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Home My WebLink AboutBuilding Permit #046-2017 - 31 FRANCIS STREET 7/14/2016 BUILDING PERMIT NORT►1 6w- O��T LED /6''IO TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � nO+ ^ 1e Permit No#: 1 Date Received ��SSgCHus�� Date Issued: 4 I PORTANT: Applicant must complete all items on this page LOCATION 33Ic� jFya n L4 s r Print �� (� PROPERTY OWNER D03) i 4 Y 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 El Addition ❑Two or more family El Industrial El Alteration No. of units:—)< ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer - DESCRIPTLON, OF WORK TO BE PERFORMED: S Identification- Please Type or Print Clearly -� -(DC- OWNER: Name: R0 � — Phone: 2 Address: 3k &P-QU L (1 `- Contractor Name: CA V& "l thone: Email: I @ q ��-h)l WA d;?!PX Addres : u Supervisor's Construction License: ��- 1 of 7 Exp. Date: 20b �r Home Improvement License: u�8 �s 6 Exp. Date: 2t JI, ARCHITECT/ENGINEERvfl,510A.1 Phone: Address: eM CA A ,�� Reg. No. 40M� FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 O HE TOTALSTI�M�ATED COST BASED ON$125.00 PER S.F. C 1 d_ Total Project Cost: $ D F E: Check No.: t:N+ I b1 �I Receipt No.: NOTE: Persons contracting with unregistered contractors do not have ac to the guaranty fund Location -- No. u f�` — r. Date I 1 1 Lf • - TOWN OF NORTH ANDOVER Certificate of Occupancy $r M C" Building/Frame Permit Fee $ i Foundation Permit Fee $_r Other Permit Fee $ TOTAL $ + • r Check# Building Inspector i 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 1 PLANNING & DEVELOPMENT Reviewed On "7�2 �' Signature_ C MMENTS -%-k 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 Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Tem Dum ster on site p P yes .� no. Located at 124 Main:Street - Fire Department signature/date COMMENTS + Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Sody 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 e U FORM PLANNING & DEVELOPMENT Reviewed On '71 Signature_ i C MMENTS C�;E sdka-Ag mac` `�cbi zc- Ua irs' 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 Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: . 84 Osgood Street Located 3 FIRE ---NT Temp0ump$ter onsite ,yes no;_ Located at INNbin•Street - Fire-Department signature/date _ COMMENTS 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) EUINotified 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 y. 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 IECC Energy code .r. 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 NORTH Town of 0 Yr 044 -20-7 � . h , ver, Mass o4, K I q. COC KICKl WICK �,9 A�R�TE� ►'PP,`'�5 S V BOARD OF HEALTH Food/Kitchen P E FD Septic System .............. BUILDING INSPECTOR THIS CERTIFIES ....THAT !......................................... ........ .............. .�;�... . ... ........... ... has permission to erect .......................... buildings on ... 1o. ....... . ... ......�..... .......... Foundation I. � .. .... . ' ...... Rough to be occupied as . ...... �,... ....... w.. .......... Chimney provided that the person acc n this permit shall in eve respect conform to the terms of the a application p p g p every p pp Final on file in this office, and to the provisions of the Codes and Qv-Laws relpAin�the Inspe�tion,Alterati n and Construction of Buildings in the Town of North An over. Amo PLUMBING INSPECTOR fd* i Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS TIO Rough Service ... .. ... . . .......... ..... ............. Final BUIL IN ECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin, 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. . " •�' mss•♦r �: , 4 N`'.'CIPATE D WORK SID]NC & TRI,.`7 r REPLACEMENT � ----, ____ - _ REP LACEMENT - - AS KEMED NEW RULK HEAD DOORS `hJ Ell =QRC H QST AN t) 4�000 RA.LS 2 C:R *.*IDRE STEP'S CONSTEPS .., " o F)OCIRS AT y r t 02 4. 14