Loading...
HomeMy WebLinkAboutBuilding Permit #248-2016 - 420 WINTHROP AVENUE 8/27/2015 BUILuiNu FLKml l TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION * - Permit NO: �" l 1� Date Received �.9 Date Issued: L-i 11113 ss„`"asp IMPORTANT:Applicant must complete all items on this page LOCATION qao wlyArov ov-c t PROPERTY OWNER Print MAP NO: _PARCEL:��ZONING DISTRICT: Historic District yesnn Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ><One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 0 Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer rr {��(- ri✓ ire- Identification rP i Please Type o Print Clearly) OWNER: Name: 1_tri & Phone: T7X-49 v- Address: CONTRACTOR Name: nn Phone: Address: P. ok � 1, Supervisor's Construction License: ) Exp. Date: �_ 3 Home Improvement License: A) Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. j FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 6, r7 56 FEE: $ t�-1 ��o Check No.: nCa Receipt No.: 2..°%7_(.A NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner Signature of contractor .l �O Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ ' Sfi6mped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanamg/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food PackagineSales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature- COMMENTS ignatureCOMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes 4 'Planning Board Decision: Comments Conservation Decision: Comments Wafter& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: j. � Located 384 Osgood Street �111�IREDEPARTMENT Temp, Dumpsferonsite %q , _ no #,Lkocated�at�41h24MairiStreeta s' 1CQMMENTS, "` 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 chop 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 Call Email jDate Time Contact Name E___.... Doc.Building Permit Revised 2014 tIORTff BUILDING PERMIT O ""Fo ,6y6'6 TOWN OF NORTH ANDOVER �,. APPLICATION FOR PLAN EXAMINATION * ,� �o °� Permit No#: Date Received a, '` �SSgATFD CHus�`��y Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 ❑ Septic []Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name- Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: 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.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund MS nature of Aaent/Owner z. Si,.nature of contractor -� Location No. `7d �j� Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ R Building/Frame Permit Fee $ Foundation Permit Fee $ �r S'- Other Permit Fee $ aY�� TOTAL $ Check# 3too ' f? Building Inspector F NORTh own o E F. ndove,r 0 � 0 A- Ji� _n No. Z y h ver, Mass �1 A� a R.tTED F, V BOARD OF HEALTH Food/Kitchen PER LD Septic System t-i�TT C4a ��.. BUILDING INSPECTOR THIS CERTIFIES THAT ...............NU.. .....................................&I, ....... Foundation has permission to erect ...... .................. uildings on ....... .. ...... ...... ...... .. .,.. Rough tobe occupied as ........ .. .......... ... � ....................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application 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 MONINS ELECTRICAL INSPECTOR Q . UNLESS CONSTRUCTMN S T 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.