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Home My WebLink AboutBuilding Permit #410-13 - 161 WEYLAND CIRCLE 11/5/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: V 1 Date Received �b Date Issued: tiviyukT T: Applicant must com fete all items on this page LOCATION s FJ t _ . PROPERTY OWNER Print 100 Year Old Structure yes no MAP NO: PARCEL: ZONING DISTRICT: Historic District ye no Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification P ease Type or Print Clearly) i,, OWNER: Name: CC an,,- �� Phone: ll 10 Lw lq Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: 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: $ a-� b FEE: $ Check No.: �� Receipt No.: NOTE: Persons contracting ith unre re contrac s do not have access to the guaranty fund Signature^of Agent/Owner I ature of contractor Plans Submitted Li laps Waived Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted-0 Plans Waived ❑ .Certified Plot Plan ❑ Stamped Plans ❑ -TI'PE_OF-;SEWERAGEDISPDSAL Public Sewer ❑ Tanning/MassageBodyArt ❑ .. Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc._ ❑ - - ..Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED: DATE.APPROVED PLANNING & DEVELOPMENT_ ❑ 0 3 COMMENTS_ CONSERVATION Reviewed on_j O Si nature G COMMENTS - e- M, DM a [ ., YLT Reviewedon Signature S Zoni g Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes e Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer ConnectioniS_ignature& Date Driveway Permit DPW'Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMEIVT -Temp Dempster on site yes no Located-at 124 Mair Street -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 21A-F and G min.$100-$1000.fine NOTES and DATA— For department use JLL- Moe— I 31'1�,� El Notified for pickup - Date Doe.Building Permit Revised 2010 Building Department he fol wing is^a 1i'st of the retiuired.forms to be filled out for the appropriate.permit to be obtained. Roofhig, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract u Floor Plan Or Proposed Interior Work u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application u Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses u Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) Li 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 u Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit Li Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) L, Copy of Contract Li Mass check Energy Compliance Report Li Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all casts if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Buiiding Permit Revised 2012 I Location �'¢ e,� No. !o— Date 11A 1 • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ F Foundation Permit Fee $ Other Permit Fee $ TOTAL $ JF Check# 131 ? `/ U1 ; Building Inspector NORTH own of EAndover No. ver Mass COCNICHl WICK S,qATEO V BOARD OF HEALTH Food/Kitchen PERMIT .11 LD Septic System ... THIS CERTIFIES THAT .........................�.....................s.............................1........................ .... BUILDING INSPECTOR........... has permission to erect buildings on L �. W .. .1. �. ... Foundation .......................... .... ...... .............. ...... Rough tobe occupied as ........ .....5h1.................................................................................. 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR T MRTS Rough Service ......... . .. ...................::-r.,,�.' ........................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. 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