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Home My WebLink AboutBuilding Permit #546 - 184 CORTLAND DRIVE 4/16/2009ERN11T 8011-1 OFTH AV Np,T10N TOWN of 1 N F R PLAN EXA ed i APPLICAT►O Date Rece►v Tete all items on this p� must comp per G APP1jL C& -- YOgT A 1T N ID Issued' ' DIStrlct Historich L °p �111a OCATION 1t �1STRICT ,.� MaGhtt'e 1N0 01 e� Yes PROPERTY OWN Rc�L, �ZOI`I on_ Resident►aI N 1 C, pA N OP OSED USE ustrial T PR :..► Ind ercial _ OFIMPRO�EMEN TYPE Nte rat►on . replacement Repair, Dernolit►on well _ _};f. Pe ft'A plan And 40fi gld9 Perm1 a of Appeals I a prpof of recording - R Name; OW NE Scw.1�1 4 ,, !Ill"' I / �, Address ` 1111 ONT RACTOR Name. }'i Exp date' � pate s rse,.' pddvess:trucionLlce Cons � Phone:- Superyisor ement License, 1:iome 1mPr°v Reg. N°' 125.00 PER S.F. T BASED ON $ GINEER TED o°S ARCHITECT IEN 00.00 OF THE TOTAL ESTIMA !)i% IT $12.00 PER $10 FEE i1 Address � PERM to the guaran BULDiN Receipt No •. FEE SCHEDULE: t ye access have role Cost. d c ,actors do n° �_ ctor —` Total P p With unr glsteye e of cAntra Check No so s contracting Signator per NOTE'qjneT Iamlly Comm Others'. TWO U, 0. Of units'• all �,ssessoN Bldg V Other etiands -In l wo DESCRIPTi� o�� G Y nt Clearly) or Please Teel Dlstn�t Permit NO: Date Issued rol BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received I - IMPORTANT: Applicant must complete all items on this page I LOCATION i$y CzAj44 D�ivo,. tVN IT 3 ) N NAA Print PROPERTY OWNER Me i u" Cr t'o',s 'L�-(- ki Print MAP NO: 104 C. PARCEL: 3_ ZONING DISTRICT:Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew B ding ne famil 'T i ion wo or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Sept' Well Floodplain Wetlands Watershed District ae OWNER: Nam Address: ( k& CONTRACTOR Address: I\ 5" DESCRIPTION OF WORK TO . Please Type or Print Clearly) ee. C .mutes LLC Phone: a79 6s7-Z,635J 4 1� ve 6 Am. Uk L LC Phone: q �.T 7-7 .1? t' Supervisor's Construction License: 01 _ l Exp. Date: qts -k-616 Home Improvement License: Exp. Date: -�-- ARCHITECT/ENGINEER Phone: Address: — Reg. No. FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ 161,9 - Check UlJ,Check No.: /00-3 Receipt No.: NOTE: Persons contracting with un ygistered cAtractors do not have access to the guaran nd Signature of Agent/Owner ,, Signature of contractor"` Location g No. Date �6 O TOWN OF NORTH ANDOVER �. . 0 - Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ /4)0— Other d0— Other Permit Fee TOTAL Check # U,? 21 956 //�` f/ / building Inspector I Elans Sub itte Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL ju=bhcSew:e:r)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 N 1,A. C_ �k41 a CONSERVATION Reviewed on COMMENTS HEALTH .a COMMENTS Reviewed on Signature ,- t Zoning Board of Appeals: Variance, Petition No: N I Pr Zoning Decision/receipt submitted yes Planning Board Decision: N Comments Conservation. Decision: ZqZ- 1 l)LCom Water & Sewer Connection/s DPW Town Engineer: Signature: Dimension Number of Stories: L 1lZ Total square feet of floor area, based on Exterior dimensions. 