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Home My WebLink AboutBuilding Permit #513-2017 - 1402 BASSWOOD CIRCLE 11/15/2016 f r4 BUILDING PERMIT o` �otzTy TOWN OF NORTH ANDOVER APPLICATION FOR.PLAN EXAMINATION ', y Permit No#: Date Received �y p0R TE�rqR` SS•acHusk Date Issued: LWORTANT:Applicant must complete all items on this page r• ... Y- .. 'y.. rie'ifr• 77 , �., �:'tiY""_." 6- 14 Pj. nnf , t FIR PERTY•'OWNER _ �•-r y�ar+- �'+�r �' -^x �P.,.,. .,c tee.�r r '" PuntoDYearStructure YeS no MAP _� ;�PARCEL�a ZONING DISTRICT. ` :_ , Historic District:'_ ry_es no -. Machme.Shop:,Village,_:_Y - 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' OF1Nel1 ❑ Floodplain Wetlands D Vl/afershea,Distpi- i i Water/Sewer, _ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly' gp y OWNER: Name: Phone: Address: Contractor Name: ::_.... Phone:_.. Supervis-gds Construction L<icense Home lrnpr=,o`vemerit License _ _ xP. _ - - � aej<� ARCHITECT/ENGINEER Phone: a Address: Reg. FEE SCHEDULE.BULDING PERMIT;$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. _ rotal Project Cost: $ FEE: $ Check No.: Receipt No,. NOTE: Persons contracting with unregistered contractors do not have.access to the guaranty fund Sinatur<.3_of_Agerif/Oviriler Signature of contractor Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. r 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) o 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) o Building Permit Application o Certified Proposed Plot Plan Ei 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) o Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products 40TE: 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 Plans Submitted ❑ Plans Waived F1 Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPO Public Sewer ❑ TanningWassageBody 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 e U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on I1 15 Signature COMMENTS '/�� HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 3 Planning Board Decision: Comments i Conservation Decision: Comments meter &Sewer Connection/S"rgnature Date Driveway Permit DPW Town Enggiueer: Signa-tare: Located 384 Osgood Street FIREDEPARTMENT' -Temp Dumpster on site yes no Located at 124.Main Street Fire Department signature/date COMMENT _____ NORTf1 own of 0 to No. ;1A ver, Mass, l �- l S � aD 1 to o cOC141c HlwlCa �1• �.OSQRATEO 101' � U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System r4fox /f fitfwYOp ��/l THIS CERTIFIES THAT A�V... GD I'L gyp. .::..r .Q.4..i4chP�a-!!!..�.�:' �'!O..!.!S!,�f.w•'rs� c�,!�c%-,�Sa �l!lS�t I BUILDING INSPECTOR has permission to erect buildings on �4Foundation Rough tobe occupied as ...R:14.!l;.f.........P. .................................................................................... Chimney provided that the person accepting this permit shall in every 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST RTS Rough / Service ........ .. .......... .......L....................................... BUILDING INSPECTOR Final 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.