATE Sib PROPOSAL SUBMITTED TO: WORK TO BE PERFOR'MED AT: - NAME ADDRESS ADDRESS 'F 011cr ?J PHO ', ftLIAOT-r � DATE OF PLANS NE NO cns ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion of - ST r ,n I re ri T10 t r,s a br d C WT y �. c IF f� r. c, TO (aT All material is guaranteed to be as specified, and the above: work to be performed in accordance with the drawings and specifi- cations submitteA for above work and couipleted in a substantial workmanlike manner for the sum of Dollars ($ with payments to be made as follows. C &r- Tp s1w Respectfully submitted Any alteration or deviation from above specifigations involving extra costs Q will be executed only upon written order, and will become an extra charge Per over and above the estimate. All agreements contingent upon strikes, ac- cidents,or delays beyond our control. Note—This proposal may be withdrawn I(�Gt (,tC X3335 by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date Signature MMAADEEINUS�8195fl -�� PROPOSAL x.10 . Town of 0 V. ,.. 10 No.--) 11L z-_ C o dover, Mass., I-- ` GOC MICMEwICK �oRATE D G'Pa,`�5 717 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............. v�,�.f� 4✓'......,r......�. ....D..►h............... Foundation has permission to erect., ................................. buildings on ...[.02........( 1.. .. -4........ ......................... Rough to be occupied as ..... .. - ,..�.......................... Chimney . . . . . . . . . .. . .. .. . . provided that the person accepti 's 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 PERMIT EXPIRES IN 6 NTHS ELECTRICAL INSPECTOR 3 UNLESS CONSTRUC ON TS Rough g ..................................................................::.. :..................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy 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.