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Home My WebLink AboutBuilding Permit #428-16 - 38 BRADSTREET ROAD 10/6/2015 BUILDING PERMIT NORTH q TOWN OF NORTH ANDOVER to2 - •..,.w; APPLICATION FOR PLAN EXAMINATION ` RgOeoe.oewew w V' Permit IVo#: Date Received RATED^Pa ey �SSACHUS�( Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Pri PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL:VNI ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ C mercial ❑ Repair, replacement ❑Assessory Bldg Others: ❑ Demolition ❑ Other "® Se'ptic ...❑ Well -" ® Floodplain ❑}Wetlands_ E, 00 to sheds®Is t Is 02-2 x . �k T. t DESCRIPTION OF WORK TO BE PERFORMED: I fication-1PleaType or Print Clearly OWNER: Name: V\, Phone: Address: –� r[dd tor Name: C� hone: "�7 s ZZl i�f '.�. -- 2 Ex Date: i sor s Construction License: p�� Oks mprovement License: Exp. Date: 2 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: $ l Check No.: Receipt No.: �j NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -o Location No. ` Date • ' TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ . Y t Other Permit Fee TOTAL Q� i Check# F. 29465 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tannin Swiminin Pools g/Massage/BodyAxt ❑ g ❑ - Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. El permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Si nature COMMENTS HEALTH Reviewed on Signature COMMENTS V Zoning Board of Appeals: variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection e Driveway Permit ]DPW Town Engineer: Signature: FIREtDEP,gR � j=T D Located 384 Osgood Street •taTemp, , umpsfer on;site5IN-9-4v. _ Y yeS � • Lo ated at 12.4[Main Street; s ��'R s. a � 1 syr ��: r o �I : � � x B�irf3��.� `¢� •,,• f i�,tg'�F `. Five De r_r� , partment�segnature/date i d * ate s�1t- +�,xa'" err a Xari �+At 'aaf_ A • K a kerN, COMMENTS r` a '` f .ti ,tt f F � sx, •.:.� f ,aq.< 4� r. ro 'ar: �4.• a �Y r P.t.`� $�5. t,s. �f reY.�,. 6 fi y'° v.e •8 .,�.bs ,r�, t 7'S "Yi1Y Dimension Number of Stories:_______,Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, wast or service-droprequires a Electrical Inspector Yes No approval of DANGER ZONE LITERATURE: Yes N® MGL Chapter 166 section 21A—F and G min.$1oo-$1000 fine NOTES and DATA— (For department apse) ::L3 Notified for pickup Call Email Date Time Contact Name = Doc-Building Pon-0it Revised 2014 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 OTE: 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/Cross Section/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 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 4� Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses ,i6 Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ` Copy of Contract -6 2012 IECC Energy code �6 Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 I - FORTH own- o EAndover o :. No. soh ver, Mass, ID16 lb COCHICHRW1 �,�A�RSTEO APP��y S V BOARD OF HEALTH Food/Kitchen PERMIT T L D Septic System THIS CERTIFIES THAT .......� �l.1. '.! ...............................: ................... BUILDING INSPECTOR ................ . .......................... has permission to erect g ,,, ,,,,,, ,,,,7`�'„. Foundation .................. ...... buildings ... f'�o S ..�'� .... ...................... Rough tobe occupied as .................. ..... ::.:... ... . .. ... ..................................................................... Chimney provided that the person accepting this permit shall in eve respect conform to the terms of the application Final on file in 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough �' / Service ....................... ....... %`' m:.......... . Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det.