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Home My WebLink AboutBuilding Permit #134 - 113 APPLETON STREET 8/22/2008 14ORTil BUILDING PERMIT TOWN OF NORTH ANDOVER c? APPLICATION FOR PLAN EXAMINATION ArPermit NO: s Date Received a _/ �9SSACHUSS�� Date Issued: aL 0 Y MPORTANT:Applicant must complete all items on this page LOCATION.. 1134,Pok fbn \ --ry e: P• t PROPERTY OWNER ffiLrjr 'Print r MAP NO: PARCEL: "ZONING DISTRICT: T-\ 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: DemolRion Other E Se tic ,Well x:� FltSado if N Wetlands Watershed District Water/Sewer £ DESCRIPTION OF WORK TO BE PREFORMED: J Identification Please Type or Print Clearly) OWNER: Name: 32 �� a Cvyl),Yl Phone: Address: 3 k(,D Ol=r CONTRACTOR Name: Phone: Address: 7 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: $ 0 FEE: $ 0 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signatureuof contractor I Location 112 ' No. 135, C/ Date o c a o6 TOWN OF NORTH ANDOVER t- O 9 i y + � Certificate of Occupancy $ ��s'•^°E<� Building/Frame Permit Fee $ ACAUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check # x:5�— 2 1 4 4 0 l/Building Inspec"tof 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 rove CONSERVATION Reviewed on �aZ.A SiqnatureA6mqJA4xf& COMMENTS &XJ6VJ OVA, DA,01244d-A4 4Ld tz+ A3141 HEALTH Reviewed on Signature COMMENTS b 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 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 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 Pernut Revised 2008 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 Li 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 NORTH ToVM of No. 143 _ o dover, Mass.,� LAKE z o� COC MICMEWICK V1 �.qS RATED 1 4 BOARD OF HEALTH PER M IT T Food/Kitchen Septic System �t c BUILDING INSPECTOR THIS CERTIFIES THAT.................S............................. ................................................................................................... Foundation has permission to erect........................................ buildings on ...... /.. ... .40, Y....c..?.f'......................... Rough to be occupied as .. za........ f...... ..... Chimney 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 Final PERMIT EXPIRES IN 6 MONTHS - ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONS ARTS Rough .......................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous glace 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. and/i I/1EIF�4 :B;33 3786851.G13W NE ENGINEERING SVC PAGE 02 J 4' `1 MAP 37B Wr 31 F7 Ilk- pr \0 s �'rSTIr,; C16ti'Ei'.!Nf 'lAn ?EFER9aiG'F f+(,AN 323r. fi,3a@x C �D .�JktH PE41STPY OF DEEZ. 'Loh 'ETEReN(-E- BOOK 3517, PAGE X54. =SSEI. rdORlt RE ISTkY OF UE£[)S i y j Tt-'S PIAN i5 r^R '11C :1Sf 9r IN.- °U LD1NG !N5P.C:t7$ OF �1,1y_ TNT4 017 L `�P f ri AVO'VEF? FUM 7K. �PUKPQSE OF r;E ERMIgAT QFo4 3F• Z'.'.N;MG C09PLANCE. iaa PLL Oto STRUT PT)' T PLAN 1.13 APPLETON STREET NDHT.K ANDOVER, MAS«ACAUSET TS ASSMORS HAP 1.178, LOT 31 PRFPARZD MR DAVID w, G&IL J., & lJ QYD R. LICCIARDMal No 9 WINTHROP AVE LOR:ME, MA 1 SCALE. 1' _ 40' DAM WARCH 18, W004 KIM FWrLAXD ENGINEERING SEPTCUS INC60 Brr"HwooLl DRIVE . cxcra�m "'" P401i'M ANDOVER, MASSACHUU t'PS `8a2 r. S B ICY; .t F (E;08) 6A6-l7EiA L