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Home My WebLink AboutBuilding Permit #247-14 - 46 CIDERPRESS WAY 9/18/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: )11/ — /V Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION �"} �o Cil�Q rtS6 W/_ Pri t PROPERTY OWNERS tLL Print 100 Year Old Structure yes ?ho o MAP NO: jOC, PARCEL: 3 1 ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 1 New Building ❑ One family ❑Addition X Two or more family ❑ Industrial 0 Alteration No. of units: o%,w orp 3 cNITS 0 Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition 0 Other ❑ Septic ❑Well 0 Floodplain 0 Wetlands ❑ Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: SSR TowmA,t\g ' FKME 5T ZUMURE, b NE OF lli(ktf UN 1TS IdeD=fficafiGo,—,on Please Type or Print Clearly) OWNER: Name: -eelCU. Phone: 7' 687 Z63S Address:_Z! CONTRACTOR Name: l Q,rn, � ,v.LLC Phone: 9n- a7-Z/.-?Y II Address:llS' Ayle r. m A Supervisor's Construction License: D r- :y/7 Exp. Date: q& Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 0c�ryt�v� ti Phone: Zgf- 's�` 61�� Address: d' 6 Reg. No. GOIO FEE SCHEDULE:BULDING PERMIT.'$IL PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 1 e(Z) , S 66 • FEE: $ 2Z 86.{c-o I ZWb ( ho'6 Check No.: 3F7-6 Receipt No.: . NOTE: Persons contracting with unregistere ontractors do not have access to the guaran nd Signature of Agent/Owner Signature of contractor Plans Submitted lans Waived 11Certified Plot Plan Stamped Plans ❑ Location U Q 1 �[`�/� V "U No. Date - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ tv u Building/Frame Permit Fee $Z � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check Buildi Kg Inspector Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF`-SEWERAGE.DISPOSAL - Public Sewer Tanning/MassageBodyArt ❑ _ 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 CONSERVATION Reviewed on Si nature VCOMMENTS V 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 y DPW To-wi. Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMf_NT - Temp Dumpster on site yes no Located-at 124 Mair Street- Fire Departmerit signatufeldate k COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 6b Total land area, sq. ft.: 30,Z 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 O -35 + ® Notified for pickup - Date S Doc.Building Permit Revised 2010 Building Department `rhe foit)Wing isa list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li 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 casts 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 subm_ated with the building application Doc: Doc.Building permit Revised 2012