HomeMy WebLinkAboutBuilding Permit #227 - 148 CANDLESTICK ROAD 9/23/2009 ' I
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Z. Z Date Received
Date Issued: • D
IMPORTANT: Applicant must complete all items on this page
_LOCATION `� rzlr�Sre2Q,_
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PROPERTY OWNER U—
Print
MAP'NO PARCEL.. .ZONING DISTRICT: Historic Distract 11 yes
- Machine Shop Vi a_ge yes b
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 Idg
Others: i
Demolition Other -
Flaod 1ain 1Netlan`tls -'Watershed:Dlstr"ict
SeptEc Weil R
Vllater/Sewer
..
DESCRIPTION C
RI
PTION OF WO
TO
PERFORMED: ,
1'Z3ZM�, I
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r- Identification Please Type or Print Clearly) r
OWNER: Name: �O L Phone:
Address:
CONTRAGT.ORTlame� -
Phone:
~Address
.Supervisor's Construction License; i _ _ Exp. Date
Ex Date u
Home Improvement License: _ - p- -
ARCHITECT/ENGINEER
Phone: a _
Address: Reg. No.
FEE SCHEDULE.BOLDING PERMIT.-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED N$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
Signaure o
tf.contractor
Sgnature`of Agent/Owne - --- -
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Location
No. 7 Date ' v
NaRTM TOWN OF NORTH ANDOVER
' Certificate-of Occupancy $
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Building/Frame/Frame Permit Fee $
ss�cMust 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ ��
Check #
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22441 - y
—Building Insp or
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Plans Submitted Plans Waived Certified Plot Plan Stamped Plans i
TYPE OF SEWERAGDISP SQE;: ••� r-
Public SewerTanning/NlassageBody 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 i
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Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
P
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineef.'Signature:
Located 384 Osgood Street
F]RE DEPARTMENT Temp-Du'mr)ster on site- yes _ no
Located at-j24--Kam Street - -
Fire Department signature/date
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
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DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
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NOTES and DATA— For department use)
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❑ Notified for pickup - Date
Doc:.Building Permit Revised 2008
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, g,�Sidin 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
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Addition Or Decks
❑ Building PP Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
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❑ 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)
E3 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
Doc: Doc.Building Permit Revised 2008
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NORTH
Town ofAndover .
:
O .e•W.r 't, f, 0
No.
LAKE dover, Mass.,
co HIC ME WICK ��
ORATE D C2
`s BOARD OF HEALTH
PERM . IT T D
Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT...........I
. . .......................... .. ...... .. ......................... .....................................................................
e' _ Foundation
has permission to erect........................................ buildings on ./ g.......... ............... Rough
•
to be 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 CONS TR T TS 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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.