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HomeMy WebLinkAboutBuilding Permit #144-2012 - 46 WILSON ROAD 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0 r 2 Date Received Date Issued: IIUPORTANT:Applicant must co m fete all items on this age LOCATION 44 Wt`,�jlJ/� D�c� �� & & IJaytr AA _ (� P ', tt _PROPERTY OWNER Elf 1"p,A �i ' &f!P� Unit# Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑ New Building V6ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Se '' O Floodplam� ;�iWetlands� ". , ❑ Watershed District., v ptic . 4. ❑W_ate_r/Sewer _ -.r � . _ :�_ . .::-._. .. _ _s. .�.. - ----- - DESCRIPTION OF WORK TO BE PERFORMED (Identification Please Type or Print Clearly) / OWNER: Name: Br-14,11 Phone: 9 .3-320 Address: q6._M//islm— p (�—��c�J�� Adlw(t to k/1 ellm- CONTRACTOR Name rG 4 Phone: Address: I t �1�� Supervisor's Construction License: I S )Exp. Date: j Ul 3 Home Improvement License: 70Y7, Exp. Date: ARCHITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$925.00 PER S.F Total Project Cost: $ l oZ 0 0 C3' FEE: Check No., / Receipt No.: NOTE• Perso ntr�act tng with unregistered contractor have cc o the fund `Stara ure of Aa" 't/Owner:_ S�gnsature ofcontacto� __ Plans Submitted Lel Plans Waived ❑ Certified Plot Plan ©' Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer `� Tanning/MassageBody Art ❑ Swimming Pools C9r 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 PLANKING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on lAl Si nature J'4— r/ COMMENTS & 12 ,� 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-$9000 fine NOTES and DATA— For department use ® 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 ❑ 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 MOTE: All dumpster permits require.sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) II 13 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 Doe: Doc.Building Permit Revised 2008mi Location .� No. Alq— 12- Date X11 4/11/ MOA11r TOWN OF NORTH ANDOVER 10. 0•,•,• '•,�o! Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2j Z Building Inspector M, - Department of Public Safeth ! Board of Building Regulations and Standards Construction Supervisor License License: CS 43156 FRANK RULLO =` 14 STONEPOST RD SALEM, NH 03079 Expiration: 4(1812013 ('ununisiuncr. Tr#: 15727 ✓fie �annwoauiecc� o�../�acf uae%'a Office of Consuiner Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration:. .157854 Expiratio:o _1178/20,11 Tr# 290472 Type! �Priyate'_Cprporation N.H.'SUNROOMS&C.C�NSERVATORIES,INC. FRANK RULLO r 14 STONE POST SALEM,NH 03079 - _ Undersecretary CERTIFIED PLOT PLAN `M.AY - 4 I LOT A - PROSPECT TERRACE NORTH ANDOVER, MA. OWNERS : PATRICIA AND BRIAN SIFFERLIN ` i PRo�os�J31 ►S'xC)L08 p� m '© _ t 3R 6 ;' Sr- 0 P / 3i/ 0 � , 9'X331 �4�avE w6.40Uu0 PcbL 2/©.3s ' 7, .43 �^ , [ S G C.T TC—'2 Z )9 C L. o t I hereby certify that the foundation shown on this plan is located as shown and that it complies with the zoning by-laws and the variances granted with same of the town of North And er . n Scale : 1" = 401 - Date : May 3 , 1994 OF A-f4Lr c DANTE yr. ti E. BARTOLOMEO Z9 e No.15309 o Engineers : Henry R. Himber �0`�r ° � Dante Bartolomeo s/0NAL u01 g 4 PLAN OF T5RO1'0S1 D HOUSE LOCATION -16 WTLSON ROAD, NORTH ANDOVER , MA . 1 OWNERS : MAURICE & JOAN LYNCH DATE : APRIL 11 , 1994 iF- 2':23. 3Z . M � DAN TE- n•1 ENCINF RS : HENRY R . I1T1`1T1T?R E. RAtiTOlOftJEO No. �5�us DANTr TIAR`t'OLOM1;O