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HomeMy WebLinkAboutBuilding Permit #Exception - 42 ROYAL CREST DRIVE 5/1/2018 BUILDING PERMIT "°oT bgti TOWN OF NORTH ANDOVER :APPLICATION FOR PLAN EXAMINATION Permit NO. � Date Received i SSACHUS� Date Issued: PORTANT: Applicant must complete all items on this page M L ?CATIONCon � Print kR ERTY Pint ._ NIAP NO F PARCEL ZONING DlSTR'PT � Hl TORIC DIST 2"IGT , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential j 0 New Building ❑ One family i ❑ Addition ❑ Two or more family 0 Industrial ❑ Alteration No. of units: ❑ Commercial t A Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition k*Other Cl eptt` 1 le!! � � Floo a>n U.Wettands` G] star hed I istnct " Mater/$ewer � ' DESCRIPTIO - - . PTION OF WORK TO BE PREFORMED: 47 Iden 'ficatio l:as;eype or Print Clearly) OWNER: Name: APhone: 7d 6 Address: 2=0C �v ! i CONTRACTOR Name > �; . `Phone, 5i ' AhsQ Address. ° ; s o �" ads° :' r �m j ` tapervisoras Consac#tin Licenses ? Exp `C? te ll Itme Im rovemet# L�cetise p exp te�, L ARCHITECT/ENGINEER zj,,14 D�-, ,�,,�� Phone:Sd,�f 7z- i 7 6 no 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: $ U _TSS FEE. $ a� Check No.: &-5?7 Receipt No.: NOTE: Persons contracting it unregistered contractors do not have access to the guarantyfund S`i nature.of Agent/Own ee i ria#ure of contractor m 9g Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Swimming Pools ❑ Tanning/Massage/Body Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ 1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS i ATE REJECTED DATE APPROVED CONSERVATIONA43COq ❑ COMMENTS U Lda!00 DATE REJECTED DATE APPROVED HEALTH � s 7 ->7 - ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/si«nature & Date /�;;? AA�Drivewav Permit Located at 384 Osgood1Street hl ` 5'l/' 7 FIRE©APARTMENT 'emp Durnpster cin situ- yes no locatcf'at 124 Main Street. FEre ©epar#riaent sig;naturl�late �� .- I 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.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 1 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 i ❑ 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: INSPECTIONAL SERVICES DEPARTMENTMITORM07 Revised 2.2007