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HomeMy WebLinkAboutBuilding Permit #141-16 - 18 WILLIAM STREET 7/31/2015 BUILDING PERMIT �t�e{T"' iHf. O� �ti0 TOWN OF NORTH ANDOVER 3� y ,h. APPLICATION FOR PLAN EXAMINATION 70 nom+ OH Permit No#: Date Received ��Ssgcr+us���� Date Issued:4t /Z_� KM—PORWTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNERKAI f" �c�—��✓►� ��I (�t� �/ Print 100 Year Structure yes no MAP V`© PARCEL:t-/U`7 ZONING DISTRICT: Historic District yes no 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: O Demolition ❑ Other Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑_ Water/Sewer DESCRIPTION OF WOR TO BE PERF MED. Ito x ® w 01 /nom ► �- �� nz c� Identificatio - Please Ty e or Print Clearly OWNER: Name: .��I Phone-LO'7 U 7- `1,,32— Address: J Contractor Name: Phone: Email: 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: $ FEE: $ 1/ 00 Receipt �— t No.: Check No.: p NOTE: Persons contracting wi h unregi eyed contractors do not have access to th guaranty fund T Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer K Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ I COMMENTS CONSERVATION Reviewed on oz ► Signature COMMENTS i HEALTH Reviewed on Siqnature COMMENTS r Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes ~Planning Board Decision: Comments Conservation Decision: Comments Wafter& Sewer Conn ection/Siqnature & Date Driveway Permit DPW Town Engineer: Signature: f_ _� _ 84 FIREDEPAR�TMEN►T Tempi®umpster onzsite ,yesz_ Located 3 Osgood Street L�ca ` tetljat-1241 , P - ' ain,Street fnow_ _� . _:_ ► ire,D:epartmentsignature/date;_ COMMENTS. - �z 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) s� a�..� ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 r 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 ;4 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 OTE: 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/Cross Section/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 OTE: 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) j Copy of Contract 2012 IECC Energy code 4, Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Location No/ Date • - TOWN OF NORTH ANDOVER LED'I . • Certificate of Occupancy $ B rame Permit Fee $ '" ndation it Fee $� e Other Permit Fee $ �' n., e TOTAL $ Check# 9 Building Inspector / r � i r , NORTl1 - w a � tE ., ic . . ve. . . - : : %k No. - -�' h h ver � Z - y , Mass, T 0 LANE �. COC NIC Nt WICK V A�RATEO jkV S V BOARD OF HEALTH PERMIT T LD Food/Kitchen II L ( Septic System THIS CERTIFIES THAT .. ;.!!(!.> .......... . tAt .. BUILDING INSPECTOR ........ . .t •............................I� ••••. • ( /�,,,,, Foundation has permission to erect .......................... buildings on ... ...... .... 5.�................. Rough tobe occupied as ............... .................1. ........................................ Chimney Finalprovided that the person accepting this permit shall in every respect confiohe terms of the application 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT ARTS Rough - Service ........... ............................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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.