HomeMy WebLinkAboutBuilding Permit #777-11 - 25 CASTLEMERE PLACE 5/18/2006TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: �7 Date Received
Date Issued:
fWORTANT: Applicant must
complete all items on this page
_LOCATION'�`�
Print
PROPERTY OWNER lam� t t-1 ��cA�Ph t'1- e !NA1
' Print
MAP NO: 037A PARCEL: G dd ZONING DISTRICT:
TYPE OF IMPROVEMENT I PROPOSED USE
❑ New Building
N Addition
Alteration
El Repair, replacement
❑ Demolition
0
tl
IOne
family
wo or more family
No. of units:
❑ Assessory Bldg
❑ Other
Or WORK TO BE
2 sv
yes no
'age yes no
OWNER: N
&3,0
L -
Address: S ►�v'(Cree— jf
CONTRACTOR Name: Phone: & & 4(e & 3a6
Address:
Supervisor's Construction License: 4/- S J.5 (3 q .L Exp. Date: '-712-1 I z O r Z
Home Improvement License:
ARCHITECT/ENGINEER4UVi2e-m0S
Exp. Date:
Phone: ((a- c7 '5-Z7 - 0C)67
L
Address: (� SM �1 Reg. No.
FEE SCHEDULE. BULDING PERMIT-* M00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F.
Total Project Cost: FEE: $ 060 1--
Check No.: Receipt No.:
NOTE: Persons contracting with re �ered�#actors do not have access to the guaranty fund
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
o 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 Contras'►`_
❑ 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: Doc.Building Permit Revised 2008mi