Loading...
HomeMy WebLinkAboutBuilding Permit #003-12 - 48 EMPIRE DRIVE 7/1/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ® f2 Date Received Date Issued: 7 l �Z ORT.ANT:Applicant must complete all items on this page LOCATION ��'q0 6VPX-C- 094U87 Pr t PROPERTY OWNER 9—Ct V t LLAGL LLC Print MAP NO:10�7C PARCEga&2-ZONING DISTRICT. L� Historic District yes no Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ i�Se tic�3 ®ViTell� i ®�Floodplain3pWefl'ands� WatersheclfDstriet, F P� r e DESCRIPTION OF WORK TO BE PERFORMED: L Le IL �-� � (1'�oi ��ih� y Identification Please Type or Print Clearly) OWNER: Name:_rL-a A419_[( �E /—LC- . Phone: Address:rte!:7 �4)ASffl ) PJ S4�G f-0Q C—LA N Q M A-®t k3V CONTRACTOR Name: 5ESS N �' Phone:92�3 00 Address :M5� Rtgee7E UK)CLL4 1 nAA tat C n'-V Supervisor's Construction License: ,� Exp. Date: 3/ Z II Home Improvement License: Exp. Date: ARCHITECT/ENGINEER J h (9106A) ��E Phone: Addressl 996.AAA10 S uI� /-14401 B-3zeg. No._� FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$925,00 PER S.F. Total Project Cost: $ FEE: Check No.: a/1-/m Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access o the guaranty fund NE ----_--------- -----...5.. - - -•. , -.-.-�:- Si-`nafure Signature.ofi Agent/Owner ::_gi__--- __ ___ f ntracf= Location No. ©a /2 Date -2 / / �oRTh TOWN OF NORTH ANDOVER 3 O F w A ♦ s Certificate of Occupancy $ '°''<�'Mus9 Buildin /Frame Permit Fee $ s,KE Foundation Permit Fee $ bD Other Permit Fee $ TOTAL $ Check # L�3 24 �`I ffu`king Inspector Plans Submitted Plans Waived ❑ Certified Plot Plan (V' Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 CONSERVATION Reviewed on Si nature - i COMMENTS ---,Aj,ejA� 1!�� HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Censervation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Durapster on site yes no Located at 124 Main.Street Fire Department signature/date COMMENTS - i 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 n NOTES and DATA— For department use U Notified for pickup - Date i Doc:.Building Permit Revised 2008 i I • I 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 Com Affidavit davit ❑ 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 ns (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 Neter 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 o Engineering Affidavits for Engineered products DOTE:-Alt dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n 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 NORTH own of dover, Mass., - ,711111 LAKE COCMIC EWICK ,, %S RATED P`P5 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................. 1`d i!'.le..l/. .JE..........c.................................................................... Foundation has permission to erect........................................ buildings on ..-5.r �. v�f?y....Ai4.('(11,.0.r.................................. Rough Chimney to be occupied as.................... P... c+�Q... `i c"'V.:...,�� �.� ...................................................................... y provided that the person accepting this permit shall in every respect onform to the terms of the application on file in Final. this office, and to the provisions of the Codes and By-Laws relatin 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ARTS Rough ... Service 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.