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HomeMy WebLinkAboutBuilding Permit #048-2017 - 25 BALDWIN STREET 7/14/2016 BUILDING PERMIT NO C, 1 O�,�z�eo gti0 TOWN OF NORTH ANDOVER 4, APPLICATION FOR PLAN EXAMINATION l� Date Received Permit No#• US TED SSACHu`�� Date Issued: I PORTANT: Applicant must complete all items on this page LOCATION -- -4 Pririt PROPERTY OWNERN0 �Ulj?7 (� Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes. no Machine Shop Village yesno TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial ❑Alt ration No. of units: 0-Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ p Septic ❑Well ❑ Floodplain O'Wetlands ❑ Watershed District 0 Water/Sew&, - DESCR ON OF WORK TO J3E PERFORMED: L &. 0<k Identificatio - PkeaseTypeorP int Clearly � ����� OWNER: Name: Phone: Address: �'Q� Contractor N. C Phone: Email- Address Supervisor's Construction License. " ��`� - Exp. Date- Home Improvement License: 1�a � Exp. D p ate: ko ARCHITECT/ENGINEER ± lA Phone: ' is i—&-M —�� Address: &�% Reg. o. �� FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 F THE TOTAL ES.T(MATEDC OSI BASED ON$125.00 PER S.F. Total Project Cost: $ -'1'5 ,c-� FEE: Check No.: Receipt No. NOTE: Persons contracting with unregist red contractors do not have access to he guarant fund Sianature of AaPnt/Owner Signatureof eontracto -} _ - T �{ 4 Location No. �^ 2O` t Date�N r • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ � Building/Frame Permit Fee $ Foundation Permit Fee $ } Other Permit Fee $. TOTAL $_`'� ' Check# , `7 -+ r, 6 Building Inspector J J 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS r ,• A ff � ok-z cjj"_e� CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments i• Conservation Decision: Comments Water& Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: E DEPS Located 384 Osgood Street L FIR �4R«i MENTe �, _ I n i t 011 �pster on situ A L�ocated of 1 y- - - , �c 24 Main Streeth Fire De e - �, } , p�art�m�entignatur%dates w ., `COMMENiTSM_ 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. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING a DEVELOPMENT Reviewed On Signature_ , COMMENTS C o .. c �a�- Csr� pC,- CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 4-Planning Board Decision: Comments conservation Decision: Comments Water & Sewer Connection/signature date Driveway Permit DPW Town Engineer: Signature: 7"F Located .384 Osgood Street - +fit? S. pS2 L �i t+�•5 s { � h 4 *�^, r #Few RE DEPZ.ARsENern�p Dumpster�ontsiteyesy " 4r)ed at j�P MainiSt., re �=re De�,, rtme s�9nat rId' `e ., !l .as� .� r ;, �•a*''�."` ��"a'.. -tea+-rr'�'k}�--.- a..-..� �.�,.�,.-s^• ���—w-^-'e.� 4—" .t'b.aic + ' r•.,. r-r}` �tc� ,ii �.4,t.:v ,.�T� ,Y+.° r ,'� #.. .1}4 COM�MENTS,, �r 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.$1oo-$l000 fine NOTES and DATA— (For department use) , I I , ® Notified for pickup Call Email Date Time Contact Name l Doc.Building Permit Revised 2014 i i 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 OTE: 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/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) i Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4, Building Permit Application .4. 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 recorded at the Registry of Deeds. One co and roof of recording appeal period is over. The applicant must then get this g y PY P that the app p must be submitted with the building application Doc:Building Permit Revised 2014 1 NORTH own o EAndover O - ..�r . � Z1q. 2AIto h ver, Mass 0Ab . 9 cochicNew�cw yq. �ds RATED /.Pa�,�S U BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THATS1 w► ............. BUILDING INSPECTOR has permission to erect ...................... buildings on ..�-. 1..... . .. . . .. ...... Foundation .... .... . ....... Rough to be occupied as .. ... .. ....... .... ! ..... .... .... ...... 46A Chimney provided that the person acce ing 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 B -Laws relating to the Inspqction,Alteration and Construction of Buildings in the Town of North Andover. !A4� � re,' • �+ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PRough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST CT10 Rough Service .... .. .............. Final BUILD G 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. f ANTICIPAT'EC WORK ! - �....�.�..,� `; arc •�r AS NEEGED NEW BULK HEAD, DOORS 'NEW PARCH POST M0 W,0'00-FtAILS XT L0GATq-Gt4S 'VVl 2 OR MORE STEPS rpt CONCRETE STEPS RI _ t L'a'd .. !+,?,.,,d .�..y �ti_ e ;;: �� ..s•..I.......,r STORM DOORS AT R ►R EiW `• ` At SELECTNE ENTRY DOOR 2-"SA FRANCIS' VMWET } - � r-- - - - � 1 � I i i t i t i r -, -- r I I I �I I