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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 -� Buil ing I pector c o 0 h _O C V V 1.•z CL c . m o •s o c. s co c E CL-- 0 yCD y y -- CD y c •O � � m • � ..c 0 C y� o O• y i3 FREWl n� L cm :MO) C go L •0 O O m L'Z o o o� cm oao c W i�mc •E o c.Z® N �_.. ua c .r •o = •H CLU,j W 0 W•E CS -W loo •y o V m C3 CD 0 = CD s COD CL ®. 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