HomeMy WebLinkAboutBuilding Permit #459 - 196 ANDOVER STREET 1/15/2007BUILDING PERMIT 16
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
F
Permit NO: .� Date Received -VL 1
e
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
One family
❑ Addition
❑ Two or more family
0 Industrial
k'Alteration
No.
of units:
❑ Commercial
k Repair, replacement
❑ Assessory Bldg
❑ Others:
0 Demolition
El Other
o Septic 0 Vell
U
[] Floodplain , j ❑�UVetlands
❑+ Watershed District z
0 Wates -Sewer
Plc
0/11'11 I'1TI��• � __
�►=�.,r�ir 1 fUN Ur VVUKK 1 U BE PREFORMED:
���►� tJaL. a�Z�R�-rtioNs
Identification Please Type or Print Clearly)
OWNER: Name: 1 L� Phone �t7 r1 8133
_ i `i 1.,1
FEE SCHEDULE. BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $_"7 1,OW i FEE: $
Check No.: Receipt No.: d
Jq
`;OTE: Persons contracting with unregolered contractors do not have ac ss,to the mare,
r.
Location Mj� .S' f— ,!
No. S Date
t10RTM TOWN OF NORTH ANDOVM
' OL
Certificate of Occupancy $ (Jl{
Building/Frame Permit Fee $
Check # 55-
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
U Building Inspector
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
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
4
DATE REJECTED
DATE APPROVED
DATE REJECTED DATE APPROVED
DATE REJECTED DATE APPROVED
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
Located at 384 Osgood Street
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.$10041000 fine
nv i tb ana UA I A - (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
uilding Permit Application
Workers Comp Affidavit
❑ oto Copy Of H.I.C. And/ r C.S.L. icenses
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
o 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
M,
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
t
O
FM4
x
o
°o
w
N
C
u
v
cn
U
z
a
w
c
�
bto
o
o
v
:�
U
�
x
w
�
°
a
o
r_G
�
iz
pG
w
�
w
a
o
c�
c�
cd
t�.
EI
w
G
�
x
rx
C%3
ir.
w
A
a
w
v
as
z
cn
0
Cl)
U5
W)
w G
Q : co cs
t0 ea
cm
S� N CD
`>,a E a
wsa
N
Q
oco
;Ec
Q _
GOA � � p 0
,N C --
* • s c" mi
Noun
mm a
O N N
N o 3 w
Zia s
' m
a y c
N
O C
O
E m
mo
ac.3 m
�LL O Q>
d C = m
O O
C.2 :EA:
H O
«. •coo c
CL
CD
~ CD N u m �O. ~ m
LW O
NJ CLij —O �-. C r=-. .r.
H •N ds A C Z
= 'E c � •N o
C-3 cp
CL
ti _ a OM= �
H .c $ O.�m
NC40
Cr.
IrA
CD
COco CIO
CD 0 CD
CL
.0 O �
O
CD :01
CD 0
e_�v o a
CM<
c .o
o cw
CLID 'C
FL C2 CD
.0O2 C.3
C CD
CL
V V2
O C
C
c
h
0
U)
W
W
19
W
U)
cc
Z
O
F=4
cd
m C
C y
• � 'ip G
w
n�M
CL c � Mea
m C
yy O
�f CE
2�,J� m
E
o :gym
00
t; cp
L
tel!' m m
h • m 3
c m
� M�
� L c
V ; N m
E a,
m
C m o
o.v
- Hm
=CD
-COD
w
C H Q
� mss
m�z
0
�a
m y m C
= m d+L+ O
C*
rt0. m
W
Wr- .y O
CLAZ
I c E ca .0 COD .y
v oo ca
O w a m1 o�
z =CA L CMA
L $ CL 4-
E
r
cm
H
0
N
C
0
CD
cm
C.
m
0
cm
C
G
N
CD
L
0
Z
0
g
CD
I
KIP,
w7
CO)
co
.a)
i
c
0
O
0
O
C.
CO)
O
O
V
y
c
0
cc
c
.m
a
H
O
V
CL
CO)
c
O OM
c
m m
a
a
a
O
as
u
���
w
cY
�
�r
vc
b
o
w
x
o�
oG
c
U
w
c7
a
C2
x
�
r2
x
�
a
w
od•
w
v
CQ
°
z
cn
v
0
cn
cd
m C
C y
• � 'ip G
w
n�M
CL c � Mea
m C
yy O
�f CE
2�,J� m
E
o :gym
00
t; cp
L
tel!' m m
h • m 3
c m
� M�
� L c
V ; N m
E a,
m
C m o
o.v
- Hm
=CD
-COD
w
C H Q
� mss
m�z
0
�a
m y m C
= m d+L+ O
C*
rt0. m
W
Wr- .y O
CLAZ
I c E ca .0 COD .y
v oo ca
O w a m1 o�
z =CA L CMA
L $ CL 4-
E
r
cm
H
0
N
C
0
CD
cm
C.
m
0
cm
C
G
N
CD
L
0
Z
0
g
CD
I
KIP,
w7
CO)
co
.a)
i
c
0
O
0
O
C.
CO)
O
O
V
y
c
0
cc
c
.m
a
H
O
V
CL
CO)
c
O OM
c
m m
CRO&S.
.,N
C z
.%Tk
I
G
i
I ! � ; ; j i
i I �
iI
�
I �
i � i i
i I
' � �
!� '
I
I
'
;
i
I
�
;i
�
I j
��
�;
� .1
�-� 1
,I
1 � � � I
;����
1
1
,�iI�;
i � �
� � �
�
� �
�, I �
-;_
�
�
�
� �
1
'
� I
�
I
I� i I
� f i f i f.
I j I
�
4 j
1
I
I ' 1
i I 1 1 1
1I
I f
1
'�
'�
'
I
I
� ..
1
�I
'
I
I '
..;
..; � � .l
� �
.
�
�
�
�
1�
�C��
i
f i, ! I � � i �
!
_
!�.
i ` Iti , I i
� � ! � � i
! '
w j �
1 i
t
-C
.:
r
���._
i �
�,
i
�
_:
O
� �
1
�
`:
"
�,
! �
i ; � ! �
� � �
,; � i
I
�c
�
�--`
;`
;�
� j
I
`�
i �
1 ; � I
�
� ��
r��
;�
I. i
i
_
' /�
...� ..� w w w�
A
liillllliil!Illlglu
®®
l l''i
II10i f1HH110111111
1. Www
01
OiO�
m®®=�Ii
®mm--=
.r..�...e..�» � ...I......�.
yaw
t.�+