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Home My WebLink AboutBuilding Permit #047-2017 - 29 BALDWIN STREET 7/14/2016 BUILDING PERMIT NORTH q S. LED •6 TOWN OF NORTH ANDOVER - - APPLICATION FOR PLAN EXAMINATION 70 VT -�i1 Date Received Permit No#: ii SACHUS� Date Issued: I IMPORTANT: Applicant must complete all items on this page � n LOCATION 11 VA fJ1� Print \� PROPERTY OWNERo Print--' 100 Year structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes:. no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial Repair, replacement - ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑.1111e11 FloodplainEJ Wetlands` ❑ Vl/atershed;District pWater/Sewer - - DESCRIPTION O WORK TO BE PERFORMED: W Identification- Please Typ r Print C1eM OWNER: Name: 4 \ Phone: Address: &"LLo-, MA Contractor Name: hone: Email. jJ � • Addres Supervisor's Construction Licenser — Exp. Date:- w Home Improvement License: Exp. Date: ARCHITECT/ENGINEER V�►� �� ZC Phone:M • �0 �' /!�•� rl Address: , Reg. No. Vr. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 THE TOTAL ESTIMATED C06T BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 1 Check No.: �� I Receipt No.: (PZ-0 NOTE: Persons contracting with unregistered contractors do not have acres the guara and 974-nature of-AQent/Owner Location -- .k �, '^' �'✓� � No. (A-1 !)1 Date • - TOWN OF NORTH ANDOVER d Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee $ ' TOTAL i Check# 6� 4 e f Building Inspector < � � � 20 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer El Tanning/Massage/Body Art ❑ Swimming Pools El 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 FORINT � PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS_ `( t�6r1�.Q,��. i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I C Conservation Decision: Comments r WAter& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street R41 ppARTMY fiwp ign ieMEEEPRtD1aed a s �f o t nSetFoeeF � , menu gnat e%tee ,} . "'C®MMEN)TtSz s y i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/1Vlassage/Body Art ❑ Swimming Pools ❑ 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 Reviewed On1Zi?iI I(D Signature_ , COMMENTS_ a CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Si nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date DriyeWay Permit DPW Town Engineer: Signature: Located 38 F�IR„E DEPAR+TMEN cs;U-- p esterrion�site ;yes ,s " ono Osgood Street (Lo ted at 124 Main Streets ` a � � a sgo ,.s� ..'? .s" y4 c.c _• a skk s p. Fire Department Signature/datet�,--R n `F«•' Rt1� et� }x�'4-'� -R� ;.h �. wl�,i6 {>. � { 4�i .F �yam. " -6"# 3 � i - I— t�w Q O V --- — Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, avast or service chop requires approval of Electrical Inspector yes No DANGER ZONE LITERATURE: yes No MGL Chapter 166 Section 21A—F and G min.$1oo-$1000 fine I f ` NOTES and DATA— (For department use) M i ® Notified for pickup Call Email Date Time Contact Name = Doc.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 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) 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) 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 2012 I ECC 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 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 A,"CIRATEC WORK SIDING 4 TRIM, EPLACIE ,R ft�MENT WOOD SH E ATI-t� r P ME N " S NEey NBV BULK HEAD ' s DOORS r. NEW P+GRC H POSE' R AND WOOD RAILS AT LOCATIONS wl CO' RETE "EPS REPAIR 2 eiY.y STORM DOORS AT - RR 'NT- _'fit V - Mgt- Owl SELECTNE ENTRY DOOR �o t03 REPtACEMENT - I �._ -F"1'. _ » 0 ~.. t 1 i I p I i