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Home My WebLink AboutBuilding Permit #852-11 - 120 MILK STREET 6/14/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:. �� Date Received Date Issued: PORTANT:Applicant must complete all items on this page LOCATION �ZQ t-k\lK ST L- l G;..r ,ktt�k u,c. PROPERTY OWNER 1 Pr' t MAP NO: 60 N_PARCEL: 13 ZONING DISTRICT: Historic District yes nit Machine Shop Village yes TYPE OF IMPROVEMENT JiO�Twoor ROPOSED USE idential Non- Residential ❑New Building One family [I Addition more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement. ❑Assessory Bldg ❑ Others: emolition ❑Other e tic, ®Well , ;�� }Yi ®3 Wa ` :z . ploodplain�, ®Wean s p ershed Dict" _ Y .., t DES CM-13 Z ION OF WORK TO BE PE100R.MED: 1 41� 4180 rest i4e. lit ,v �. (Ide of a7tin Please Tyge orpriy#Qe r1� OWNER: Name: r Phone. 7V�3 Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Z Home Improvement License: — Exp. Date: ARCHITECT/ENGINEER Phone: it Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ S'Q Check No.: Z�6 Receipt No.: .2 T1s NOTE: Persons contracting with unregister d ontractors do not have access to the aranty f d Signature°:of AgenVOwners _ gnature of contactor i 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 o Building Permit Application ❑ e Jorkcrs Comp Affidavit a Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Per Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses El Copy Of Colitl'�d� o Flo or/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Pern New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses .o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Perry 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: Doc.Building Permit Revised 2008mi i i 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 ❑ 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 CONSERVA T ION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionlreceipt submitted yes .' Planning Board'Decision: Comments Ilk 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 signature/date COMMENTS 'r i i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 1 Total land area, sq. i.: - 1 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.$10041000 fine = NOTES and DATA— For department use i i i ® Notified for pickup - Date I Doc:.Building Permit Revised 2008mi AI Location 7// -a No. Date MORTM TOWN OF NORTH ANDOVER i * ; . Certificate of Occupancy $ Building/Frame Permit Fee $ p s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ws 26W Check # 242.54 - z ZJldinginspector Town of North Andover NORTH Building Department O� c�`-ED 16 qti 1600 Osgood Street �'� y ''- 46 L O North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 - i� n •" O LwnE �A coc"Ic Nl WIcic V1' DEMOLITION OF BUILDING AFFIDAVIT �,,90 RArE° �P��,�`� SAC HUS DATE S/ I OWNER'S NAME &ADDRESS Ta (5 Card F%Clk RnJ, 1 &A1 Xv �uec' I�JI o �4�1C LOCATION OF PROPERTY TO DEMOLISH 1 Z O M►LK rT krtT DESCRIPTION. SIM6LC L&4 -L Rts LDt-M'W4lL DwtLLI N0 mkAt segue Ar CONTRACTOR'S NAME &ADDRESS 1A)41 LLf1 !.0 ms"TRUakoQ z:1,3c . 3 a B -fie,R�•. N•Imre� M0 O I rqS- DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: f�(a�`- tcP p 1v_ SEWER: K" DEPT OF CONSERVATION #Zy2-is Iq HEALTH DEPT: Septic Well NIA HISTORIC COMMISSION �a GAS_ D 1 d ELECTRIC ,D)��4J1►! S'D TELEPHONE �1SCOtJJd2 CABLE I TAXES L1 POLICE - FIRE 4�A X I EXTERMINATOR DUMPSTER—ON/OFF STREET OFF STRUT DIG SAFE NUMBER 2611 -Z9oD04'6S DATE REC'D BLDG. INSPECTOR Doc.form demolition of building affidavit NORTIy TO" Of 0 No. o o , dover, Mass., '6zl LA E COCMICMEMCK - ��RATEO R'P��,�S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System L ! BUILDING INSPECTOR THIS CERTIFIES THAT...../....` . (�.... ' ?'.�''.. /•..•••...��• Foundation .....7...................... .......................... buildings on ... has permission to erect...... .. .��...�..ir..j. ................................................................. Rough to be occupied aS .. Chimney prfic...................,�.C.. .r/.f.... .��, . .�C,/..........................................................:.. .� e provided that the person accepting this permit shall in every respect conformA the terms of the application on file in Final- this office, and to the provisions of the Codes and By-Laws relating to the t6spection, 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 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. SEE REVERSE SIDE Smoke Det.