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HomeMy WebLinkAboutBuilding Permit #121 - 245 BOXFORD STREET 8/13/2012 tIORTH BUILDING PERMIT qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION j n ��o °y .� 41 Permit NO s 13 / Date Received '°"' 2 ��SSACH►1`-+E��� rED Date Issued: �v IMPORTANT:Applicant must complete all items on this page t LOCAs !ION �y7 �x� /e S� � � Print PROPERTY`.OWNER. Pint -MAP NO RCELZONING DISTRICT:.. Historic,Distftt yes.: no - - WacF ine Shop Village .yes,., .no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic 1NellFloodplain . Wetlands. VVaterslied;District` Water/Sew_erc. DESC IPTION OF WORKTO BE PREFORMED: I,,I�a she �r �r Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR+ Name:.. Phone: - Address:. Supervisor's Construction,License _._ P_ __ _._ : ._. Exp. Date: Home lmpr"ovement,License: Exp. Date: 4 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST .A ON$125.00 PER S.F. Total Project Cost: $ '�� FEE: � $ Check No.: 094 V Receipt No.: C�T—(a 0 � NOTE: Persons con acting with unreg' tered contractors do not have access to the guaranty fund Signature of Agent/Owner 'Signature of contractor - < <-C- r F � BUILDING PERMIT NOory TOWN OF NORTH ANDOVER c�otL = "6=6"0 APPLICATION FOR PLAN EXAMINATION ? Permit NO: ew ` *'04 : ,�� Date Received o I 1 41 ArED 0r Date Issued: ��SSgCHUS���� IMPORTAN App scant must complete all items on this page 4PROPERT;Yr`O ,MAP!NO ,. 1 , Prmt _ PARCEL ` - ZONING'DISTRICT . Histonc,Distn6t'. yes no Machine'.Shop JUillage <yes .no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic ' Well.- 1. %Floodplain F t }Wetlands. s Wafershed;©istnct` t. Water/Sewer,i a DESC IPTION OF WORK TO BE PREFORMED: V Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRA � :x N CTOR� ame. Adtlress ,• *� a r. ` '�` 'R «lr�, /.. •� i-..t '2•, _rk. _ ti., '/ - d -4...'+ i or stConst`ruc tion L - � I'Hom`e'lmproveme tib,1be*h-§e:- Exp. .Date j �. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT;$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COSTBASED ON$925.00 PER S.F. Total Project Cost: $ VOOO/ FEE: $_ Check No.: Receipt No.: NOTE: Persons contracting with unregtered contractors do not have access to the guaranty fund Signature of Agent/Ownerr —'Signature 0f contractor -- - - Location No. Date l� . - TOWN OF NORTH ANDOVER O f _ . Certificate of Occupancy $ Building/Frame Permit Fee $_� Foundation Permit Fee $ /'J T Other Permit Fee $� TOTAL $ i Check r o- 25607 Building Inspector F i 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature VU COMMENTS UV �'� (0 rv' / CD S'0 S HEALTH Reviewed on Signature COMMENTS 1 s Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT -Te-'p'Dumpster.on-site yes "no Locafe' 124 MainStreet Fire Depaitment'signature/date . '. COMMENTS .z 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) ❑ 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 MOTE: 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 10 GoT 66 (43 OZ .•-�1 f LOT qA s9 Ego SF To 3'TIP. EXIST ISOOGIjL. o•E EXIs�, VENT A � , 20 1A 332' . ILIA 00 koTiR r Ale 1 o0 t\ ELEVATIONS TAKEN AT TOP OF PIPE THIS IS TO CONFIRM THAT I HAVE INSPECTED THE CONSTRUCTION OF THE ' DWELLING ELEV.: 135',48 SAID DISPOSAL SYSTEM LOCATED ON TANK IN: l3s.soLOT 4f� - C3uXFoP.p I:oAn,NSkra ANDOVCIl /VA . TANK OUT-O 13s.135.2-2 THE -G R.E ARE AS SPECIFIED R� IN THE /34.!71 '�?``_.. c D—BOX IN: PL ;•,41ND ,..SPECIFICATION DATED 0-80X OUT: Isq.g2 B F2CHION0A.:8� ASSO INC Fxlsr wELL END OF DISTRIBUTION LINE A: 13411 B: /34.15 .� .^ � �• C: D: PiI M_-Ak %pj 1 E ATE �� NORTy Town of E 6Andover O ., - ;""W '5.4 ..... ........ No. iL - � Z o ver, Mass, �J coc ficHewicw y1' J�ADRArED 1'PCl S U BOARD OF HEALTH LD Food/Kitchen PER Septic System THIS CERTIFIES THAT ......... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .................a. ...: ... . .. ...w..... Rough tobe occupied as .....I. ... ....(.�..............s ................................................................ Chimney provided that the person accepting this permit shall in every respect 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 CONSTRUCTI T S Rough Service .................. . ...................................................... 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 z23./g' LOT q � 891 Seo 5'F ice.j S� v 70 3'ryP. �r lSooGAc. EX15T. o� VENT 20 332 60 i LOT -R 1 � . NN ELEVATIONS TAKEN AT TOP OF PIPE THIS IS TO CONFIRM THAT I HAVE INSPECTED THE CONSTRUCTION OF THE DWELLING ELEV.: 135,48 SAID DISPOSAL SYSTEM LOCATED ON TANK IN: 135'..50 LOT 9A - 130xFoPv POAD,NaRTN ANOOvEpIMA . TANK OUT: 13s.zz THE G�rAQEa.ARE AS SPECIFIED IN THE D—BOX IN: 134.W PLrA.ND ,; 'ECIFICATION DATED o D-BOX OUT: 134.42 B 12CH(ONDA``'s8s ASS INC fxisr wELL END OF DISTRIBUTION ' :�,F;;; LINE A: /3411 No. B: 134.15 0 , I S"G PA Vkl► vNU >' A