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Home My WebLink AboutBuilding Permit #94-11 - 21 CIDERPRESS WAY 7/29/2010TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:- Date Received Date Issued:--Dr.�-2f, 11 � () IMPORTANT: Applicant must complete all items on this page LOCATIO, S. 17, 19 2/- Cetde:�pvcsl��VLko' 6�e U Print ��v PROPERTY OWNER CAM 4-W&IJ Print: MAP,NO- PARCEL.- -T� ZONING DISTRICT- Historic District yes n o Machine Shop Village yes �E TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Bul One family Addition Two or more family Industrial Alteration No. of units: q Commercial Others: Repair, replacement Assessory Bldg Demolition Other Se ic ".Well ,pf Flood I Wetlan p ain, ds. , Watershed Distridt 'Water/Sewer ur-at�mir i iuN Ul- VVUKK I U t5t FhKI-UKMF=D: Q V� t 16 ZUA kazw_ rC%3 V4- S+f Ze_� - OWNER: Name: Address: �CON-TRAQTOR Name- -ret eA M Please Type or Print Clearly) Ph ARCH ITECT/ENGINEER Q'sdriv., Acflk Phone:t78- I I I Reg. No. FEE SCHEDULE.- BULDING PERMIT.- MAO PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. (0641-70- + lds'� Total Project Cost: $ ") 71 Ms!p)c FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unrqgistered co ctors do not have access to the -U rantj, signature of Agent/Owner- signature of contractor Location No. Date TN TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ CHUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # .00. Building Inspector _,��d Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL �ublicSewe 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 PLANNING & DEVELOPMENT COMMENTS N 1,Ar, U A Ck. Unla CONSERVATION MMENTS HEALTH COMMENTS OV% Reviewed on Reviewed on DATE REJECTED Si It Zoning Board of Appeals: Variance, Petition No: -- 7oning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Zq7, —I P �_Comm Water & Sewer Connectio DPW Town Engineer: Signature: 7-219 - 10 Located 384 Osqood Street FIRE DEPARTMENT -'Temp DumISZer on site yes 1,/ -no Located at 124 Main Street Fire Department signatureldate COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 601 Total land area, sq.ft.: -36-Z-AC ELECTRICAL: Movement of Meter location, mast or service dro quires approval of Electrical Inspector Yes N o �7 DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21 A —F and G min.$100-$1000 fine NOTES and DATA - (For department use) D Notified for pickup - Date . ....... . . . . .. . .... . ..... . .. . . . . . .................. . Doc:.Building Permit Revised 2008 Im. 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 Lj Building Permit Application Ej Workers Comp Affidavit Ej Photo Copy Of H.I.C. And/Or C.S.L. Licenses Ej Copy of Contract Ei Floor Plan Or Proposed Interior Work ii Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application Lj 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) Ej 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) zi Building Permit Application L3 Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit L 3 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 a plicant must then get this recorded at the Registry of Deeds. One copy and proof of recording p must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Rog CD lift oz SOON 0 '2* c -a UL [Oki, k lhko ------- Q1J AD W 44 It I, ", ol It 111 S99 !111 16 4.1 x us it 151gi ill all C) 1k; 1 45 15 -1 ffil Ali! 11fil All fill W11 ifill 011011. ill ill ;if elf ill af ;if All Al tit sp 41t 4_1 19A -�Mo 10W I -3NOZ I it ssachusetts - Depat-tment of public Safetv Board of Building Regmlations an(I Stall(Iju-* Construction Supervisor License (is License: CS 55417 Restricted to: 00 THOMAS D ZAHORUIKO 115 CARTERFIELD RD N ANDOVER, MA 01845 Expiration: 4/5/2012 Tr#: 21090