HomeMy WebLinkAboutBuilding Permit #244-2010 - 37 FLAGSHIP DRIVE 9/23/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit Date Received
Date Issued:_i,4 X
IM ORTANT: Lkpplicant must complete all items on this page
LOCATION ;Fhp O p
Print
_PROPERTY OWNER C T t LT,_I Unit#
Print
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
100 year-old structure yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition El Two or more family El Industrial
'"Alteration No. of units: a'Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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z ® epf : ® e � d0 �l00. x 0etl ❑ Wa m�.
DESCRIPTION OF WORK TO BE PERFORMED:
(Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address: e tyl l 1_
CONTRACTOR Name: Elk.(" `r, ted &MOANY Phone: qv- 666-33503
Address: }�� Det
Supervisor's Construction License: Exp. Date: -4ta 113
K
Home Improvement License: `
Exp. Date:
.P ARCHITECT/ENGINEER Phone:
Address:
Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ 3200 FEE: $ /J3 a0
f Check No.: �� Receipt No.: e ig 0
NOTE: Persons contracting with unregistered contractors do not have access to the g aranty_fund
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
PLANNING & DEVELOPMENT ❑ ❑ l
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
ti
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
P
Water & Sewer Connection/Signature& Date Driveway.Permit
DPW Town Engineer: Signature:
Located. 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Location
No. v;2 Date
NORTh TOWN OF NORTH ANDOVER
0 w
P
Certificate of Occupancy $ d —
Buildin /Frame Permit Fee $
suNuS 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
24607 B iding Inspector ��
NpRTM Town of
. ,
_. _
dover, Mass.,,-
O COCMIC EWICK
DRATED P'P�t'`�
BOARD OF HEALTH
Food/Kitchen
Septic System
PERMIT T DBUILDING INSPECTOR
THIS CERTIFIES THAT.......... ... ..��.. A/ ....... C f
Foundation
a.has permission to erect........................................ buildings on .��G. V47�'-"
�. , .. IfJF..... ............................ Rough
7(to be occupied as................/... ! t^/ �.q .. �1 ... �....:............f f1 fy.... 4k/./...1. ...�?J'.� �,.% Chimney
provided that the person accepting this permit shall in e(rery respect conform to tl terms of the appliz`ation on fi 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. LL Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION TS Rough
Service
_ � BUILD G 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.
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Massachusetts --Dclru-trncnt of PublicSstfctN
Board of Building Rc!�ulations and Standards
Construction Supervisor License
License: C5 97765
EMIL;FRb
3 BASSWOOD LANA_,..
ANDOVER, MA 01810
Expiration: 7/20/2013
( mmi..i ner Tr#: 17968
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