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HomeMy WebLinkAboutBuilding Permit #670-16 - 28 MORNINGSIDE LANE 11/30/2015S,C,q/vA,1'90 �-y /Js Permit No#: v Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received ORTANT: Applicant must complete all items on this page Fr nth 't loon. \/;Yr-n%i rlPARC� EL r. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition Taj Alteration ❑ One family ❑ Two or more family No. of units: ❑ Industrial ❑ Commercial K Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Other ❑ Others: a -N. j}s�r...F' .-�t+o., t -Sepw wer �kA:i,,,'....'�..".'-�..k`a^�.1`.:,5`. .`. i� FI,t oodpla ny I1Wetlands;, ®] 1Nater hedl<D` strict8 DIESCRIPTIOR OF Identification - Please Type or Print Clearly S OWNER: Name: D&yc& P -,,c ,,4c t; b4 -,L Phone: Address: 3ontractorNamy�i�,�5�_ _;Phone-�W3'?—so1 f f E rn a i l0.. ���zs .��t.�i[�.f�► ��.�..1 �;�!��s ..�.e,,� � - ► Su euisor`r sConst`9ucfOmni icen e ms'' _ .� Expo [®ate _� � flrinma(Imnrn�iAma'ntdfll�i`�anc4`-, I4£1U/.7 fFYias (flafia-c M /,- I// - ARCH ITECT/ENG IN EER //_ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ , " %A5Z) FEE: $ Check No.: �c�6`� Receipt No.: INN OTE: Perso�nsgontracd with unregistered contractors do not have access to guaranty fund r- - -- - jj - - - - : ---- - - - - - -- - — - -- -- ature`of`Agerit/Owner Plans Submitted ❑ Plans Waived. El Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOS Public Sewer Tanning/Massage/Body Art ❑ Swnnming Pools '_E1 Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑. , Private (septic tank, etc. ❑ Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT COMMENTS Reviewed On Signature V CONSERVATION __ Reviewed on ( l o "5b mor 5 W W �0 C COMMENTS ti - C10 P 9N.a f • HEALTH COMMENTS 4 �-_j �, \� ©h,5- Sianature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sower Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street 'IFIRE DEP�AR�TMENT' ITem Dumpste , ' t 'es _ �' 4 ' J, J. t ! f _ , r�on,si e q w LL., sL►ocateati124�MaiiiStreetE 'J :.'Fre De v gel. partiment�signatur�e/dF ate,: CONIMEIVTS, 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine Doe.Building Pennit Revised 2014 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 o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) ❑ 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) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products j ATE: 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 CIerks 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: ]Building Permit Revised 2014 /I L M64al Locationcz�' a Date No. vtv Check #,Q& (47 ? 11-f' 7 5 63 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee TOTAL $ Building Inspector v C � U) n 0 O n Z N O-0 CL O CL co. cin O CD CDC= — cr CD CID O WCD ou CD CL v C� CC CD i 5 v O Z CD 0 � 0 70 CD O CD o 0 10 -1 O, cID n n �C 0�72 N N O O - CD T h 3 r, -LO N W n� O N O -=-,<D 2 O n (O Q O N p a1 rt n rtCCD =� CD N rt O 0 U) o �2 a c D CD y C. 0 CL o. 0 CL c(n O - CD�_ O C r .a a� CD N rt � O , NJ � 1 co� C N CD O rt y O O DC _ ID as 0 C C y N A- rD N rrD — Z W C r T °—' 7;o O aoo 3 T j °—' lA CD O aca s r m O oma s T °— ii _3' ro ,S7 O aca s T O = Q a m� V1 rD a C) rn T O a r) Cl) m M y Z Z v' r) m m n a r y 700 M C C Z G1 N(A 700 O k v M 700 s 3 W v O m 2 Z c ccn nz � o a� C -f) � Z �o = Cl) Cl) ro — v Z 0: Z: N m 0 0 o 0 10 -1 O, cID n n �C 0�72 N N O O - CD T h 3 r, -LO N W n� O N O -=-,<D 2 O n (O Q O N p a1 rt n rtCCD =� CD N rt O 0 U) o �2 a c D CD y C. 0 CL o. 0 CL c(n O - CD�_ O C r .a a� CD N rt � O , NJ � 1 co� C N CD O rt y O O DC _ ID as 0 C C y N A- rD N rrD — Z W C r T °—' 7;o O aoo 3 T j °—' lA CD O aca s T j °—' O oma s T °— ii _3' ro ,S7 O aca s T O = Q a V1 rD a C) rn T O a r) m M y Z Z v' r) m m n a r y 700 M C C Z G1 N(A 700 v M 700 s 3 W v O m 2 0 c rD 00 w in N A 00 crij O CCD (D O 0 A O 0 O T cfl � CD o �0) w d coo d w w 0 i 0 30a0 0 v � D= m ° O o (D occ = < Nm CL C N 0 , tl!ic CD !"h -i Ov0M DC o -iv (nm 0 -vg0 0 C r CD 0 � c 0�' 3 (o CD 0) « - o p s 0 mai��-0mviim��Xm o 7 0 O Q- � Q N Q (D O O �- N X v = 0 o CD .- 0 Q: 0=ovN—�- w 7 Q K3 a co D— 3 o 0 .-. 3 (D (D 0 0 a1 0 4C0! 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