HomeMy WebLinkAboutBuilding Permit #048-2017 - 25 BALDWIN STREET 7/14/2016 BUILDING PERMIT NO C, 1
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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)
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® Notified for pickup Call Email
Date Time Contact Name l
Doc.Building Permit Revised 2014
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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
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. 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 } -
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