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HomeMy WebLinkAboutBuilding Permit #198 - 18 STEVENS STREET 9/19/2006 TOWN OF NORTH ANDOVER ORT APPLICATION FOR PLAN EXAMINATION 0 Nom`° M OL 0 Pennit NO: Date Received V6 Date Issued: I 0 �9SSC HU5���� IMPORTANT: Applicant must complete all items on this page LOCATION 1(6 . S TSd EVJS STtec ;i . ( �ln Print PROPERTY OWNER >6►1'M. QdSs 4 Print � 2 M,,W NO.: 3 PARCEL: '(o ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential '-' New Building XOne family Addition ❑Two or more family i=' Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg Commercial _. Demolition Moving(relocation) ❑ Other ' Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED �© 44 Identification Please Type or Print Clearly) OWNER: Name: P&taSa &65 �2t'tc`� ���-SS Phone: °I�g•68?-S8t7( Address: is STCU&)s S Wci-r � SBDC�tSsdc o2�c CONTRACTOR Name. Phone: �c78 373 �35a .,.3� Yi1k�4 4&.Q- bfa�erl,�.Al 1�If9. C�(�3a Address: - -- Supervisor's Construction License: G Exp. Date: IIS ZUO f euti't#I -e At Home Improvement License: f�c�X"` C^ l oY oo/ Exp. Date: �01�A \RCHITEC /ENGINEE �� "� C' �� �e Name: Phone: CCZ8 i kddress: 3 W a� �e MCA, �� 04 Reg. No._ C'�. Aln `�Av � 27707 � FEE SCHEDULE:BULDING PERMIT.-812.00 PER 81000.00 OF THE TOTAL EST1,149TED COST BASED ON 8125.00 PER S.F. Total Project Cost : �` ,16 x12.00-=FEES C �i Check No.: Gb53 Receipt No.: J t� Page lol'-t I i Idyl s� I 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools Tanning Massage,Body Art Public Sewer Tobacco Sales Food Packaging/Sales Well Permanent Dumpster on Site Private(septic tank,etc. i_' Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent`Owner �� . Signature of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS ATE REJECTED PATE APPROVED CONSERVATIO422�" �D(� COMMENTS MaM6 DATE REJECTED DATE APPROVED L HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: Comments i Water& Sewer connection/Signature&Date Driveway Permit Temp Dumpster on site ye(-no Fire Department signature/date 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 DA rA—(For department use) ut'4 'i Doc:INSPLC IIONAL SLAVI TS DEPART MEN['BITORMOi i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses I ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application /6 Surveyed Plot Plan �� R. ". r,d Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses I Copy Of Contract X Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) j 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 j Mass check Energy Compliance Report 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 i Doc:INSPECTIONAL SERVICES DF:P:V2'r111?N'r:13PPORNI05 Location j. I; No. Date 19.0 l:. f NaRTh TOWN OF NORTH ANDOVER FEW ' Certificate of Occupancy $ 13 ''t� Buildin /Frame Permit Fee $ sacMusa 9 S i Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # OS3 19583 Building Inspector NORTH Town of __ Andover "A 90 _ A dover, Mass., . 06 COCHICHEWICK y1. S�RATED p'PG �� BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System THIS CERTIFIES THAT..a�.Qr1 .ld......Q ........ .......Nan .I ............................ BUILDING INSPECTOR Foundation has permission to erect......... .............................. buildings on ...1. ........31.4 0m.ws......ls.I............................. Rough to be occupied AAA . sr.... ...c., .41.... . ....,.........rM ..... �►.......... Chimney provided that the person accepting tis 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 453 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTR . ON 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.