The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #Exception - 1160 GREAT POND ROAD 5/1/2018 EE NORTy A• BUILDING PERMIT O`<,LEU �YO TOWN OF NORTH ANDOVER o ; p APPLICATION FOR PLAN EXAMINATION op y. Permit No#: Date Received ASR t7ED Pp L`� gSSACH�1`�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION N 0 )LS � D �0 6(r_ t POV�Jt� P I�C� PROPERTY OWNER ��KS rdt0 I Print 100 Year Structure yes no 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 ❑ Other _ .Septic ❑a'1Nelf ❑'FJso.®dplain O'Wetlantls. ❑ 1Natershed�Dstr4ict DESCRIPTION OF WORK TO BE PERFORMED: 1dentifieati Please Type or Print Clearly OWNER: Name: j)DrnlnO� « Phone: Address: 1 ' I Contractor Name: S w� i Phone: Email: Address-.- 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: $ � FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund _ . a , . - 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 4. 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 OTE: 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 ISIOTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 _ L Dimension 5 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 Mo DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) i i i i i ® Notified for pickup Call Email f Date Time Contact Name Doc.Building Permit Revised 2014 Flans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped flans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanuing/Massage/BodyArt ❑ Swimming P00s ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING DEVELOPMENT R �Y��11 ' b Cflu COMMENTS V " 4b 5 W CONSERVATION Reviewed on Signature COMMENTS ��A HEALTH Reviewed on Signature COMMENTS 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 DEPRA WMEN,Tr- Teri pa Wmpster on-site Locatedf at�124�Main�Street , '� '- ` FirelD,epartrnent'signature/date 4 COMMENTS, a, \Jew 4-ObW C, +, . , 1c:� T P Ofo�eb '. b N �h� I VIA gJ I� Soccer Lake PEABODY RUSSELL HOWE Cochicke HOUSED H on Smith Dillon o oloombe B.H. man B.H. Soccer HEM ER Holcombe soccer Football Soccer a ccer Thompson c GAMMEROLD Fleadtna or Development Ot ce WHITNEY y' ® ,��EPBA � D Girls o. Business UBRA C softball Office a� Spud inlnB n Field Hockey C R CHAPEI OCKEY Summer "uu� uuuo�uulim CamprM OL 1Dearbo $ mm nm 1120 Household ry es GMT poM AW BI w SE ICE ENT. ,RBedT J;t" AMW 1135 Goelet 195 Stevens