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HomeMy WebLinkAboutBuilding Permit #286 - 163 MAIN STREET 10/15/2007 BUILDING PERMIT of "oRT" q `tt�eo hb� 1.0 TOWN OF NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued:LO Q ��SSgcHus IMPORTANT:Applicant must complete all items on this page LOCATION+ �`�� { to T ..-.r.�_.- .!Print .PROP Y, t� �-c . . Print,- = MAP NO; PARCEL:: ZONING"DISTRICT; Historic Distrlct yes Machine Shop Village yes 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 "Well Well Floodplain; Wetlands " Watershed District Water/Sewer- DESCRIPTION OF WORK TO BE PREFORMED: :��T�46n ap Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR -Name; . . Phone: Address: Supervisor's Construction.License: Exp, Date. ` Home-'Improves-rent 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. Y Total Project Cost: $ 000 FEE: $ Aof-F- 0-- Check No.: 144 Receipt No.: �9Q (--;'5-3 NOTE: Persons contracting with unregistered contractors do not have access to the g ra fu Srgrature of Agent/Owner. Signature of contractor 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Pla�n':ng Board Decision: Comments Conservation Decision: Comments Water $ Sewer Connection/Signature& Date Driveway Permit Located at 384 Osgood Street P FIRE DEPARTMENT =Temp Dumpster onsite Vires no Located at 124 Mairi Street Fire,Department_s gnatureMate 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 ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 ❑ 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 9 9 9 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/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) ❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location! 62 No. 2Date/ �{ NORTH TOWN OF NORTH ANDOVER 3? i • O ` Certificate of Occupancy $ yes'•••°'E<�' Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ Q TOTAL $ Check P 20G : S Building Inspector NORT1y To of No. o dover, Mass., T` O - LAKE COCKICKEWICK ORATED PP�t�S v ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System III BUILDING INSPECTOR THIS CERTIFIES THAT................ . ... ................ ......... Foundation has permission to erect........................................ buildings on .I.. ... !.....�t..I......5. .............................. Rough t0 be OCCUpled as....��. !!. ... ... .�.. ......... A.................. Chimney e 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 I6&' PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS _, bNSTRU j Rough Service BUILDING INSPECT 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. Copy 3 t0 � N M ISI W \ �O .A \ M W N Zy1v/L ON x ba= 42/ HH42/ 3 �0 2/ HH42/ HH N kl „i i W , 9£/992W 2b/092W 9£/b£2W 9£/b£2W 2b/092W 9£/992W 3 �O N M \ M W N 42/�HH42/j 3 �p t 42/dHH42/dHH V75E76 W kv W N '� \ M i i 1yi i ' . I /99ZW '� Zb/OSZW H �✓�b£Z ro 9£/b£ZW 2b/092W 9£/992W N b (! '4 3 �O M A% W v \ N b M N \ W � �+ N , , O -------'--- 0� 9£/bE2W 2b/092W 9£/992W w TBD COMPONENT PLAN WHO BMSFoster Insurance DATE REVISION DATE REVISION DATE REVISION p ��Jp�V� 7/24/07 anel heights, tl es Fo oo�m,�,r,,,e �, ,4 North Andover, MA FW 01-ICE W.e.m—Co.,uK. DATE SCALE DRAWN BY CAD DWG k TEL 7/20/07 1/4'=1'-0' VB Foster Ins. 0 c 3 - D View E V Foster Insurance DATE REVISION DATE REVISION DATE REVISION M f 7/24/07 ane( hel hts tl es a ,a s„ ,4 North Andover, MA Mown Co.,roe. DATE SCALE DRAWN BY CAD DWG # -BBB-M-WSON 7/20/07 1/4'=1'-0' VB Foster Ins.