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Home My WebLink AboutBuilding Permit #838-14 - 2350 TURNPIKE STREET 5/19/2014Permit NO: IT _/� Date Issued: MAP NO: PARCEL BUILDING PERMIT 3? TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION Date Received, TANT: Applicant must II ° .. �, AML ,. �, Zt�NiNG t31STRICT all items on this Hist !Machine !' PROPOSED USE Residential i3 yds ,fin ge yesI no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer WIM NO T -O! 1-I'10-1111111 Identification Please Type or Print Clearly) OWNER: Name: 1.ztc,-M2)R-o,21/k. Phone: q`1�,- 725-8521 Address: 2350' u�NP�KG 5-r r 0M -VT k t%AA vl$gk5 W B ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 500.pQ FEE: $ /� Check No.: 21 "'1 �4,7_2-J Sa fo Receipt No.: 21ZI l NOTE: Persons contracting with unregistered contractors do not have access to the gugranty fund 6ianature of Aaent/Owner VSianature of contractor Permit NO: Date Issued: TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this :`. LOCATION - - Print, PROPERTYOWNER Print 100 Year Old Structure yes no MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 0 Addition ❑ Two or more family ❑ Industrial 0 Alteration No. of units: ❑ Commercial ❑ Repair, replacement 0 Assessory Bldg 0 Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands 0 Watershed District ❑ Water/Sewer DESCRIPTION OF WORK t v tat rtrcruKivitu: Identification Please Type or Print Clearly) OWNER: Name: Phone: 11UU1 CJJ CONTRACTOR Name: Phone: Address: 11 Supervisor's Construction License: II Home Improvement License: ARCHITECT/ENGINEER Exp. Date: Exp. Date: Phone: Address: Reg. No. FEE SCHEDULE. BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si nature of Agent/Owner. Signature of contractor g �. - Plans Submitted LJ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans r Plans Submitted ❑ Pians Waived ❑ ; .Certified Plot Plan ❑ Stamped Plans ❑ TYTE—_OF:SEWERAGE- DISROSAL ` Public Sewer ❑ Tanning/Massage/Body Art ❑ . Swimming Pools ❑ Well ❑ Tobacco.Sales Food Packaging/Sales ❑ Private (septic tank, etc._ ❑ -Permanent Du npster on -Site ❑ THE- FOLLOWING SECTIONS FOR -OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE. REJECTED DATE:APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed o COMMENTS _4�_ 0_�\ \.q.� �� \a.,- , )I l I q Signature %M, HEALTH Reviewed on Signature COMMENTS t Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments r ,Water & Sewer Connection/Signature & Date Driveway Permit DPW Tow. -2 Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Tem' p Dumpster on site yes no Located'at 124 Mair Street Fire Departin&it,signatu're/date ' COMMENTS -Dimension - Number of Stories Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. ELECTRICAL: Movement .of.Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER Z®NE LITERATURE: Yes No MGL -.Chapter 166. Section 21A -F and G min.$100=$1000.fine ent use El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The foliawing is a 1i'st of the required..forms to be filled out -for: the appropriate permit to be obtained. Roofirag, Siding, Interior Rehabilitation Permits ❑ B,uilding 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) o 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 apo,?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:tted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Location2-5�% No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ /t,) (-2 B u i I d i n g/ F rXP—eg i t lreeL "-^I $ "10 Foundation Permit Fee $— Other Permit Fee $ TOTAL s/-<-,/ Check 4;�N,-77 -7 S- I � I e- f uo,� idu 11ding Inspector v - U) 0 (D 0 Z0--lok CD 0 r,L > co 0 00 < Q CD a* a2) CD 0 0 0 0 r_ cn CD 0 CD CD U) iv 0 z 0 CD a 0 CD O m-0 m X m cn z 0) 29 0 z V/ n 0 0 z 0 CD N 0 U3 0 CL S' co X CD co C 0 N 0. CL CD 0 0 0 0 = 2) =r ch --I mr —h r ch = :5. CD -0 CD CL 0 (D CD CL CD 0 CL m C.) o = 4 r— Coj —r U) CD 0 m 0 0 CLh =n =r m cn W-- CD 0) 0 ch 0 —A v R CL 0 23 0 r -LU) CD CD U) CD < 0 CD CL -n. 4 r— Coj Q) -a CD U) rt 0 fm rD 0 0 =r ID CD 5 0 ch CD 0 (77D 0 rD P- > CD CD lu C�l :: 03 aL 2) 0 CL C �o 0 v R -n. rD 0 5 0 0 (77D 0 rD lu aL c C �o 0 (D aqr_ co 3 aqr0 M * CL (D — =r 0 =r = =r O. 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