Loading...
HomeMy WebLinkAboutBuilding Permit #678 - 10 CIDERPRESS WAY 5/5/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: & 1 Date Received Date Issued: PORTANT: Applicant must complete all items on this page LOCATION A , toCic(e� tQSs �''� i Ise CumM S Print PROPERTY OWNER elli S LLQ Print MAP NO: /0'1 C PARCEL 31 ZONING DISTRICT-. Historic District yes no Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential _Qkew Buil One family Addition Two or more fa ily Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Se tic Well Floodplain Wetlands d District aterlSewer y DESCRIPTION OF WORK TO.JE PE RMED: -uv.� m I entif ation Please Type or Print Cle ly) OWNER: Name: t �67�f-6F-7-ZOY Add fess: //-S* Ca k e- !v..�l�eQcrt�� AAA 6 /Fl S` CONTRACTOR Name: 7,q2t 4!, /X-7 Avi t Phone: t-2 -6iT 6;? Address:-//S C4C 0-ge-d. tti1 . �+ncl� � y} /Vl✓� �lam/ Supervisor's Construction License: o rc!jj/7 Exp.. Date: .Home Improvement License:_ Exp. Date: ARCH ITECT/ENG IN EER-Q 5J4l 4 'dit1ed3 Phone: -78t-q31?- X166 Address:_C8U 1�J ,,,Sf- , knAlm A 12167 Reg. No. 4,0/6 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 6697 s F i ►os6 C� Total Project Cost: $ -7717A as- Im n1s1~ FEE: $ /UU . Fau"DJt-TWU dNW Check No.: llu Receipt No.: �2 e2 ��-7 NOTE: Persons contracting with unregistered co •ac ohs do not have access to the guara ty fund Signature of Agent/Owner ignature of contractor y,C, � T , Location No. .2,�-' Date r TOWN OF NORTH ANDOVER � 9 ` Certificate of Occupancy $ • i ; ;' Building/Frame Permit Fee $ Foundation Permit Fee $ /OD Other Permit Fee $ TOTAL $ Check # —�- -�— v r wilding Inspector �ulry*le Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Se 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 APPROVEQ PLANNING & DEVELOPMENT Lzz) COMMENTS W1,6 , Z IA COOS CONSERVATION Reviewed on S Ito Signature / COMMENTS �_ � - 2-�c a- - � , HEALTH Reviewed on Signature /7,*' AV COMMENTS oN S4'V A'9/W AT6tR eTotu ,3) Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Zq?- ' lig Comments Water & Sewer Con nection/si nat Da DrivewaV Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dump9ter on site yes no Located at 124 Main Street Fire Departmentsignature/date 74� ���-1a4 COMMENTS Dimension Number of Stories: 2- Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 2 AC 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 ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 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 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 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: Doc.Building Permit Revised 2008 NORTH Town of r 4Andover u :r. dover, Mass., COCNICKEWICK A0RATEO P' �y `r BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 41�1C .K-7- '� s............. Foundation / � a.....( Roughhas permission to erect........................................ buildings . .... ..... ..... ..... .... f to be occU pied as � �✓.:'�1.(. .G?' l C>.'?-�.......1�.. '. Chimney provided that the person accepting this permit shall in every respect nform to the terms of the application on file 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. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough Service BUILD G INSPECTOR Final Occupancy 'Permit Required to Ocmpy 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.