HomeMy WebLinkAboutBuilding Permit #041-13 - 32 CIDERPRESS WAY 7/18/2012 BUILDING PERMITO� NORT" •qti
TOWN OF NORTH ANDOVER 3�°
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APPLICATION FOR PLAN EXAMINATION
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Permit NO: '' Date Received �d ` "�R,TEo;KPa c5
Date Issued:
I I v �SSACHU5��
IMPORTANT:Applicant must complete all items on this page
LOCATION 2 y " Z C i�rn-res s Wo can Mona)
Pr! l 1
PROPERTY OWNER I M OAS L� L
Print
MAP NO: I (PARCEL3 � ZONING DISTRICT: _Historic District yes
Machine Shop Village yesno
TYPE OF IMPROVEMENT PROPOSED USE it
Residential Non- Residential
Lew Buildin One famil < ,
Addition �unis: mily Industrial
Alteration No. 016 Cr T0g4LW( SL. Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Well Floodplain Wetlands Watershed District
ater/ -ewer
DESCRIPTION OF WORK TO BE PREFORMED:
E- tj ,k) ;i- (11\)LY I�M S vN IT Zaw�J
Ideptific 'on Please Type or Pri�{t C'learly)
OWNER: Name: lily- Phone:29-687
Address: '/ r 1'► •L�J, OUe+f
CONTRACTOR Name: li{,LJ &,G Phone: Q 77-6y
7 r S
Address://(; � `! �L - IU, PNC 1,
Supervisor's Construction License: Exp. Date: t
Home Improvement License: Exp. Date: �---
ARCHITECT/ENGINEER Phone:
Address: S86 Vi S• A0 1 1?� Reg. No. 4616
FEE SCHEDULE.BOLDING PERMIT.$12. PER$1000.00 OF THE TOTAL ESTIMATED COST BASED
ON$125.00 PER S.F.
Total Project Cost: $ FEE: $ /OD • Ci
Check No.: 2 Receipt No.: 2 �the
NOTE: Persons contracting with unregistered co actors do not have access to guaranty u d
Signature of Agent/Owner Signature of contractor
Location L./Pzep<SSS bjo�
No. CJ�7 — Date
• - TOWN OF NORTH ANDOVER
s
® Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $/00"
x
Other Permit Fee $
TOTAL $
Check#
25518 Building Inspector
tans Submi d Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
ublic r Tanning/Massage/Body Art 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 NIA 7-19,k 'k tv
r
CONSERVATION Reviewed on $ Si nature
LIU
COMMENTS Md� �8-P 2�'12� 1 1 l� j n aC<ar,r1iG+1cR l
wI 00 C ev�Q a� M.o��ti,
HEALTH — - Reviewed on Signature
COMMENTS I r a
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: 2 BIZ- l l 1q Comments
Water & Sewer Connection/Signature Date r Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Duter on site es no
Located at 124 Main Street
Fire Department signatureldate
COMMENTS 12
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.: 3b .2 Pr L
ELECTRICAL: Movementf Meter location, mast or service drop requires approval of
Electrical Inspector N 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)
❑ Notified for pickup - Date
� I
Doc.Building Permit Revised 2008
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
❑ 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 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 DEPARTMENT:BPFORM07
Revised 2.2008
NOTH
R
Town of 2 6Andover
No.
LAK, h ver, Mass,
COCHIC Ml WICK
��A�RATE� PPP��S
S V
BOARD OF HEALTH
Food/Kitchen
PERM .I..T T LD Septic System
7 Le,,,4.,L_ e V Jy. � BUILDING INSPECTOR
THIS CERTIFIES THAT .......... ..�lq............... ........................ .. ...............!-�:':C...............................
` Foundation
has permission to erect .......................... buildings on ?........................ ...:l . ..............
-- Rough
..
to be occupied as ........ d ..... !!?r.?....... ........................................................... Chimney
provided that the person accepting this permit shall in every spect conform to the terms of the application Final
on file in 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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION RTS Rough
Service
................ ....... .. ..Apr...... ...................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building 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.
Smoke Det.
SEE REVERSE SIDE
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ti;acc:tehusetts-Department of Public Safety
Board of Building RePlations and Standards
ConsmtCtion Supervisor License
License: Cs 56417
ttestricted2o_ — ---- - ---
THOMAS DAHORUIKO
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