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Home My WebLink AboutBuilding Permit #360 - 26 DARTMOUTH STREET 10/24/2011 L TOWN OF NORTH ANDOVER . APPLICATION FOR PLAN EXAMINATION Permit NO;_ Date Received Date Issued: - EJI' RTAIlt1T:Applicant must complete all items on this age LOCATION P6 TW1VV S Print PROPERTY OWNER � �v V C_ Print MAP NO: 3 -PARCEL: ZONING DISTRICT: i�� Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Res' ential Non- Residential New Building One family r_addition Two or more family ❑Industrial Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition El Other ❑:Well oo p ain# We an s k{ r, F ❑ VWafershed District' Septics �. . - 4WTater/Se�, er f DES Ci1 T LON OF WORTS TO I E PERT, _R' MED: 1 h a I?uvC)Ym s i (Identification Please Type or Print Clearly) OWNER: Name: 3C'�7iFe o `Tni( Phone: Address. � �Ux KU6, Jq&oAQVKY G A X10 CONTRACTOR Name: �� C� h/ Z. Phone: Address: P, o G o E4 N 0ue- ' Supervisor's Construction License: C S i �3 0 Exp. Date: Home Improvement License: A- Exp. Date: ARCH ITECUENGIN EER Phone:_ "S— Address: (',Y11°S AA/ U tV / Reg. No. j FEE SCHEDULE:BULDING PERM17:$12.00 PER$9000,00 OF THE TOTAL ESTIMATED COST BASED ON$925,00 PER S.F. Total Prro eco Cost: $ 000 FEE: $_ Check No.: / 3f` lat Receipt No.:NOTE: Persons cong with unregistered contractors do not have acce to the gua anty,f n �rier_� - ,�ti.� _ -- nature.of�cotitr c :o Igen Locatio No. Date / „°RTM TOWN OF NORTH ANDOVER � t A �o Certificate of Occupancy $ s�CHus`�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �S Building Inspector Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ FPublic WERAGE DISPOSAL Tanning(Massage/BodyArt ❑ Swimming Pools ❑❑ 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 nature COMMENTS W HEALTH Reviewed on Signature COMMENTS M1 4 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receiptsubmiffed yes Planning Board'Decision: Comments Conservation Decision: Comments Water& Sevier Connection/Si nature& e DrivewayPermit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 1.24 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq, i.: I�, GU ELECTRICAL: Movement of Mc ter 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.$900-$1000 fine NOTES and DATA-- For department use i ® Notified for pickup - Date L Doc:.Building Permit Revised 2008mi 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 ❑ 111ooL-ersi lk Comp Affida`rit ❑ 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 Dzi Copy Of Contrar' ❑ 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.BuildingPermit Revised 2008mi AORT,+y Town of 0 No. 340 over, Mass.,LAKE ' COCMIC"..CK V ✓d ADRATED °S BOARD OF HEALTH Food/Kitchen �PER Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................. M !]LT ........ .... ............................. ................ .................. .. ....................... Foundation has permission to e ................................... buildings on . �........ �....., ........�....... . ............. Rough to be Occupied as Chimney p� .�. .N....1�..1�....... X11. . ... ...�............................ provided that the person accepting this perm' eve respect conform to the terms of the application on file in Final 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 � ^r ELECTRICAL INSPECTOR UNLESS CONS �ICqON . 1Rough .......................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t® Occutyy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIR_E-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.