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HomeMy WebLinkAboutBuilding Permit #129-2011 - 118 SECOND STREET 8/16/2010 BUILDING PERMIT of pORTH a TOWN OF NORTH ANDOVER 3 �� ..•� o APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 4 • '� • Date Issued: F /6 cHus���� IMPORTANT:Applicant must complete all items on this page LOCATION - Pnnt PROPERTY OWNER li2,Ry. QrSZ` ._ ckwL,0-4 -nnt .r. - ... MAP 210 ©: PARCEL '74 ZONING DISTRICT Hrstonc District yes .no. - MacJi hine 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 II FIfD,�odplain Wetlands UVatershed=Distnct _ '-Water/Sewer .: . .; _ D SCRIPTION OF WORK TO BE PREFORMED: 11 2 QCe, 'Recs oY", e Identification Please T,yRe or Print Clearly) OWNER: Name: L �D MA(2-.y �a(Z�a�G Phone(9 3S2 -?_10s- Address: P-10 CONTRACTOR NameIZ.t. (�'M }�S - ` Phdn"e. ._ 0 Address _ .. g - �1'- z - :77— Supervisor's Construction:License ( exp to.; (z a( r Dome Inprovernenf`.LicenseQ:2 .,r 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: $ 0'0 FEE: $ -3OGG Check No.: Receipt No.: c '. 3�C-) NOTE: Persons contractin w t u r ister e c tractors do not have access to e fund Si natureof A. ent/Ownei Sinature of contractor: �� Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 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 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 StMefi 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 21 A—F and G min.$10041000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date E Doc.Building Permit Revised 2010 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 a 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 Location No. — d// Date d NORT1y TOWN OF NORTH ANDOVER F R 9 `4L Certificate of Occupancy $ cNuE Building/Frame Permit Fee $ s� s Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check # -2a 253 ,- u Building Inspector ORTH TO" of And •r,M�.vH.n+�'• tip,.F'`. No. - C% -o dover, Mass., /� / COCMICMEWICK ORATED P?aC:1 BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT C�d`��P... .....:...................... .......................................... ..... ............. .. .... . .. .''f................................ Foundation has permission to erect.................:...................... buildings on . . . .......................... ........ .................. Rough tobe occupied as................ ......................................................................................... 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 CONSTRUCTION TARTS Rough .................:..................... � .................:.......................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner, Street No. SEE REVERSE SIDE Smoke Det. p� { Ili in ui n1 ur ;q ;A in e� N u� ie in v� In Q ip tn u, vi in in tt o W t1 u off. - c� � ��r � w.s.rY�arr.w+q•.ryr n.aw M.F�y. Lj li f pi 17,i or Of I i y y _ U N .I •� C1 V ,� � �Ii�iln� .p a.