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Home My WebLink AboutBuilding Permit #642-13 - 350 WINTHROP AVENUE 4/3/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Issued: ` ' IMPORTANT: A� r ' f LOCATIONi d _ . 1. Y)+ti e Date Received icant must complete all items on this page V PROPERTY, OWNER J Mach/i�ne c Shcsoffip6cVt0earOld uilrclea� gYex yPrint 1Q Yes_ o MAP,NO. Z Hlstonc.0.istnct� yes) nt oves c TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ErAddition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other .Septic ❑Well ❑ Floodplaini ❑ Vlletland`s.: ❑ Wa' tershed4District , i 11 Water/Sewer. DESCRIPTION OF WORK TO BE PERFORMED: -7 &'_T ' NO fVD CodkrA-i 6. dentification Please T e or Print Nearly) r OWNER: Name:. WC -0d C- 117et-P K iatk A Phone:(chi Address: CONTRACTOR' Name: ` Y_-�� « Pfione.?(� ) r ti ` ;Address. Isb S'upervisor's Construction Lic'enser: Exp1 Rate: ;Nome, Improvemenf License; Ezp. Date:'_ m ARCHITECT/ENGINEER Address: Phone: Reg. No. FEE SCHEDULE: BULDING PERMIT: ER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: 0 FEE: sg$Xz)$ Check No.: q e L3 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the duarantyfund 4K Si nature ofacontracto- nature of A'gent/Owner! ' g_.� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ElTanning/Massage/Body Art ElSwimming 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 PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature 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 TowL Engineer: Signature:�r uocatea 6b4 us ooa Street FIRE -DEPARTMENT Temp Quhipster on site yes no Located at;124iMair Street finent,sig Fire"De parnatu"reldate COMMENTO `"..� �; r. ;4 ,. '►.:;' :`,,'•,`:, _ 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 D Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The folpwing 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 u 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 ❑ Certified 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) ❑ 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 app; al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Buhding Permit Revised 2012 Location 411C-zloba / No., Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee A rvJ)'N' TOTAL Check #--V� A 26249 Building Inspecto-T-- A ~ = LL O p CC C .( y -a O LL E +a) to . 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V J 'a - •CLO 4: z 0 V N CL T/T•d 09K66SI8LT:Al 2sssL2z8L6T '19IN3N )UN9d 031INn.,wom-4 9T:s0 m2 -OT -ISP TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: "` I Date Received ll Z, Date Issued: ' IMPORTANT: Applicant must complete all items on this page f- �J t - Print - PROPERTY OWNER _ - Print - 40dYear-01d Sfruetuc MAP NO: -� PARCEL: Z ZONING DISTRICT Historic District Machine Shop Villi yes, -no yes no e: _ yes°( Vno TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition 0 Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition - ❑ Other 0 Septic 0 Well 0 Water/Sewer; _._ .. 0 Floodplain 0 Wetlands ❑Watershed District DESCRIPTION OF WORK TO BE PERFORMED: L) P p cno I t Identificati n Please Ty a or Print Clear ) OWNER: Name: 1� r Phone: 7 6� 78 Address: S V lAft_ V CONTRACTOR' rName:._. -- — _.. =P_hone: s Address - - - -= - - - - Supervisor's Construction, License Exp Home improvement License: _ _ _ -- Exp. Date:` -- ARCHITECT/ENGINEER 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: $ t 006 _eA% ' FEE: $ _6V Check No.: � 'li�i Receipt No.: Z� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signatu�e of Agent/Owner ". _ Signature of� confractor..: -. _ _� .��.. _� Plans Submitted Li Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans -Submitted ❑ Plans Waived ::.Certified Plot Plan ❑ Stamped Plans ❑ 'TYPE -OF SEWERACEDiSP-OEAL - Public Sewer ❑ Tanning/Massage/BodyArt ❑ .. .Swimming Pools ❑ well ❑ Tobacco.Sales -0 ..ToodPackaging/Sales ❑ Private (septic tank, etc..- - = . ... �-Site Diinpster on*'Site ❑ - - THE. FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE:APPR-OVED PLANNING & DEVELOPMENT` ❑ ❑ COMMENTS _CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Ylanning Board Decision: vOonservation Decision: Comments -Comments Zoning Decision/receipt submitted yes Wates° & Sewer Connection/Signature � Date Driveway Permit DPW Tow;z Engineer: Signature: Located 384 Osgood Street FIRE DEPARTiVIr NT Temp Dumpster on site .yes no Located -6t -124 Mair Street - Fire"Departine►if COMMENTS ':�; Number of Stories: Total square feet of floor area, based on Exterior dimensions. _Totat 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 NOTand DATA — (For department use). El Notified for pickup - Date f E Doe.Building Permit Revised 2010 Building Department ` The folt-3wing is`41ist ofthe required.forms to be- filled out for the appropriate. permit to .be obtained. Roofirg, Siding, Interior Rehabilitation Permits U Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.1. 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 ❑ Certified 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) ❑ 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) z ❑ 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 cans .if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apn,?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Location No. —6 c2 7— IV_ Date Check #5�2 77 2 7 3 4.r 4 IA(,4 VC/ TOWN OF NORTH ANDOVER Certificate of Occupancy $- Building/Frame Permit Fee $-3e) Foundation Permit Fee $-� Other Permit Fee $ TOTAL Building Inspector v C � n p o �o CLc D cam. cn O 0 m o CL cr � S � o � W. W Q CO � v 0 z n 0 O � CD 17- C) C) Z ti a O .a Z rnrn Cl) cn 0 m z 155rn C= cn rr ic z O n z O 5 CD N cm O 1 Q. 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