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Home My WebLink AboutBuilding Permit #834 - 490 WINTER STREET 5/1/2018 BUILDING PERMIT0 "°or" TOWN OF NORTH ANDOVER or hf,t- APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received TED Date Issued: SSACHU IMPORTANT:Applicant must complete all items on this page 77i '7 t7 ar 47 4m T T� kit M-0 Tl� W E- MAP 21 6,11--Lt /-25�t-,* sfr- ONING DISTRICT C71_r Sc 11, 1D ,, ilia n z min- .1 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alt No. of units: Commercial A,Re air, re lace Assessory Bldg Others: Demolition Other --nrnr,pf XK70-- 'k '��W nt r;s R I U I R T. z J Y. L d r-1 0 5 F�I TT'li-G Z77Z IWater/SewSO, RE$CRIPTIO OFA ORKTQBEP FORMED: 'e—Identification PleaseTLYP or]Rrint Clearly) OWNER: Name: Phone ?"79'9 7S Address: �775- J 7 77-7-7 FF k=] Cut kqss4,- gar P III V-3 Pit In visor i p.- 't iCn Ei g pe 86ffs rrructi b�7z if D.a, --g tit, H,,0.M� IT pr, ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 0 , 00. FEE: $ Check No.: > Receipt No.: NOTE: Persons contracting wi unregistered contractors do not have access to the guaranty fund N grgml tuf 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 CONSERVATION Reviewed on Signature Atis A &0 A COMMENTS HEALTH Reviewed on Si nature Z L1117 "7� /. COMMENTS -ts Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes 4 ` ---,..- ''Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street t""` �``--mac - ra ..�,�,. ��., �r 'ti 5:'. t a'�. *F , r ay'.•n_; �� 9'� z :' _�t :'i FIRE DEPARATMENTNm,.dmp �Dtumpster .' +';}_ rt`#':x""T '4'mss' r_z^= c-,r• ^- - .. t'' .,, .s .n.�-°ate -'f Steen �k . & Fire Da a artmenCsignature/date � = lsa- � d mt� ,' a a - 3. - ra .}i .xa, , s �:r s r a 1 7^,*^� �,�'.d� •T� x 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 I Doc.Building Permit Revised 2010 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 w' ❑ 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:Building Permit Revised 2008 r F R NORTH TONM Of Andover _ 3 �.� A K E -o dover, Mass., COC MIC ME WICK �� ADRATED �S BOARD OF HEALTH Food/Kitchen Septic System .PERMIT T BUILDING INSPECTOR THISCERTIFIES THAT .................... ...................................,......................................................... Foundation ................ buildings on 4/.. .... li�F�. .. .. `... ................................... Rough has permission to erect........................ ••• •• �'�1•• • t0 be Occupied as........................::.. EC .... 2 .�P..-w. ..�. ./ ............................................... Chimney c..�� provided that the person accepting this permit shall 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough Service . ., ... ... ............................................ BUIL G INSPECTOR Final Occupancy Permit Required t0 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. { ti 0 � If SC.Iti .�f{? �hEl..+ i tt,►+n�C�3'G5�„-la�i>UI V P 4 1:55rb Gr pi)a-1 { or �6 1 SNIQ CA.cr 18/ > p 1 4 t iq Ci��-e¢f'Cane �?.�.N� - e 'tati•r 4 r,, r ,F. i f: - ••-sit-. .. -V 7aA_- 11413't zok rl> , n ,. nom .-"+. ? ;4r✓7 1. 4 4 J f r rlq. Ao rt �Tto'_t r J jFrpr NA 2 21 .0 .. -- .-.: .... ,�.` :' f 1 'ti:�.i�A",+'� r .�`..7i� hear"z „>, .r-.:jr'c++i:�,�''`�•i Flf•F ft"'��fcy �� tJILC�I ES uHHAVY o V612'r5 b(,p�,rCoQµ R A 13 GD Alle- W• PLC- E ►S kIt ( Z 1 R alt ,, �• VL I�j p8.51 �( 72 • Q 3 TcE rt�►�ES .. a 2 3'�ix I'vKiio't- ggc It I a. AS BUILT PLAN OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN or ,G,tt DJC AtSS . / Ztll Wi e 12 5 AS PREPARED FOR Gj U Lt,► VP,►J DATE: A� Pg,[L, SCALE: 11, �-o' MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET 0 ANDOVER. MASSACHUSETTS 01810 or TEL (617) 475-3553, 373.5721 (11.Ni k(l L:PIILi PATIO t.E 'SAC< ;14;;)7 al: MERRIMAC F,1C." 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