The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #251-14 - 40 ROYAL CREST DRIVE 9/18/2013 I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: /',"J Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page 40LOCATIONLNA•l Priy�t u� PROPERTY OWNER Print100 Year Old Structure yes (k-1 MAP NO: _2 PARCEL: ZONING DISTIRICT: _Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 11 Addition Two or more family [I Industrial ❑Alteration No. of units: VA ❑ Commercial `repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ti C -4:3A-E ISS H-"cl� e"U&Z Identification Please Type or Print Clearly) OWNER: Name: 1; w.;Ln f toy :-04- A-t JbQ I FL U-.C- Phone: t-1-7 �GSZ Address: V �- CONTRACTOR Name: C Phone: 9*� 453 P31 CC Address: (D 1 KAA- ivJ .f. Supervisor's Construction License: CS o 14 R Exp. Date: 11/2J Home Improvement License: Exp. Date: ARCHITECT/ENGINEER OU-4Q Phone: C)3?, PQC Po. +&X r � Re No. Pe, 291- i Address: trod AJ1J /'� g 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: $ 2S Check No.: � `�` � Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and 14 Signature of Agent/Owner Signature of contractori Plans Submitted J Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans X7 J Plans Submitted ❑ PlansWaived-11 Certified Plot Plan ❑ Stamped Plans ❑ T—PE:OR 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 ❑ ❑ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Signature COMMENTS ZoningBoard ofA Appeals: Variance Petition No: Zoning Decision/receipt tsubmitted es pp 9 p Y c Planning Board Decision: Comments "'Conservation Decision: Comments Water & Sewer ConnectioniSignature & Date Driveway Permit DPW'I owo Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT 'Temp Dum steron site yes no Locatea at 124 Main Street Fire Qbpartinenit signaiture/date COMMENTS -Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions._ Total land area, sq. ft.: 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.$10041000 fine NOTES and DATA— For department use EI Notified for pickup - Date Doc.Building Permit Revised 2010 3 V Building Department The following is a-list of the required forms to be filled out for the appropriate permit to be obtained. Roofivg, 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 j Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan I ❑ 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 LiEngineering 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 apo.-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building permit Revised 2012 F NORTH own Of EAndover T �O LANE h ," ver, Mass, . �� 2013 COC MIC Nl WtC. �7' �,9s RwrEo �Pa��S V BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR ..... - .. ........�...... ...... ►...�-�-C ........ ................ % has permission to erect .......................... buildings on d Ro A'� .! Foundation Rough to be occupied as ..EJCAC�.�. - .... wipept.4.4- V.. ....I.... �► ��!!�.. .. Chimney S provided that the person accepting this permit shall in every respect conform to the terms of the applica� 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 ........... .......................... ........................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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. SEE REVERSE SIDE NORTH Town of t EAndover 0 No. h , ver, Mass, 19 Z013 O LAN! A_ COC NIC hl WICM Vt' 7�A04ArEo S U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THATRo �� BUILDING INSPECTOR ....., : ►.. . ............... .....N ........... ........ .................. .. . .. ....... . . A,1 CA&a"*' ... � Foundation has permission to erect✓......................... buildings on ...... ................... ........................... � ..... . � .... .A(A .... . ..�A��!� Rough to be occupied as . � �. s Chimney provided that the person accepting this permit shall in every resp conform to the terms of the applica� 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 ......................... 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. SEE REVERSE SIDE