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HomeMy WebLinkAboutBuilding Permit #068-13 - 498 CHICKERING ROAD 7/27/2012 V%ORTft BUILDING PERMIT 0 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: 00-_15 Date Received 0 AC US Date Issued: 7/ IMPORTANT:Applicant must complete all items on this page 'L --A t Tg W. �,v I ► #i ; 00 W IOW ! t , , -' RRQPERTY- OWNERRnt � ,N MI t M e yes MAP NO -A,�: 7 Z- - no. adhin -8 oVilla TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building, One family Addition Two or more family . I n tdal Co nff Alteration No. of units: C:ommercial Repair, replacement Assessory Bldg Others- , Demolition Other 5114c W Watershed a District - ain!.:, ;4 DESCRIPTION 0 WORK TO BE PREFORMED, -;;1 Identification Please Type or Print Clearly) OWNER: Name: 4A"Oell 'er�_ r_ P h o n e: le Address: 0-stl Q C o4i��74!�Phone G,QNTR-A9­ rnei,4 I-z;03 - ,0R.'Na 7- T 771-�_., ,if _-. 1 '7 7z, AL ti0f:Wcense i Supervisor s gfrod I rise. e461Ato ARCHITECT/ENGINEER '411 Phone: Address: AIIA Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED OST BASED ON$125.00 PER S.F. I FEE: IF Total Project Cost: Check No.: C2,3017 Receipt No.: Q 53 5 NOTE: Persons contracting with unregistered contractors do not have access to t 1v nd n G1wner.t ,...,:. S fc t 6f tr6' Locations_ No. �, Date • • TOWN OF NORTH ANDOVER . • �1�-�77s171�� e • >S, Certificate of Occupancy $ fi . . ° Building/Frame Permit Fee Foundation Permit Fee 3 , Other Permit Fee $ TOTAL $ Check# 0 2/7 :G 25551 Building Inspector r Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/BodyArt Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site I ' THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT I COMMENTS nature CONSERVATION Reviewed on Si q COMMENTS HEALTH Reviewed on Signature COMMENTS I Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i 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 '� f r:+�.�.t,r �er-# y {�r 'tE,�• s_,s�fJ ti. tt3 ' x. , .z s i t„mac .a_ rk X,�ocat6dd,at 124iMaifStreet ,L � ♦.+w .p5e-x -w y d .._.._r ..�a FiWD ifffi enf7signaWffl.date�n ti '>lK Afy},” .. ki= �ff`.} .r'F� .'..Y'�' t' f `• . `y�'a�� .t�4.}fir < ati �s {.[v �f. .. .S_ \ - �i � . {�Fle %sfy, 1. CQIVIIVIENTS' 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) I I ® Notified for pickup - Date Doc.Building Permit Revised 2008 I, II 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 MOTE: 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 i ❑ 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) ❑ 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:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 NORTy T:own of t E : It Andover O ;� w' to No. t - I h ver > > Mass Z A COC NIC Hl WICK y1. s U BOARD OF HEALTH Food/Kitchen PERM �11T . T LD Septic System THIS CERTIFIES THAT `©4 eAell 14-X k . /. ./.4.-w��......................... .................... BUILDING INSPECTOR ................. ..... ..... _ /�G�� �C���(� Foundation has permission to erect .......................... buildings on ...Z'... ............................. ...... ......................... � Rough to be occupied as .......... ... sr. , ....: . C.�'..� 1 ............�...�..: °2............................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 STARTS _ Rough ...................... Service. ............. ...... r4/14-- . .......... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT - -Unti-I -Inspected and Approved by-the B-uilding Inspector. - - Burner - - Street No. Smoke Det. SEE REVERSE SIDE