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Home My WebLink AboutBuilding Permit #4-16-12 - 48 CIDERPRESS WAY 5/1/2018 TOWN OF NORTH ANDOVER j/ APPLICATION FOR PLAN EXAMINATION Permit N0: 6(� V /2, Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION �� , �((o,t{ Cr&n)kS U&h,,./ Print PROPERTY OWNER M f- l Unit Print MAP NO: f C PARCEL:_ZONING DISTRICT: Historic District yes n Machine Shop Village yes 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential K New Building ❑ One family ❑Addition Two or more family ❑ Industrial ❑Alteration No. of units: 3 ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ - JSeptNKU11I er 3 ®Filoodplain ;O�Wehand �' ��Wa !d►strict i d pater/,S ewers _ � - 4 DESCRIPTION OF WORK TO BE PERFORMED: 60, �Ide tification Please Type or Print Clearly) OWNER: Name: Phone `6g Address: f/S (:ia dkr F Te,O ill.)N,fav k*,c kkA 0 dq- CONTRACTOR Name:T r-o. Le'L h px_e.vm & LI-C Phone:rt E-6$7-763, Address: /IS CW-+er F;J PS., N ,AV1__ . q MA' 0 ins- < Supervisor's Construction License: o S`S / Exp. Date: 1/ 5/I2 Home Improvement License: ( Exp. Date: - ARCHITECT/ENGINEER O'SJ&ya,^ ArX�ig4I Phone: ?9 434- (01to Add ress:_G'?)01•►e`l�Sfi.,R-wkxhQ , M1k o it67 Reg. No. Coo l o FEE SCHEDULE.BULDING PERMIT.•$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ 140 . r(;.1,&&,,\/Y) Check No.: b Receipt No.: NOTE: Persons contracting with unregistere c ntractors do not have access to the guaranty f n --- ------ -,_._ ---- ---- -.._ ,$ignature_of A`gent/OwnerrSignatureiof�contractort Plans Submitted.N Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer X 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 N3 AZ gA cj�• X1013 hd ni CONSERVATION Reviewed on � 1 Si nature COMMENTS MA bER #2KZ- X114 %k a ri-Aanagi HEALTH Reviewed on Signature COMMENTS 1,�J,A , mn v,,d-�e�-rSewer NO selL'. Zoning Board of Appeals:Variance, Petition No: —' Zoning Decision/receipt submitted yes " Planning Board Decision: — Comments Conservation Decision: Z y 2 - 1 1 1�{ Comme Q-I��IZ Water & Sewer Connection/Signature aDrivewa Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp DumpsMr ite yes t/ no Located at 124 Main Street Fire Department signature/date /b� >= 12 0 l/ COMMENTS Dimension Number of Stories: 2. Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 30.2 etc, ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector N I.A 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 ovN Q� PrRA 1T ONLY ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o 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 VOTE: 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 o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products COTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit a all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording lust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi