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HomeMy WebLinkAboutBuilding Permit #029-2017 - 2 UNION STREET 7/7/2016 BUILDING PERMIT N°RT b;�tio TOWN OF NORTH ANDOVERIN o . APPLICATION FOR PLAN EXAMINATION Permit No#: P 7�6r7 Date Received �gSSgcHus�`��y Date Issued: 1 I I DRTANT: Applicant must complete all items on this page LOCATION �/ �� ` n S t / G oz Pri t PROPERTY OWNER Print 100 Year Structure yes MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no I TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial Er'A"'Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition El Other ❑ Septic ❑ Well ❑ Floodplain El Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK O BE PERFORMED: / Identification- Please'Type or Print Clearly OWNER: Name: �o a/V 4N 2e ��` t*/ Phone: �74 3 Address: ak O/V J' /Uo /L-KA WivWo ve'JL Contractor Name: Bo dO.Ai 41V_W12e lr%'hone: -3 9X14/0 7a 3 Email: 70,A/ /1 e 4"`v 1w ah/` • e© Address: ,2 41"4�A J'-Lz , Al-c Ve t�Gr 4 n O VePE / Supervisor's Construction License: 62S ` Exp. Date: Home Improvement License: �p°�'� Exp. Date: _0z ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE:$ Check No.: 170 Receipt No.: NOTE: Persons contracting with unregistere ontractors do not have access to the guaranty fund i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Flans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanuing/MassageBody Art ❑ 7imming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dwnpster on Site ❑ r THE FOLLOWING SECTIONS FOR OFFICE USE ONLY j INTERDEPARTMENTAL SIGN OFF - U FORM { PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes } Planning Board Decision: Comments Conservation Decision: Comments Water& Sevier Connection/ Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE,DEPARTIUIEN;T - TempiDumpster onsite .yes, _. . ,. _ nb Lpcated;at Y12.41NIbin4Street FirerDepartmentvsignatiare/date. COMMENTS I i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of deter 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) I ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 A 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 OTE: All durnpster 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) 6 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) Copy of Contract 2012 IECC Energy code 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. J — t>11 Date ' 4 ' • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 114LA Foundation Permit Fee $ Other Permit Fee $ TOTAL $ s Check# Building Inspector / i Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 12,000.00 m $ - $ 144.00 Plumbing Fee $ 18.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 18.00 Total fees collected $ 280.00 4 Union Street 029-2017 on 7/72016 remodel kitchen and bath 7 replacement windows