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Home My WebLink AboutBuilding Permit #329 - 44 Elm Street 11/13/2008 BUILDING PERMIT Olt OORTFH q TOWN OF NORTH ANDOVER24t'�''- ,=h.. 09 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: /� 3 6� SSACHUS IMPORTANT:Applicant must complete all items on this page LOCATION C L A,,, tir Print PROPERTY OWNER N AcT S I_E"C1(5-A<J- Print MAP NO: 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 PREFORMED: �N52A 1.L t�- X lg, 54lc Identification Please Type or Print Clearly) �' ]g 6 8 7�3 � Z OWNER: Name: NA-T- S f > A-)�U � S — Phone: Address: yJ1 G1�L BUD G It.? Doo,!- Q N CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Y�L/ FEE: $ � Check No.: 72 b Receipt No.: a 1G C7/) NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund � I�Signature of Agent/Owner Signature of contractor Location Cz No. -� Date TOWN OF NORTH ANDOVER 9 + Certificate of Occupancy $ �'�s'•^°;<�' Building/Frame Permit Fee $ At Mus Foundation Permit Fee $ Other Permit Fee $ /TOTAL $ Check # l a A Building Inspector 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 ONSERVATION Reviewed on Si nature COMMENTS If h Z�L / W-Pwg��l 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 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 21A—F and G min.$100-$1000 fine NOTES and DATA- For department use ❑ 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 ❑ 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 2.2008 NORT#i '9 Town of. No. 3 29 o dover, Mass.,0 LA COCMICME WICK V AORATED OPS` �C:) S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ..,L- BUILDING INSPECTOR THIS CERTIFIES THAT....................�Ct:/.••......... ............... ................................;......................... Foundation has permission to erect.................................:...... bui ings on ...... .��.... ...... Y........................ Rough to be occupied as /7.1/ J'. -- S'. .. ..6!: . ..............` .., U........................................................................... Chimney provided that the person accepting this permit all in every 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIO STARTS ELECTRICAL INSPECTOR .. (�/ Rough j�, ...,.e........................................ Service BUILDING INSPECTOR 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. MOR A d AG E INSPECTION CYR ENGINEERING SERVICES, INC. 234 ESSEX STREET LAWRENCE, MASSACHUSETTS \ MORTGAGOR: STEVeFAIS ADDRESS OF PRINCIPLE BUILDING ti� yovG�'S DEED REFERENCE: BK. G54PG. 209 PLAN REFERENCE: 0 DATE OF INSPECTION: 2�'iA ';? s't NOTE: This Mortgage inspection was prepared spe- cifically for mortgage purposes and is not to be \ relied upon as a survey. Cyr Engineering Services, Inc. accepts no responsibility for damages result- ing from said reliance by anyone other than the said mortgagee and its assigns in connection with its proposed mortgage financing to said mortgagor. CERTIFICATION TO: \ dol G" 5''' �',��-- is'� L,GL`✓2E�.•'CC ��//�!"G-v C��'Nrc This Mortgage inspection was prepared in accordance with the Technical Standards for Mortgage Loan \ Inspections as adopted by the Massachusetts Associa- tion of Land Surveyors and Civil Engineers, Inc. I FURTHER STATE THAT IN MY PROFESSIONAL p� OPINION the•principle structure/s and accessory outbuildings, 'l��'`�``,rc. v✓�E�/Cc��Sr�u�%fir \ Vp with the setback requirements of the local zoning or- dinances, and that there are no encroachments of major improvements either way across property lines except as shown. ALSO. ® 1. Property is not in a Flood Hazard Area. �,.. 3 . ❑ 2. Property is in a Flood Hazard Area. 4." ❑ 3. Information is insufficient to determine Flood Hazard. Scale: N = O Date of Plan: .3/, 7 Flood Hazard determined from latest Federal If ! Flood Insurance Rate Map.