HomeMy WebLinkAboutBuilding Permit #034-13 - 299 DALE STREET 7/17/2012 BUILDING PERMIT NoRrH
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TOWN OF NORTH ANDOVER 32 ot`'`- = - va
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APPLICATION FOR PLAN EXAMINATION
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Permit NO: ``3 Date Received �gSSgcHus�t��
Date Issued: 7
1 IMPORTANT:Applicant must complete all items on this page
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PROP_ ERTY OWNER .�./ � .. . - _. _ -- • _ .,_ , r
MAP NO: PARCEL: ZONING DISTRICT: HistorictDs#rict
' Machine Shop Vllage` yes�' no, ;;4
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
S ptc V1lell Floodplain Wetlan s .Vllatershed bistrict'�
JW. W5t5r!Sew6rA='
DESCRIPTION OF WO�K TO BJE PREFORMED:
ti 57.E L C ` /� 133A /c �✓a�'�-
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
_ a
CONTRACTOR Name: Phone:
Superviso.r`s Construction License: Exp. Date: __
Home-Im rovement.Licen e= t
e..,,+, a �.,
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 3 FEE: $ �/o
Check No.: 5�6 Receipt No.: S�/l
NOTE: Persons contrac 'ng wi unre 'stered contractors do not have access to the guaranty fund
-- .Si riatu�e of contractork�
Signature of Agent/Owner ���. .� -�.<. , >,:._ g,._.._ - -- . ._._ _.
1
Location
No. "� Date
• - TOWN OF NORTH ANDOVER
6 �
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
�.t 1•r:v�P�
TOTAL $
Check#�
25511 building Inspector
J
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL,
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 e he vl r L wY
D
CONSERVATION Reviewed on LO Signature
COMMENTS
HEALTH Reviewed on I v 1 Si nature
COMMENTS
i
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT'r— -= emp Dui_ pster•`on site
� `'-"sw,
FirerDqppr.menf'signature/date;.
COMMENTS.
rL.
it
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
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
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
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)
a 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
o 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 thenget this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2008
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BOARD OF HEALTH
Food/Kitchen
PERMIT .. T LD Septic System
THIS CERTIFIES THAT .....(.:`�!.r�.�2. �,1../.b.......� �. 1..�. .................................................. BUILDING INSPECTOR
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has permission to erect .......................... buildings on . . .../.. ........ ................................... Foundation
Rough
to be occupied as .................... ,.. .. .... . .G .......�J/.. :��......1..,7..... ..A.e .............................. Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in 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 ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION S RTS Rough
....................... Service
................... ........ . ........ . ... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE
06/15/1999 10:52 5082563844 LUDWIG PAGE 02
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Town of North Andover Page 1 of 1
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❑ Base Map Zoning 2008 Aerials watershed Zone Utilities ❑ Size UC]n Selection Legend Location Markup
Help Scale 1"= 128 ft
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OtW: 1 7F2SG 1 _- - --- - -- ------
Owner rProp_ID Address
j/ D�4bt-- CHITTICK,MICHAEL E 1064.0-0014-0000.01299 DALE STREET
9244
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7. Ownerl CHITTICK,MICHAEL E
Print
• Owner2 DEBORAH A CHTITICK
Address 299 DALE STREET
5 PropertyID 064.0-0014-0000.0
b. 0 Lot Size 1.01 A
Fiscal Year 2010
1 Land Use 101
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http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 7/10/2012