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HomeMy WebLinkAboutBuilding Permit #365-14 - 288 GREENE STREET 10/18/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: J / Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION' z. v Print X iPROPERTY0I/VNER � Ay{s m�hi'GJ�C t - Print 1 OO Year O.Id Structure yes no MAP<NO ^. PARCEL' Z- ZONING DISTRICT Historic District yes no 4 A Machine Shop Village ye no _ -- -_ - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Q°Septic . D V1/ell ,..;. ti ❑ Floodplain D Wetlands: 0 Watershed Qstrict '. 4j DESCRIPTION OF WORK TO BE PERFORMED: 0 � 4 S,C_-'JCX-A e- 12 �"' I entification Pleas Type or Print Clearly) OWNER: Name: 1Ai non �� E�� Phone: T)8 i Address: Z-Z- ff\A-,::.- S v "CONTRACTOR Namea,�.nti,, �,� Phone: _ . w 4 m_ _. Address: _ _ jA �. 7y_ Ex `Supervisor'stonstructiorcens -'Lie Date _ � p, Home Improyament License_ ARCHITECT/ENGINEER x' I Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. , j• Total Project Cost: $ Y910 U, FEE: $ _ Check No.: z- Receipt No.: NOTE: Persons contra c ' g g' ered nt etors do not have to ua ry f Sig_natuce=ofAgentJO.wnerr., Slg �ature of, confracto ti's Plans Submitted 0 Plans ived ❑ Certified Plot Plan ❑ Sta d Plans ❑ ` Plans Submitted-[] Plans Waived'❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE_OF-;SEWERAGEDISPDSAL 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 DATE REJECTED DATE.APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS -CONSERVATION Reviewed on J Signature � I COMMENTS VI vJ HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments 1�'Water & Sewer Connection/Signature& Date Driveway Permit DPI'owi! Engineer: Signature: = Located 384 Osgood Street IRE EF A1I1fMt_Nt -'-Temp Dumpster on site yes no Located-Wt 124{Mair Street " • =, Fire De partmen-i§ignatiare/date' ti f f• - + a+ COMhAENTS '- x 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.$100-$1000.fine NOTES and DATA— (For department use I F i ® Notified for pickup - Date Doc.Building Permit Revised 2010 E Building Department .—The foE)Wing is-a list of the required forms to be filled out for the appropriate.permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o 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 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 Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 cans if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals j that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording I must be subm:+.ted with the building application Doc: Doc.Buiiding Permit Revised 2012 . Locations No. �� � Date o - TOWN OF NORTH ANDOVER o _ Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Gz P 27009 Bu'ding Inspector Oct 0813 09:49a David Minicucci R.E. 9786827998 p.3 Ak p No 0 TM Ddmck Desgn crr 'a`txa ,err' -t 1'3 ..z Joist Layout Vi s r ; r r tj 6 3 l �V L. 6 �4 ! s v s'F. 6 G 7• '3 6• r wl.�.'flF• ' y i � 3 6 6 6[[ F C 8'� 6'y6'TG�� a 8' F pt F • '� u 9 t �. a J E 3 ,S © I R t > > > > > > a a o a m a a e > a a a F e a > a ` e s c s s s• s .- s s a c c s - � ,°° R .- s r a F cs c - e 6 C R k R R mwo. sk Warning and Important Instructions: This is not a final design pian or estimate.EDGENET,INC.assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Advertencia a instrcciones importantes. Esto no es un plan ni una estimacidn final dei disefio.EDGEiNET,INC.no asume ninguna responsibilidad del use o de la Salida correcto de este programa.Toda to informacibn contenide en esta p4gina estA confanre a los t8rrninos en la negacf6n,situada en el extremo de este documento. Copyright®IM-2443 Edgenet,Inc. Page 6 of 23 nocrrs4zad=0-7ss3-vcs-stds-srre1sb4baf7