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Home My WebLink AboutBuilding Permit #597-15 - 30 SARGENT STREET 1/12/2015 L BUILDING PERMIT of "O oTH qti 2 yet r.•',6+y O TOWN OF NORTH ANDOVER - - APPLICATION FOR PLAN EXAMINATION -' Permit No#: 4� -15' Date Received ATED �gSSACHU`�� Date Issued: I IMPORTANT: Applicant must complete all items on this page LOCATION �— Print PROPERTY OWNER -r_�2 .� Print 100 Year Structure yes no -MAP PARCEL: �J' ZONING DISTRICT: Historic District yes no7 Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building �-� ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ' ❑ Sep tic El Well ❑'Floodplain ElWetlands ❑ Watershed District ;?Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: j►x.5 0 12' 0_&e� G2.5 /a v 1►� F .m. '/ Iden ' ication- ease Type or Print Clearly OWNER: Name: t�Oym Phone:!63-'IL) + Address: 3_b ►�icy-t��(-n___ :. Contractor Name: 117k� �tLPhone: 7�l 33)-Q33 + Add ress:.5 t 1Mr9N I �-1/ X'4 jar< l Supervisor's Construction License: Exp. Date: Home Improvement License:___/�� Exp. Date: }-23 - /6--, ' 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: $ OCA — FEE: $ Teiv Check No.: Receipt No.:_ �G 1 NOTE- Perso s contracting 11h unregistered contractors do not have.access to th ua my fund Signature of Agent/Owner Signature of contrac J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPF 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on — Signature COMMENTS 3' — HEALTH Reviewed on Signature COMMENTS f Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/si nature D ito Driveway Prmit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based:on.'Extbrior 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.$10041000 fine NOTES and DATA— (For department use) i i i i i ❑ Notified for pickup Call Email ; Date Time Contact Name Doc.Building Permit Revised 2014 k: I 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 Li Building Permit Application o 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 o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application Li Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products i NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) I ❑ BuildingPermit Application Li 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 ❑ 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:Building Permit Revised 2014 NO R Tly Town of �� _ - Andover No. � - h ver Mass "- 12, 2015 A_ cocMUHew�cw �1- 7�A�a�TED r'4 �,�5 S BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT4BUILDING INSPECTOR ..... ....... .. .... .. Foundation has.permission to erect ............. buildings on ..w�4� ............. _ . ...4. 4 . .. ....... .... ... ........ .. .... ..... Rough to be occupied as ..�!�� ....... e ...61%"k * *��!' Chimney ..... ....... . ....... ........ provided that the person accepting this permit hall 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT-IO STARTS 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. � i 4 i c t - W 4 9 I Mk foe 'b K ' g. 100001* s t , a R iMW e4 i Massachusetts -Department of Public Safety Board of Building Regulations and Standards Con.truction Supenisor License: CS-057291 I FRANCIS V WARD III. 51 MOORE RD WEYMOUTH MA 021891 Expiration Commissioner 09/17/2015 !/„ �,,i,,.,,iirr.,./J/../ �//ate..,.•/<.�,•Jl, --'' Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 106386 Type: Office of Consumer Affairs and Business Regulation ? sExpiration: 7/23/2016 Private Corporatior 10 Park Plaza-Suite 5170 Boston,MA 02116 AMERICAN MOBILE HOMES INC. FRANCIS WARD 51 MOORE RD E.WEYMOUTH, MA 02189 Undersecretary Not valid without signature Location No. Date /112,bs s . - TOWN OF NORTH ANDOVER o Certificate of Occupancy $ Y� Building/Frame Permit Fee $ e . ' Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check# � , 2 U Building Inspector