Loading...
HomeMy WebLinkAboutBuilding Permit #344 - 172-174 WATER STREET 10/30/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o4 N:oT 6 o ,. ' A Permit NO: ` Date ReceivedCR r a Date Issued: Arm SSAcausE� j IMPORTANT: Applicant must complete all items on this page LOCATION 2 1�71e, ST y Po w-r— � � o � X10 ---� %<� Pri /� PROPERTY OWNER /' 4Z �&4z j Print MAP NO.: PARCEL: ZONING DISTRICT: /IF TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Resioential Non- Residential New Building Zbne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ eration No.of units: L Repair, replacement ❑ Assesso Bldg g ❑Commercial Demolition ❑ Moving(relocation) ❑Other ❑ Others: Foundation only D SCRIPTI N OF TO BE PREFORMP xe-ynall-P, e o 4- O J4 4 w-&l.J Kl C_ao A 44A 00k,I d COL)V7 )At!; '"logs /identification PI se Type or Pri t Clearly) OWNER: Name: In��✓l� kji e- Phone:�oa 2-�� lo,� !� [ Address: l h ,SCJ, CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECUEN GINEER Name. Phone: Address: Reg. No. FEE SCHEDULE:BULDIN M1T.•5 2.00 PER S'1000.00 OF THE TOTAL EST/MATED COS ED ON 5725.00 PER S.F. Total Project Cost :$ 4 0o 0 FEE: Check No.: J Receipt No.: Page lof4 TYPE OF SEWERAGE DISPOSALSwimming Pools Tanning/Massage/Body Art Public Sewer Tobacco Sales ❑ Food Packaging/Sales Well Permanent Dumpster on Site Private(septic tank, etc. ❑ e[OC'ertisfiteoditIP' lot Electric Meter location to project NOTE: . Persons contracts th a reg tot have access to the guaranty fund Signature of Agent/Ownergnature of contractor Plans Submitted ❑ Plans aived Plan ❑ Stamped Plans ❑ 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 ❑ ❑ t COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection/Signature& Date Driveway Permit t Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA— For department use T P I ��iIQC 3 f4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 I Created 1h1C.Jan 2006 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 ❑ F1oorTlan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ 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) New Construct' >lonSin 1 ( g e 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 t 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 DEPAR'fMENT:BPFOR 4105 Page 4 of 4 i Location ,i1 r No. Y Date lQ3 ' •- , r NORTH TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ :` TOTAL $ h. 0.' Check # E 19745 `'� Building Inspector M0w11A O•,No,• MO a TOWN OF NORTH ANDOVER '* APPLICATION FOR PLAN EXAMINATION ;"S Clow X47 Permit NO: -S SZ- Date Received: _ Date Issued: 212,7 D IMPORTANT: Applicant must complete all items on this page LOCATION/.17 1 GLIA -Coorl– I., I PROPERTY ONk'NER Print MAP NO.: PARCEL: _ZONING DISTRICT: y I TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building amily Addition ��One r more family Industrial AI ration No.of units: epair, replacement Assessory Bldg L Commercial Demolition htovin (relocation) _: Other Others: Foundation only - Y.- DESCRIPTION OF WORK TO BE PREFORMED W 5 :, �Xe lrs o?d l�l�GS denti at' PI s or Print Clear) OWNER: Name: 'J i� Phone: 3 �!!d S7, Signutur Address: /Ily SDiSC� C e�� S J 7 CONTRACTOR Name: Phone: .Address: Supervisor's Construction License: Exp. Date: flume Improvement License: Exp. Date: ARCl1ITEC'T..FNGINFFIZ Name: Phone: .Address: Reg. No. FEE SCHEDULE:BULDUG PERMIT.•Slaw PER 51/100.00 OF THE TOT4L ESTIMATED COST BASED ON 5125.00 PER S.F. Total Project Cost :S_ x10.00 FEES — Check No.: -1 5 R, Receipt No.:—' �,j NORTH Town o t 4Andover No. 0LA IE lover, Mass.,COCHICHEWICK AD C ATED WARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......^0 .............................. ........ Foundation has permission to erect........................................ buildings on:�.:?.;!..... ................................... Rough Chimney to be occupied as.... if......teAw.%ft..........0q0j'&x........ .. .#.,�j provided that the person accepting this permit shall in every respect conform to th(Fterms of the applicatioif 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 n ��Io PERNET EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR ELEC L TS UNLESS CONSTRUVO S Rough ... ...... ......................... . ...... Service . .... ........... .............. ................................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building a 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. U lie, rT n��o �� ���5�,-� ►� �--�w� � �� b-3 do I z0 pmd c6mp 1,�� (),v*t N J w C' 19 /rlrvl i�u -}v-- OvUSee— o� 4(iwl and �vld 3 mo�.� l1s KN