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Home My WebLink AboutBuilding Permit #83 - 400 OSGOOD STREET 7/28/2009 (3)TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Datelssued: TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial cement Assessory Bldg Others: ZR emolition Other �epfic Well iN. - tl' d. 'FlooOplain ve. an s Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: OL e Idelitification Please TWe or Pnint Clearly) 017 OWNER: Name: Phone: 'r fli 16 dClress: -rj - vy-6o, o, c - ARCH ITECT/ENG I NEER �Ye ,(2Le--, J -,en J-ro�% Phone: 07;X 0321C Address: Lt reJe--Al 13C .00, C004-1 rl.,4 Reg. No. I FEE SCHEDULE.BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ U0 FEE: $ _ 3540 Check No.: --I� Receipt No.: Z& NOTE: Person's"conlracting with un�eg;istered contractors do not have access to the giiarantyfund. t7---------- ... . . ....... . ionature o contrac Q ns re of Agent-/'b'w""'g h -e i0fr i e�d Plans Submitted Plans Waived Certified Plot Plan tamp ns TYPE OF SEWERAGE DISPOSAL Public Sewer Tarming/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 DATEAPPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH- Reviewed on signature COMMENTS Zoning Board of Appeals: Variance, Petition No: -Zoning Decision/receipt submitted yes Planning Board Decision: Commen I 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.$100-$16—oo fine NOTES and DATA — (For department use) C61VJ k4l 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 Ei Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application ci Certified Surveyed Plot Plan L3 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 Appli cable) Lj Mass check Energy Compliance Report (If Applicable) Li 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) a Building Permit Application u, Certified Proposed Plot Plan u Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit a Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Ei Mass check Energy Compliance Report o 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 th appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording IV, . -*,�ted with the building application ic.Building Permit Revised 2008 Location 100 Da No. te TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL Check # 2212'4 f3uilding Inspector JUL-30-2009(THU) 12:22 C P BERRY MILS-sachuw-tts - Department of Public Smfet�y Board of Buildin,-, Regulations and St.,n4jtT-(K- Construction Supervisor License Ucwse: CS 70134 Restricted to: 00 ALANJ BERRY 460 BOSTON ST *5 TOPSFIELD, MA 01963 Expiration: 11/2312010 P. 001/001