The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #296 - 43 HIGH STREET 10/17/2007 BUILDING PERMIT 01* pORTH '6q�o ► ?, a o� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION A- * e" Permit NO-/-,'k Date Received SACNUS Date Issued: )0 — �'o IMPORTANT:Applicant must complete all items on this page LOCATIONi �r..N � {-- `�_a3.. P, t -PROPERTY OWNER; ��;Cs Nor-�'h 1 :d ovt✓ AAA ;t LLQ Print MAPNQ. PARCEL.- ` ZONING D"ISTRI:CT ;Historic Dis ict es no r Mach 6 5ho:p�/illage yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Add i 'on Two or more family Industrial No. of units: Commercial Re air lacement Assessory Bldg Others: Demolition J Other 'Se fi U1/ell p'e Floodplain W.etla'nds 1Natersfied Distract UUafer/Sewer - t DESCRIPTION OF WORK TO BE PREFORMED: G r o' N o r' (Z �— Q e-tL lk C ��w-t ;��c3S I er J✓ e, J Identification Please Type or Print Clearly) OWNER: Name a4y% ,0 Z—. 6 .w Q d'A-C,M Phone: %all -bLS -8 2(J Address: YQ110 Z ` in CONTRACTOR Names Phone _ Address �. '�-�C: � � 5. "`?ti4� Supervisor's Construction Licensed Exp Date 2Lb d Horne Improvemenn .xp _Gate �Ycw Z �� K ARCH ITECT/ENGINEECco7G"; 1*%'f �►'-�v1 Phone: -T7 8 - 39 6 ct q 6 Address: I �'�- �9�vv - y 1wu-s�,��-�� Reg. No. FEE SCHEDULE:SUL DING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BA SED ON$125.00 PER S.F. Total Project Cost: $I/�Z�DD — FEE: $ --7O- �- Check No.: "�b Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ig_nature of Agent/Owner Signafure of.cont�actoi _- 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 FOL•LOWIN;:G.SE,CTIO,".FOR`-01EFICE;USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSEkVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH , . COMIVtENTS ,r x 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 Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/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 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 - Location . No. a Date D -;.► n �oRTM TOWN OF NORTH ANDOVER i .. o� • • Certificate of Occupancy $ � �i mob.,.e•�' '! + /y CHUSE<�'' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ A TOTAL $ Check #,q 20702 ---�----- �' Building Inspector J XAORTH Town of No. IVLy �. 10 , dover, Mass.,AoIV• T Q �- LAKE 1 COCHICMEWICK V Ids RATED P5 7 BOARD OF HEALTH Food/Kitchen ERMIT Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .. d&j.4&......Mi lls..........LL.cis................................. I Foundation has permission to ere ....................................... buildings on ..yl—h1. *)).........,�.P..A...R00. . ..... h11� Rough to be occupied as....Vo%D ' ..... .............. 10-A.. • Chimney . . . . . . . . .......................................................................... provided that the person accepting this permit s all in ev respect conform to the terms of the application on file in Final 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 7X_ Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS -CONSTRUCT Rough ................................. Service BUILDING INSPE TOR t Final - Occupancy Permit Required to Occupy Building GAS INSPECTOR 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: SEE REVERSE SIDE Smoke Det. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: -- is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I 0A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Fire Department Sign off. Dumpster Permit Date i 949.rd of Building Regulations and Standards ConstructionSupecvisor License ! 1" Li,4-hW6; C'S 6034 B tt� iff26/1"956 'WEN, 17009 Tr# 3960 Ki�ERAN T>GVHEL 31.RICHM,ODST UV-E`YMOUTH,:MA 02`188" CommSss�oner i i 00-35,000 of enclosed space IA-Masonry only 1'G-1-1 Family Homes Failure to possess a current-edition of the Massachusetts State Building Code is cause for revocation of•this•license. 1. f 3- E � it