HomeMy WebLinkAboutBuilding Permit #63 - 31 COURT STREET 8/1/2006Permit NO: /
Date Issued:
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
APPROVED
Date Received
IMPORTANT: Applicant must complete all items on this page
LOCATION f /
Print „
PROPERTY OWNER -
Print
MAP NO.: PARCEL: ZONING DISTRICT:
mvnT A 1•TT iTcu ,%u 'D ini i ymr,
MQTnRIC DNTRIC'T VFS fl
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
❑ Addition
❑ Alteration
❑ One family
❑ Two or more family
No. of units:
❑ Industrial
❑ Repair, replacement
❑ Demolition
❑ Assessory Bldg
❑ Commercial
- ❑ Moving (relocation)
❑ Other
❑ Others:
❑ Foundation only
DESCRIP-
,�JIJN
I tiR t✓tUKMti,1)
yer .
Identification Please Type or Print Clearly)
rt �r
OWNER: Name: -a,, /C2 �! / ' f Sf 1 ,- e & e
Address: .;?,/
I
3.�y2 d
CONTRACTOR N
Address: /3 S hof
.S S
'cr
Supervisor's Construction Licensee::��-2� 6 Exp. Date:
Home Improvement License: & 2C,5;S--- S--- Exp. Date: � :':�r 7
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost :$ /DO�x12.00=FEE:$-:70 V -O
Check No.: �5 J �� Receipt No./49-3 y e
Page I of 4
Location,31 Cotirt,7- -5-7—
No. (::;Iz Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # 3,39
1 93uO
Building Inspector
TYPE OF SEWERAGE DISPOSAL
Art E]mm
Swimming Pools ElTaTanning/Massage/Body
g
Public Sewer
01 - • \ -
Well
Tobacco Sales ❑
Food Packaging/Sales 11❑
Private ❑
Permanent Dumpster on Site ❑
(septic tank, etc.
Electric Meter location to
project
NOTE: Persons contracting with registered contractors do not have access to the guar f
Signature of Agent/Owner Signature of contractor
Plans Submitted El Plans Waived El Certified Plot Plan ❑ Sta ped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED
PLANNING & DEVELOPMENT ❑
J
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE APPROVED
CONSERVATIONATE REJECTED DATE APPROVED
%�=�—� J k / .ice i
COMMENTS
b HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
DATE REJECTED
u
Comments
Comments
11
DATE APPROVED
Water & Sewer connection/Signature & Date Driveway Permit
Temp Dumpster on site yes—no— Fire Department signature/date
Building Setback
Front Yard Side Yard Rear Yard
Require
FProvided Required
Provides Required Provided
/
/_j
Dimension
Number of Stories:
Total land area, sq. ft.:
n4V ICS ana UAlA —(t'or
Page 3 of 4
Doc: INSPECTIONAL SERVICES
Created 1MC. Jan.2006
Total square feet of floor area, based on Exterior dimensions.
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'
Addition Or Decks
❑ Building Permit Application
❑ 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)
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
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:BPFORM05
Pace 4 of 4
�I0
•
M
J•i
A
cz
O
1-4
C7
99
0
C7
a
O
�
O:
UW
a
w
o
a
00
U
�n
w
Ow
a°'
w
a°'
cn
w
o°4
w
rA
cn
°
C/)
�°
NGO �Q■
0
O N
a
O
a m
Mw
Lu
_y C
o
� ui I-- _
•N
N
• W �E
QC.� CD
C
z �
y
�
c C
O
c w
o �
O N
C
: Q G�
L N
A
0 C
:= o
C2Cc
N
Ea
CF
=
y w.
rtr
rte+ d
N
0 m
.�
0
Ocm
L. c
O O
•�3
i
O
�m
N N
E.00
aC �
y 0 O
•_.. _,,
C 0 Q
N
cc O �"
:CMZ
C=:, o
CL
CA CD
'awo
.r
d.Z W C
o�� c
m
0
0 arm
r
r
N
0
N
C
ry
cm
W
cm
CIO
0
cp
c
'c
CD
0
Z
O
g
0
vf
F'!
I
U
0
4
a
,T
O
CD ■
L
O
Z d
O y
� C
CD cm
I O
LA m m
0 CD
— y.r
O
O O
m o a
c
o �
ev
C Z CD
V v�
O C
—
C—
�� C
cc
Cl*
0
LU
0
LU
w
19
W
W
W
U)
!
�
Z \
'
. � r
'(
`
. ƒ>(n2
c
o\-
x
£;
.
\§\:E
-0
E3 G���
0> `
.
«
K.f-�
_=�
o�`�
. \
» C:),
o o o o
w
«
�
¢
\f \�
- C)
-
-4
S
. n
3zal�
OQ�\|
ƒ
\G)
mE.
«o�
/
U)
.
am
CL
it
am
CL
rL-
4
P4-1
sit