HomeMy WebLinkAboutBuilding Permit #563 - 2350 TURNPIKE STREET 1/25/2012 BUILDING-PERMIT OF "ORT"
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TOWN OF NORTH ANDOVER o32 �yxt .'•� 6 °^
APPLICATION FOR PLAN EXAMINATION `'
Permit NO: Date Received 4 �`
Date Issued:/-
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Buildin One family
Addition Two or more.family Industrial
Alteration No. of units: Commercial
Repair, replacement-- Assessory Bldg Others:
Demolition Other
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DESCRIPTION OF WORK TO BE PREFORMED:
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OWNER: Name: Phone: _
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT.,$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ , FEE:
Check No.: Receipt No.: TQI '
NOTE: Persons contracting with unr eg,istered contractors do not have ac ess to the guar- and
5 "<,..IH^_y'T't-' Y P'^'r*r FyTi'
4��efr�X ent%Duuner gnatue 3 w
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
'P -r- Lc
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED-
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION Reviewed on Si nature
COMMENTS
HEALTH Reviewed on Si Ur
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Wafer $ Sewer Connection/Sic nature&Date Driveway Permit
DPW Town Engineer: Signature:
. —_ .I?�S,i•� - Pi3:3�5?,ep :.._:1°�:iK:.:; c:x;:� _ _ _
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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.$100-$1000 fine
NOTES and DATA— (For department use)
I
I
❑ Notified for pickup - Date
Doc.Building Permit Revised 2010
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
❑ -Ceiified Proposed Plot Pian
❑ 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:Building Permit Revised 2008
Location .5t) a
No. SG3- Date ��--
NORTIy TOWN OF NORTH ANDOVER
3?O:t �ao ,a,h•C
F A
A
Ia ; ± Certificate of Occupancy $ 10
CHU Building/Frame Permit Fee $ Q J
Foundation Permit Fee $
Other Permit Fee $ -�
TOTAL $
Check #agh
24976 Building Inspector
AORTH
TO" ofAndover :
VIA
No.
I -,IT
(`O A K E o . over, Mass.,T
COC HIG HE WICK
BORATE D p'P '`� .
�7 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.. .. .�/.�. ...... ................................................................+.... .................................... Foundation
T '
has permission to erect......................................... buildings on . , "' ...................... ...0.... Rough
to be occupied as CO Chimney
provided that the person accepting this permit shall i.' every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in'the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
(00 C,a Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR.
UNLESS CONSTRUC S TS Rough
1 v Service
.............. ..... ........................... ............
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do- Not Remove Final
No Lathing or Dry Wall To Be Done FIRE-DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
y
SEE REVEI7SE SIDE smoke Det.
Hw
RECORD AREA=
ACRES
_ RECORD AREA=
33.8. ACRES
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SKETCH PLAN OF LAND
LOCATED IN
•� KIrt.L MIDDLETON, N4SSACHV$E77S
(ESSEX COUNTY)
• PREPARED FOR
OPAPM'C SCALC
FLAME LAMINATING
XxF r•.Iy ��„ � '9i ':b'
SCALE. l--BO' DATE.'OCTOBER 14, 2004
FEET w a xr ao im f.o �'o`•vs r ....
uC RRS
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REWWONS
"o o•rz ocxwvmw e. ow'o SHEET No. 1 0F J PROJECT No. 4045