HomeMy WebLinkAboutBuilding Permit #285 - 5 BOSTON HILL ROAD 10/6/2009 Location 1v
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No. -2 S Date ,016 4G
TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
Building/Frame Permit Fee $ 2 U
SACHUSE
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
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`Building Inspector
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BUILDING PERMIT 3?� ::• °'e�°�
TOWN OF NORTH ANDOVER 10 .
o APPLICATION FOR PLAN EXAMINATION
Permit NO: a Date Received
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�9SSACHUS
Issued: �0
Date 6
MPORTANT:Applicant must complete all items on this page
LOCATION 5' BOSTON 11/L L o�
Print
PROPERTY OWNER J 0,qm rA,t°yuty► Z gE.,� di:�,ggmyw
Print
MAP NO: I07C PARCEL: ZONING DISTRICT: HistorroDistrict yes
Machii4p&village yes 65
v �_12-
TYPE OF IMPROVEMENT PROPOSED USE (,''i
Residential Wosidential
❑ New Building ❑One family
C�ddition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑Commercial
❑ Repair, replacement ❑Assessory Bldg e'Others-
ElDemolition ❑Other 1 FLS S S MUN oN
❑Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
ESCRIPTION OF WORK TO BE PREFORMED:
lllle-�-o SGS -/V 06(0? Ah,,-ee (3) /Jane( Gn h i4c S 2,7c/ le4k ol
Identification Please Type or Print Clearly)
OWNER: Name:JoNN aic/ ben krI%1w Phone- /?V-39?-'ao.32
Address: 7 ������ rl A o G 0 Z�S -�� c Z
CONTRACTOR Name: Phone:
10 1641—
Add ress:
661—
Address:
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Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address:KaW 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: $y�S, r�U O FEE: $ �o2U b
Check No.: 1:7i n Receipt No.: ?2.S/O
NOTE: Persons contracting with u egistered contractors do not have accqsko the guaranty fund
Signature of Agent/Owner Signature of contract6
C8(J�)3a S-'32 7
NORTH
Town of
Aitidover
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No. ;2
10L Z� —
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LAKE over, Mass., a
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COCKICKEWICK
0RATED FPpGI-�S
7 4
PERMIT . T D BOARD OF HEALTH
Food/Kitchen
Septic System
THIS CERTIFIES THAT. � Nvot' 6,r_/Y, ui .................. BUILDING INSPECTOR� V .......................
has permission to erect........ .... buildings on � Foundation/
�... /f••• ......................... Rough
to be occupied as............. -W- 9t!.o.... 00�(: .....C,,3 ,r F�. ,¢/Si nr�!G„r
provided that the person accepting this permit shall eve respect con Chimney
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Constructioon on n of
in Final
Buildings in the Town of North Andover.
VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR
Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
................... ..... / Rough
k4r' "fr1w�.. j
.......................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to OcaVy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough I
No Lathing or Dry Wall To Be Done Final
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
Street No.
SEE REVERSE SIDE Smoke Det.
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 ❑ AT C
COMMENTS 5 ec--r0- I PerpndCt2
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
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
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
M
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
Doc.Building Permit Revised 2007