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Home My WebLink AboutBuilding Permit #490-14 - 351 WILLOW STREET 12/11/2013r • k q f OORTFr 1 BUILDING PERMIT 3?��'`�10. 6c TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION Permit NO: 0"'� Date Received Date Issued: / 3 �9ss•�c►+us IIMPORT/AN,r.T: Applicant must complete all items on this page LOCATION *� Print PROPERTY OWNER t% N VOq I Print MAP NO:UEPARCEL-.1iZONING DISTRICT: Historic District yesno Machine ShoD Villaae vas . no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: l7lr N'-J19N "?Wlo //B(Var Phone: If /a • 2WV ' Address: L AAfC"r"J — CONTRACTOR Names _ _ ; — Phone: Address:2-5 k W I. �Q !S7T . ':�5"" P rA-)f �\ (3 �R55 Supervisor's Construction License: 1�� Exp. Dat Home Improvement License Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: B!�"G PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED�ON�$1125.00 PER S.F. Total Project Cost: $ -AA � rJ � Jam. O O FEE: $ 'J � ® I Q_> Check No.: f eceipt No.: ;z z NOTE: Persons contractin with u egistered contr ctors not have access to the guarantyfund Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER _ .. _ T_ . i Print 100 Peat Old Structure yes no MAP NO: __ __ PARCEL: _ ZONING DISTRICT: Historic District yes no Machine Shop Village yes no .TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Arlrlrccc- CONTRACTOR Name: Phone: I Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 31 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of A_gent/Owner Signatureof contractor Plans Submitted ❑ F,zins Waived ❑ Certified Plot Plan CIS _ mped Plans ❑ Plans Submitted ❑ -.Plans Waived Certified Plot Plan ❑ Stamped Plans .. TYPE-OF-SEWERAGEDiSPOSAL 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 PLANNING & DEVELOPMENT` ❑ F1 COMMENTS 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: Com Conservation Decision: Comments Wates' & Sewer ConnectionlS_ignature � Date Driveway Permit DPW Tow! ]Engineer: Signature: FIRE DEPARTIUII�aiVT Temp Dumpster on' i Located -at 124 Mair Strdet -- Fire Depar`tmerit.signata`re/date-' COMMENTS LOcatea M4 us ooa Street yes ... no -Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions.&c -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-Chapter166Section 21A -F and G min.$100-$1000 fine NU I tg and UA I H — (r -or department use El Notified for pickup - Date Doe.Building Permit Revised 2010 Building Department The folowing is'=a-list of the required.forms to be filled out for the appropriate. permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits u Building Permit Application u Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or-C.S.LLicenses o Copy of Contract u Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks u Building Permit Application a Certified Surveyed Plot Plan Li Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) L3 Copy of Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all casi s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doe: Doc.Buhding Pe. 7t Revised 2012 Location ?4;- � ( "�) 01i0"i —CA • s� No. 49 (.)-1 Date 12 1 v I t3 Check #2-11-911-1 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee s -M/0. 9S - Foundation Permit Fee $ Other Permit Fee $ TOTAL building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 417,565.00 m $ - $ 5,010.78 Plumbing Fee $ 626.35 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 626.35 Total fees collected $ 6,363.48 351 Willow Street South Bake n Joy 490-14 on 12/11/2013 DAF Building Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 417,565.00 m $ - $ 5,010.78 Plumbing Fee $ 626.35 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 626.35 Total fees collected $ 6,363.48 351 Willow Street South 490-14 on 12/11/2013 Butler Building for DAF Equipment ouoq l—`":uosaad;ae;uo3 -1aq#O.9 ao;aadsul tuiqumld -S aoloadsul luappalg •t, ilaala umo,jf4la •£ ;uawl.puda(l SulPling •Z q;leaH jo p reog • I :(auo olaata) fqtaoy;nV 2uinssl # asuaat7'apund :uAiol,.po AIZ) 7gw!ffo u xol .ro Alpa fq palaldwoo aq of Ina m s�rll ur aimm lou oQ •dillo asn 17.11.7 fo 669L'8ZE'LT9 'ff . —tc �o :aleQ Minle 17S�aarroo pun anil q anogn papraord prorur lvrofur aill lvill din.fradfo sar�ly survd airy un sCfrTaao A'garail op r \ •uotleagtaan afe.tanoo aaueansui ioj VI(I aql jo suotleStlsanui jo ooUjo au; of pap.lenuoj oq Arm lupwa;els still jo Adoo a legl pasinpE ag •aoleiotn aql lsute$E Alp a 00.OSZ$ of do jo oug e pue Zlacrao )I2i4M (101S E3o uuo3 ag; ut sappmad Irmo se liam se `lualuuosiidwt iuoA-ouo lo/pue 00•00gll$ of do auU E Jo satlieuad pulau n jo uoiltsodug oql of pEal ueo Z51 '0'I0INjo VSZ uotlooS .tapun paitnbaz se affE.zanoo atnoas of amite3 •(a;up uot;e.qdxo pue aagwnu Sailod oq; 2utmogs) agud not unlaap bilod uoiausuadmoa �uaipom aq; jo Sdoo u gau"V StgL0 dW `aanopud 4laoN 'dq/a;%S/f1!D 41nog laaalg mo IM LSE :ssoxppV a;tS qof II bTOZ/6Z/60 :aIEQ uol;endxg TbZZL9E65 7M '# 'o!'I 's 3IaS Jo # Xatiod o:)liense:) le;uaulluo:) :otuuM AuedutoZ)oouu.lnsul •uopvurmfut airs qof puv dfallod aql sr molag •saadolduio fur aof aatrnlnsur uorlvsuadwoo ,vipy roM ffulprno id sl ivill iodoldiva un urn j -iagwnu loilod -dwoo ,sta)pom rayl ap!noid ism tags `saaAoidun anuq siolaeuuw-qns otpji 'sookidwo aneq sap!pua asogp you ao =11211m aieis pue sJoloealuoo-qns agi jo otueu aqi Saimotls iaags lt:uo!l!ppe tte pagoeiie isntu xoq slip )iaago iegl saolmlittoo$ •gons Su!leorpO! i!nepy,}e Mau a inugns isnw siolmuluoo op!spno any uagl pue laom lie Su!op aie Aoill Stgpua!pu! i!nep!jle s!qi i!wgns otim sieumoawo.H roo!ieuuo;u! 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