HomeMy WebLinkAboutBuilding Permit #771 - 40 HIGHLAND VIEW AVENUE 6/1/2010Permit N0: ��
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
TYPE OF IMPROVEMENT
PROPOSED USE('�
Residenti �`t:Qi�'
Non --Residential
New Building
One famil
AGIMD
Two or more fami
Industrial
teratio
No. of units:
Commercial
Repair, replacement
Assessory Bldg -V�
Others:
Demolition
Other
Se` tic W611 N
F1ooplatri Wetlands �
Waferst ed District a
ater/Sewe
- -
UhbUKIPTION OF WORK TO BE PERFORMED:
A ol-A— +w,D Seo l\ %n�ac�
yj
Identification Please Type or Print Clearly)
OWNER: Name: J0 4,,-J qiL s Phone: 6 -1- 32y - gfti J3 #3
Address:
ARCHITECT/ENGINEER ,O 1.�.�,�.sse ,Osc„� ' �..� Phone:l5,,y
Address: oo o— T,-, sly,,,,,.,., ra�..�.�.,.U. N -,- """'Reg. No. -LL) 2,& 5 -
FEE
FEE SCHEDULE. BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. O
Total Project Cost: $ ?,Su,o FEE: $ -7lQ0
Check No.:Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have ac-ess tothe guaranty fund
C
Clans
Plans Waived
Certified Plot Pla
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
,-V
COMMENTS
,'+
CONSERVATION Reviewed on Signature
- COMMENTS
HEALTH
COMMENTS
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes _
i
Planning Bodrd Decision: Comments
Conservation Decision:
Comments
Water & Sewer Connection/signature & Date Driveway Permit
DPW Town Engineer: Signature:
i
�I
Dimension
nI
Number of Stories: Total square feet of floor area, based on Exterior dimensions. 2-3eb
Total land area, sq. ft.: ik ,;:�D6b
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
i
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
Doe: Doc.Building Permit Revised 2008
Location e1,61Z/-7-
No. Date!
MORTM TOWN OF NORTH ANDOVER
f?,' • oy
loo
Certificate of Occupancy $ '"
�1'�s'••°'''<�'' Building/Frame Permit Fee $
sac MUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
232.2
Building Inspector
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 771=2011 Date: March 3, 2010
THIS CERTIFIES THAT
THE BUILDING LOCATED ON -/y Highland -view Avenue, North Andover MA
61845 '
MAY BE OCCUPIED AS _remove existing 2 family house and convert to single
family house IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS
STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to:
Fee: 100.00 previously paid
Receipt: 23222
John Peirog
all
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