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Home My WebLink AboutBuilding Permit #Exception - 325 SUMMER STREET 5/1/2018 NORTH BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Receiveds R,„-Eo SACHUS Date Issued: IMPORTANT:_Applicant must complete all items on this page Prnt :. PROPERTY OW _ C,�C✓: 1 �'l�.: �:� Pant: WO-2PARCEL: 1O.a . 4.. :.. t ZONING DISTRICT: Histonc District yes.'` no _/� Machine$hop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑ wo or more family ❑ Industrial .Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition _ ' _ ❑ Other q`Septic Well` D Floodplain 1Netlands `Wafershed District. ❑ Water/ Sewer. DESCRIPTION OF WORK TO BE PERFORMED: e� dorm atm fyr ®FPO C; VL e,k(dTtNs Identification Please Type or]Print Clearly) OWNER: Name: c�� •U Phone: � ! '1 7 Address: c9SSC)htiG 1,0- A4A, 011Y ` CONTRACTOR Name: . Phone. - Ve .699 �.�3��. Address: ./V /1N : / 17' Supervisor`s.Construction License: 530 I f,f Homejrm&vement License: L�1 � Exp- Dat .e .. . 1014f �d��— y7� � 3 46 yS`� ARCHITECT/ENGINEER S 1fi p Phone: Address 12 0519 1� 06, 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: $ �o FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the uaranty fund Agent/Owner Signature of contractor V Signature nature of 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 WNE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine ; NOTES and DATA— For department use IM 1 ® Notified for pickup- Date Doc.Building Permit Revised 20101October 1 I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swunming 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 a U FORM DATE REJECTED DATE APPROVED PLANNING DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on / /v Signature /! COMMENTS Lo�, t '� — 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'gown Engineer: Signature: Located 384 Osgood Street FIRE DEPARTM'* ENT - Temp Dumpster on site yes no- Located at 124 Mairi.Street Fire Departm6nt signature/date -COMMENTS.. Building Department • I 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 ❑_ orkers Comp Affidavit --G }'n ( Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract 9 ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products MOTE: 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 • Co mp Affidavit _ ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Flo or/Crossection/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 N 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 ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit - n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals ILhat 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 2008 has s��. � �_ Flw f 4y� �. � usu � R p � C � � pin H ; T � � fin , any — j3R i T I ramo�u-