2 9V8 Total land area, sq. ft.: 30 -L 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 2008 ub ttte �_� g13;0F;SE�,E�PlanswaivedGEpSAL Certified P Plot Plan. C Cok IHEALTH COMMENT` Private (septic tank, etc. IT ann1ng/MassageBody Tobacco Sales Permanent Dur-- StarnPer _- ent Departm Ing ermit to be o'�ta,nea. 8ui�d Propriate P to be filled out for the aP of the required forms On permits ;S 8' ►►5t ehabilital, .The following r R Siding,lnterjO Ro°fing, permit Applicat1On Affidavit r C S.L• Licenses ° guild►ng comp And�p permit er C. ° � °r t COPY Of H •1 • r W Ork cts °issuance °f gld9 o ?Inoto Contract Propose InterjO rodU prior t o Copy n Or, prop for Engineer F re pepartment P o Floor Ala Vets engineering A' require sign ° from ° du Aster perffilts 1401 All ►cs i Zoning Board of qp pe, Planning Board Decision: r n. 1 COnseNation Decision. '—Z, � DPW P &Sewer COnnecf W Town � Enb'�eer; Slgnak F/RF fl EP Fj etfl at 1 4 M ; Street _Tem epa�fi�nt S�9n CONjMENTs 1 Addition or Dec licat1On Perm APP Plan ° guildin9 ed plot plan An CeTtlfied SU e Affidavit Licenses S rinkler ° orkers Co .I .0 . And C ,S .L • sed W Ork W ith P o W Copy Of H pf PrOP� ° photo Contract tion plan ble) o COPY 01 ) s (If Applicable) ort (If Applica canoe of Bldg ° FloorlC lat►On Bance R P Toducts to is Ca1cU Com Engineered e Department prior Hydraulic Energy om Fir check fO n fr ° mass as veering Af'davu r sig ° ' o Family) ° En Aster permits reA NOTE; All d singe and *TV VO l ' New licatlon it APP Tinkle perm d plot plan ° guildined propose C.S,L. U1Genses edi to InclUde Sp ° Cert'fl d H .1.0 • Anddavit .� ° ge Return ° photo Come A�' e Workers uilding plans ��l. able) o Two Sets of g s If APP ° is CalcUlation e ort Hydraul R P to issuance of Contract Compliance roducts rior ° Copy eck Energy s for Engineer F1re Department P Mass ch avit 019 from a decision from ° ineering Aff id vire signmust stamp theeds Ane copy ° E m sten Permits reG 'red the To�,ue ora a atthe Reg�st� of D NATE: A11 dU P t Was requ et this r or special Per . Ut must then g �arianCe ��e buuamg PpLcation In av cases i eal period is that the app tted with must be subs ES DEY�T:BYFOO'1 YECTION� SERVIC poc: INS Revised 2.2008 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 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 2.2008 OG U W W O H ZW `cc1 a v e A A \ Ljca�.a x b 'Ono a to'-� v z •'i °o v o o -c a o w cn w w U w" w w u: cn w" P2 w" co cn cn o w me 0 c+r GO C3 CO)O p i -a E �� c7CD •CLC L cc m O Zco E 4N.1 Z Cc O. sK y = Cn 0COD cm CID Z•� .` Qu + CL !' �Q y= O 'E m m 0 ` GO �Q' g� = i co N v\ o ti w "r CL ♦'C..+ y * * CD �O = E 0� to W CIL �3 y o .� y 3:o. CL � � � O � OL . y = y O -� a v�Q :c y h .� 'p W W c Amo o, UQ. o= c W o.c� .. m Cn O Cc O Vi .. .o c w p ,O. O o cm o c t3 vs Z v O co C acL m �, C C O co . \v?Z 0 C O a Q m yCDc .o C r = m m 30 N C H •0. L_ Lij�tiaCL J1=z y oc E coa � .y o cW.3 o o m!E 0 Wd m O :0 .� L 02= y � O F— L $ c. o- m 5