The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #112-2012 - 2301 JUNIPER CIRCLE 8/5/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ��2 Date Received Date Issued: IMPORTANT:A licant must complete all items on this page OA e Av r 7'v 'T-U-q,-Ue,-C . LOCATION I — 730 "1 T4AxvL i C t PLC-L40_ -- Ylk Ile uOWD PkSeXu2 rint PROPERTY OWNER Aqu 1 2 t Q Print MAP NO: 0100 PARCEL: 003q ZONING DISTRICT: Historic District yes n Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential :iYN-ew Building ❑ One family El Addition >No or more family 7U�44 -s ❑ Industrial 11Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well 0 Floodplain, 0 Wetlands ; Watershed""District 11 Water/Sewer DESCRIPTION OF WO TO BE PERFO ED: ,/ 17 1r)c,/ f c'm -� t��'�^� u..� rv2t �¢f Qp��jy'1 Gr9'1 t f Gt,�S� 5. X � � J �U4 lvvooaF" �vuM�ious� L [k,�r4 Identification Please Type or Print Clearly) Q OWNER: Name: ! � ,i L,LA 0, Phone: Address: /00 /NnO1/,4 - A-IS `,fume d03 klvvvwf M4 , 617515 CONTRACTOR Name: 12P Ayttps,b" LLC Phone: 97��-S3aa Address: ld0 A✓d c vol ,_f_ 5ati C ` 3 �c "�o v��. 0,;yYS Supervisor's Construction License: e5 5'7571 Exp. Date: C•� Zr�Z Home Improvement License: Exp. Date: 906ant -. iJ2,Q_I6Qx1,, to&S-096-1T3� ARCHITECT/ENGINEER *tb hc* Aec*ftcc�e Phone:_ ,7g- gx5-2799 *wt-H�e 5 T." St Address. �s-�i✓f� O. o� -7.�t`f Reg. No. 0 FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BAISED ON$925.00 PER S.F. Total Project Cost: $ A� 00 FEE: $ /- , �b� Check No.: /d Receipt No.: -e2 1-/`/ NOTE: Persons contracting 'h u r g tered contractors do not have access toffhe g a O fund Signature of Agent/Owner Signature ofcontractor rra M-owa ■ Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art r] 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 CONSERVATION Reviewed on 1 Signature COMMENTS HEALTH Reviewed on Signature COMMENTS V Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Drivewav Permit DPW Town Engineer: Signature: �� —4 —31 Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date IF/.1 2 0 // COMMENTS Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions. Total land area, sq. fit.: ELECTRICAL: Movement of Meter location, mast or servicedroprequires approval of Electrical Inspector Yes 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 2008mi 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 y ❑ 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 10T€: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit i all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals aat the appeal period is over. The applicant must then get this recorded at the Registry g�stry of Deeds. One copy and proof of recording gust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location '2.34 _ Z� '2 No. Date NORTH TOWN OF NORTH ANDOVER F'rOi ' Certificate of Occupancy $ �'7s''•o E<�' Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL Check #10�41 r 1w- i � j'r �rvJ • /I Building Inspector