HomeMy WebLinkAboutBuilding Permit #257 - 325 APPLETON STREET 10/10/2008 OORTH
BUILDING PERMIT °*<t��°
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMINATION * ,�
t, Date Received
Permit NO: �4"°R,T�°•�""•cs
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Date Issued
IMPORTANT Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
N uilding One family
Addition —Two or more family Industrial
teration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
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DESCRIPTION OF WORK TO BE PREFORMED: - 5
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OWNER: Name:Jtsm S
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:.ARCHITECT/ R L c � Phone: q?k 36Z 6 319
Address: 3 bAvbbj� b oQGwi/. g. No. '2 It
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ becY- �1, 12 FEE: $ V
Check No.: 1(41 U Receipt No.:2 1 Y9 c)
NOTE: Persons contracting with unregistered contractors do not have acc o the guaranty fund
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�I�rature_of,�►gen#��a�r_i�r � � Igr�ature o'f aconfract ° � �-
Location � 67
No. Date
TOWN OF NORTH ANDOVER
+ : • Certificate of Occupancy $
�Ss�cMusEt� Building/Frame Permit Fee $ d
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #!6
2 5 �0
Building Inspector
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PT b E OF Sc P/anS
Sewer �GEDISPCSAL �/I/
W 1al�ed
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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
i
XPNING DEVELOPMENT
COMMENTS
DATE REJECTEDD TEAPPROVED
CONSERVATION
COMMENTS
DATFRFJFCTFD DATE APPROVED
LTH
<t 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
Located at 384 Osgood Street
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Dimension
Number of Stories: Total square,feet of floor area, based on Exterior dimensions. S/Z
Total land area, sq. ft.: q 3, '7 P7
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 2 1 A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
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❑ Notified for pickup_- Date.'`
Doc.Building Permit Revised 2007SO
�y a A
grattre of
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
Y/Certified Surveyed Plot Plan
:r/ Workers Comp Affidavit
_1 Zr /C
hoto Copy of H.I.C. And C.S.L. Licenses
opy Of Contract
a,'PIoor/Crossectiori/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance pliance 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
❑ 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 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:BPFORM07
Revised 2.2007
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Tol"M of
No. S0 ..
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dower, Mass.,
T O LAKE �, T
I� COCMICMEWICK V
7�S RATED
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT...... ....... l. !'� w'
:................................................................... ...... Foundation
has permission to erect........................................ buildings on ....�T.......... r..................... • Rough
... �.�L. .. ..... �...
Chimney
to be occupied as /r...... � K.�.............................. y
provided that the person accepting this permit shall in every respect"'�nfo�Jto the to ms of the application of file in Final
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
PERIv rr EXPIRES IN. b MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRJN S ARTS Rough
...................................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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.
SEE REVERSE SIDE smoke Det.