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Home My WebLink AboutBuilding Permit #905-14 - 1160 GREAT POND ROAD 6/11/2014 BUILDING PERMIT o`6NORTH tt�.HD ,b�ti TOWN OF NORTH ANDOVER 3? b ° *° oL APPLICATION FOR PLAN EXAMINATION * t r Y Permit No#: � Date Received �Rp�RATEO PPP`•(`� �SSACHIIS�C Date Issued: G // IMPORTANT: Applicant must complete all items on this page 06t PeAJ LOCATION 11,6b _ I Print PROPERTY OWNER Print 100 Year Structure yes o MAP _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 0 Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Address: r Supervisor's Construction License-S' /y � Exp. Date:_C,i s /,Or- 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: $ FEE: $ Check No.: 3 L ?D Receipt No.: C-71 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/OwnerSignature of contractor ; 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/Cross Section/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 Doe:Building Permit Revised 2014 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 ❑ 1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM I PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS i i HEALTH Reviewed on Signature COMMENTS I t Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Siignature& 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. i 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 r Location 1160 " �`��'/ Al- 11 ,5�1 No. �-� y Date 1 // /y . - TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# 0,F t //—Building Inspector NORTH Town of 2 t ndover O - .;.` 0 No. Joo!�. Iq s�' soh over, Mass, ��Z/A coc MIc Mlwlt« X1,95 R�TE0 V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ......... ...... ................ BUILDING INSPECTOR . .. � ,. Foundation has.permisslon to erect buildings on/ ��'�`� ��`�� .......................... ........................................... ..................... n �G �, Rough to be occupied as " ......... ..... � �... !�'.�. �..`.. .. . . �'� .Q................. Chimney ....................... ......_... ........ ..... provided that the person accepting this permit shall in eve 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 CONSTRUCTIO STARTS Rough Service .................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required 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 Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-103074 n� KYLE P SHEA = - ';.. 7 MACFARLAND RO° SALEM NH 030'T9 i • J,,G,,,�,.=� " "` Expiratior Commissioner 06/18/201! -: 'PlansSubrnifted ❑ -'Plans-.Waived ❑.:: . Certified Plot Plan ❑ ... Stamped Plans ❑ :. WP E:01r=SEWERAGEDISi�OSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . Swiniming Pools ❑ Well ❑ ..Tobacco Sales ❑ Food Packaging/Sales ❑ _ Private jseptic tank,-etc._ - ❑ permanent D' rnpster on-Site ❑ THE-FOLLOWING SECTIONS FOR'OFFICE USE ONLY INTERDEPARTMENTAL SIGN.OFF - U FORM ::r DATE REJECTED DA E:APPR VED PLANNING &.DEVELOPMENT J) COMMENTS PA on :CONSERVATION Reviewed on Si nature 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 Th ater & Sewer Connection Drivewa Permit I PW Tovw>z FEngineer: Signature: Located 384 Osgood Street FIRE DEP; R Iifl ;1 T Tei ip Dump;stef on site yes _ no Located ;at ,124kMair, Street 'Fire ®epartmeyrt,signatu"r"e/date