HomeMy WebLinkAboutBuilding Permit #659 - 41 BREWSTER STREET 4/29/2010Permit NO: c7
Date Issued:
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received �f
CANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
Septics Wella
Floodplain 1llletlards "`
Watershed Dtstrrot
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DESCRIPTION OF W RK TO BE PREFORMED:
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____jdentificati Please T e or rrint Clearly)
OWNER: Name: I CL. 'a iS —i�et M Phone:
kddress:
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�ONTRACT.OR Name�1Jai ��5'�i%D�1 Phone ._
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Address a a �.
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Supervisor's ConstructionFLicense^ Exp :�®ate r
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tHorpeImprovernentLicense t:; .e.�� gt=xpDate w ice. f
ARCHITECT/ENGINEER
Phone:
Address: Reg. No.
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: $ ()
Check No.: �2G Gf ? Receipt No.: a2 'F 7 7
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of :Agent/Owne Signature of contractor
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Location7
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Date
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No.
��� ������ ANDOVER
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TOWN vn n� ~~ " " ~ ^~ ^ ' ' ' ' �
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certificate ofoccupancy $ -_-----_--_
Permit Foe �
Building/Frame
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Foundation Permit Fee $
Other Permit Fee »
TOTAL $
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Plans Submitted Plans Waived Certified Plot Plan 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
COMMENTS
CONSERVATION Reviewed on 41a7)►0
COMMENTS N 6 Ls kJ ��X100" R p" j
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 3884 Osgood Street
FIREDEPARTMENT Temp UnIpster on site yes. r
Located at 24 Main Street
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�FireDep 'd- 6ht signtiture%dates 3 �s �
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COMMENTST
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
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
NOTES and DATA — (For department use
❑ Notified for pickup - Date
Doe.Building Permit Revised 2010
No
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: Building Permit Revised 2008
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Printing Property Page 1 of 1
Print
Owners HEIM-RICHARDS, TARA
Owner2 HEIM, DARRELL
Address 41 BREWSTER STREET
Map/Lot 023.0-0067-0000.0
Lot Size 0 sq. ft.
Fiscal Year 2009
Land Use Code 102
Last Sale Date 2/28/2003
Book/Page 7567
Total Valuation $246300
Building Type
Year Built
Finished Area 1188 sq. ft.
Assessor Map NorthAndoverAs5essorMap23_26x36.pdf
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