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Home My WebLink AboutBuilding Permit #513 - 200 SUTTON STREET 1/18/2007Permit NO: SJ3 Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received / li-e) I IMPORTANT: Applicant must complete all items on this page I LOCATION div a��, n _S� G.p-1- Av�UcJ�i PROPERTY OWN MAP NO.: PARCEL: TYPE AND USE OF BUILDING ZONING DISTRICT: HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE T)�r� lfwnJ� Lo - Phone: Residential Non- Residential ❑ New Building ❑ 6ddition Alteration ❑ One family ❑ Two or morefamily No. of units: Min-dustrial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Commercial ❑ Moving relocation ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: Address: 00 7- 797-5 4, Iq n/ WS �- � CONTRACTOR Name: r6l Ed , 1 19k T)�r� lfwnJ� Lo - Phone: Address: r� �/u �'S l� i l ��. i C�G�-�� V�,* ,eun , 4 n l�S� Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER SF. Total Project Cost :$ 1 1-7 , a 0 FEE:$ c� Check No.: _ %! Receipt No.: / 7?V Z Page I of 4 4 TYPE OF SEWERAGE DISPOSAL Art ❑ Swimming Pools El Public Sewer ❑ ❑ Tobacco Sales Food Packaging/Sales ❑ Well Well ❑ Permanent Dumpster on Site ❑ Private (septic tank, etc. Electric Meter location to project NOTE: Persons contracting with unregistered,otractors do not have access to the guarantyfund Signature of Agent/Owner ��JalLeSignature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED ❑ ❑ I DATE REJECTED DATE APPROVED FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Sisnature & Date Driveway Permit Fol 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 DATA — For department use Page 3 of 4 Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created IMC. Jm.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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 DEPARTMENTMFORNIN Page 4 of 4 Location No. Date Mme,. TOWN OF NORTH ANDOVER w o ; ; Certificate of Occupancy $jr ,�_„_. • cNus t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #D�� 1994 �� `Building Inspectors✓ award J. Malek D.B.A. a4Tvnfiig Co. Methuen; S! A� 4 Tel & Fax (978') 686-6550 �� !' �..f e.... d.. .. D. _. _. _..._.._ _ ............ Ern t� f I�A C� K F�11- f3 P 1, C W/4,trt` L677 -&7Z E w O � a o c m O a eo z a m m �v $ o • $ F' .� O.� E O.0 W W O C � A a o m Ea �0.. C w t a a : 0d to E5 c. om O J u moo' y G <v WLU �r ora P ANG J 0 "i TV 2 Fa z 0 U 17? 'u; I c cm c O ■� Q 'E m m •� 3 L Co o a C Q CA o =� c ev CD c Z m C.3 h O c c c CL W IIo oI 0) oC W W C9 W H C ISMQ c m O eo z C w O_ C m m �v $ o • $ F' .� O.� E O.0 W W O C _ _o `o m Ea �0.. C 0.0 t a <r : 0d to E5 om w oCo C •� N 0 o Z' N cm 3 i •� �m W.0 z C J 0 "i TV 2 Fa z 0 U 17? 'u; I c cm c O ■� Q 'E m m •� 3 L Co o a C Q CA o =� c ev CD c Z m C.3 h O c c c CL W IIo oI 0) oC W W C9 W H C ISMQ c m ; L o 0 0 eo z C CL m m V�mC CLS $ o • $ F' .� CWC E ��o, 032 m C CLm J 0 "i TV 2 Fa z 0 U 17? 'u; I c cm c O ■� Q 'E m m •� 3 L Co o a C Q CA o =� c ev CD c Z m C.3 h O c c c CL W IIo oI 0) oC W W C9 W H Permit NO:—S13 Date Issued: — o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received-` �i I IMPORTANT: Applicant must complete all items on this oaae I LOCATION d&U +�-' n —5� �-�-F " A clav�� /l/f �l �S Print ,/ PROPERTY OWNER / ;R /1/1 &611 /P -L,, � o LL i ,o J& 4-k 4(-S MAP NO.: PARCEL: TYPE AND USE OF BUELDING ZONING DISTRICT: HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE G l a1C T) Q �-' � ""' lnlj CG ' r�`YI Ph ne: / Residential Non- Residential ❑ New Building ❑ dition Alteration ❑ One family ❑ Two or more'family No. of units: �� ONndustrial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Commercial ❑ Moving relocation d Other 1 ❑ Others: ❑ Foundation only DESCRIPTION rl�' 1OF WORK TO BE PREFORMED 1_U IYVT a ri ril,[m )'✓1-1 ri. )I Sle `,�C l`J Identification Please Type or Print Clearly) OWNER: Name: _t'Gtf,'GI' G soi-�,),el S �,r r� 7- 7y7-5741 CONTRACTOR Name: r b-& rd ., G l a1C T) Q �-' � ""' lnlj CG ' r�`YI Ph ne: / �l )� -�` �aSS v Address: ,9 9 Ai./z? r5 U 0 f rt oct-a-1 ,l/%` h eun .A4 6 / Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE. BOLDING PERMIT.• 512.00 PER $100&00 OF THE TOTAL ESTIMATED COST BASED ON ,$12100 PER.&F. Total Project Cost :$ 1 17 to . 0 U FEE:$ �:=2c} Check No.: _ % Receipt No.: -/ Z9 l 2— Pap Pages I of 4