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Home My WebLink AboutBuilding Permit #521 - 300 WEBSTER WOODS 2/7/2006NORTH pt ,�w y�tip ° TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �SSAcHus°� Permit NO: Date Received:� 7 (6 Date Issued: c9- —0h IMPORTANT: Applicant must complete all items on this page LOCATION�"e�LI,�00A S ay-\ 9, Print PROPERTY OWNER -Toe` 4 Pcmeka :�Qk OJ &T Print MAP NO.: O� , G_ PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building 'Y One family D Addition ❑ Two or more family C Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg E, Commercial ❑ Demolition D Moving (relocation) )d Other BaLSe ❑ Others: Foundation only Irv, DESCRIPTION OF WORK TO BE PREFORMED E n; s h lase rvmcn�- arex, Css Sha"1n r. 0-6n5 -:Qlb,c 1 \�yroorh un VlGT\rl C-00 M. Identification Please Type or Print Clearly) OWNER: Name: Toe\ A- PMMA t -S �ya�xv Phone TtV-Z5:8-Z(3(G 4 0 CONTRACTOR Name: -S< � Phone: g7YsS-Zk-ZS t{t{ Address: -1-1l S a\ e-wv �� &Y -0v ei c�y�e� %A c, o < -�h34 Supervisor's Construction License: S- Exp. Date: \d 1 61 0'7 Home Improvement License: � I � S -Ss Exp. Date: '71z(./di ARCHITECT/ENGINEER n one- Name: Phone Address: Reg. No FEE SCHEDULE: BULDING PERMIT: $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $12.5.00 PER S. F. -3 O'C' Total Project Cost :$ %�� 357 0d x10.00 -=FEE.$ Check No.: --?o �3� __Receipt No.: Aftu TYPE OF SEWARGE DISPOSAL Public Sewer Tanning/Massage/Body Art '_ Swimming Pools l Well Tobacco Sales '—' Food Packaging/Sales _. Private (septic tank, etc. �...� Permanent Dumpster on Site i NOTE: Persons contract in ith unregistered contractors do not have access to the guaran{p fund Signature of Agent/Owners, Signature of Contractor L��4- Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS "Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes DATE REJECTED ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED DATE REJECTED Planning Board Decision: Comments Conservation Decision: Comme Water & Sewer connection signature & date Temp Dumpster on site yes—no— Fire Department signature/date Building Permit Approved and Issued by: DATE APPROVED DATE APPROVED DATE APPROVED Building Setback Front Yard Side Yard Rear Yard Required Provided Re uired Provides Required Provided nir.�r. Arc1llr�r _XllllJl\U■V1\ Number of Stories: Total land area, sq. ft.: 1,4 t,) i i:,ana UA I A — t Por department use Total square feet of floor area, based on Exterior dimensions. Doc: INSPEC I ZONAL. SF.RVICL LS I)GP;1R 1'V1LP+'I':IiPI URA4 15 L remea .Nit lan._000 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 ❑ Debris Removal Form ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ 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) New Construction (Single and Two Family) ❑ Building Permit Application ❑. Form U- ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ TwoSets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report 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: INSPECTIONAL SERVICES DEPARTMENT: BPFORN105 Location �- D6 No. �r.-�/ Date _ TOWN OF NORTH ANDOVER a Certificate of Occupancy $ yes' •E<�' Building/Frame Permit Fee $ J1CMU5 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 202(f 18963 r.� l U Building Inspector jolenslulwPY V£860 `dW 'ONV13AOdO iS W3l`dS UL 39nd3a uOOS No11ona1SNOO 3an2i39 e edkl LOOZ19ZIL uoise��dx3 55566 L ��uol3gAslBaa -dolOV-ddNOD 1N3W3AO2ldWl 3WOH Sp,epue3S Pas suopelt,23d BulPling 30 Pleog iauoissiwwo:) ��j — ✓� Y£BLO VN 'dNVf 3A0N9 1S W31VS LLL 39mi38 v ilOOS 00 :p83olilsaa 3001 :ou A LOOZ/9L/ZL :saaidx3 - . • _ ._,-...--.._.. _ £966/9126 :01ep4mis 9VZ990 So :jagwnN IOSIM3dnS Wuon2USN0O :asuOOII ioavin93a JNldllna ziO amvos t armf�nrrv1�. �aJr�an'aroaurtuo - a f'