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Home My WebLink AboutBuilding Permit #582-12 - 11 WALKER ROAD 2/1/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 2 ^�2 Date Received Date Issued: / �2 EWPORTANT:A plicant must complete all items on this page LOCATION P ' t PROPERTY OWNERT tYUnit# Nt p Print MAP NO: PARCEL: �` ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure 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: ❑ emolition ❑Other _ Septic ® well �� '` �---e . ` - � � ..•� � � EMCEE � � t��oodplam O Wetlands ��(] WatershedTD strict y ; Water /Sewer', i h DESCRIP ION OF WORK TO BE PERFORMED: (I nti ica 'on Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: V-'1"-, ✓\ Phone: Address: 4a� A4 Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.,BOLDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ p FEE: $ '�'Do " Check No.: 7'`1 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access t uaranty fund i 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 ❑ I Private(septic tank,etc. ❑ Permanent Dempster 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 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 g Water&Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Durnpster on site yes no Located at 124 Main Street Fire Departrnent signature/date (`(lTilA�iRT�TTC 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 20117une/mi 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 offrom 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 p 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: Doc.Building Permit Revised 2008mi Location No. '? /L Date Z 2_ • ' TOWN OF NORTH ANDOVER 46, • J Certificate of Occupancy $ Building/Frame Permit Fee $ o� Foundation Permit Fee $ c Other Permit Fee $ TOTAL $ Check# s�yy 25003 ,/ Building Inspector NORTH Town of Andover - 1;L To , over, Massa o - LAKE COCHICV1 1% ORATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System '' BUILDING INSPECTOR THISCERTIFIES THAT............................................................................................................................................................... Foundation has permission to erect............::.......................... buildings on .. ......................................... Rough M1 ass '' to be occupied as ,/.�,...................R �.C/�� G-��.� .. ......................................... ......................... Chimney ci.�. ....................<..... 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 I y Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONARTS Rough - A 1.. / .......................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIR_E_DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner - Street No. IF SEE REVERSE SIDE Smoke Det. / _ .N fie -�ar�ywouusa/l o�../l/laaaac«ivae�a Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: -5,j 11651 Type: > Expiration: 1/20%2014 DBA JA S'STEPANIQN•CONTRAGTOR JAMES-,STEPANIAN 4 SCOTLAND YARWESTATES MA 01834`" . . Undersecretary I Massachusetts- Department of Public Safet% Board of Building.Regulations and Standard Construction Supervisor License License: CS 11152 .Restricted to: 00 . JAMES S STEPANIAN !'! 4 SCOTLAND YARD.EST I „ . .GROVELAND, MA 01834 Expiration: 5/25/2012 Commissioner Tr#: 26860 a