Loading...
HomeMy WebLinkAboutBuilding Permit #354 - 51 FOXHILL ROAD 11/24/2008 BUILDING PERMIT o� "°oT" �ti TOWN OF NORTH ANDOVER / APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ��SSACHUS _ Date Issued: I PORTANT: Applicant must complete all items on this page w --- k Ltd"CATT'ION w PROPERTY OWNER Pnilt EMAP NO: PARCEL: ZONING DISTRICT: Historic Distract Wires no :. 4 Machine Shap Village ;yes °".no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-.Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic 1IV�11 - loodpian V�letlands r -Watershe d!District. Wafter/Sewer DESCRIPTION OF WORK TO BE PREFORMED: -20/!17 0 �i�ryJE'�S ,ec y Identification Please Type or Print Clearly) OWNER: Name: Ue -4- Phone: Address: CONTRACTOR Nalme '.hone, "7 © Address" /� ii�i%�.�• / r f ,j x T St :peruior's Co License ns#ructiari= rc �' r expOate.a a w Y 'Hitne Improvemerit!L�cense . a X xp Dates t F� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: 01 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty f rad nature of Agen wrier - Signa#i re I"'! ntractor i i / /��►X �, Location No. Date 4 `+ TOWN OF NORTH ANDOVER NORTH 3?0•,�••O �• tip +'.,- .. a 41 Certificate of Occupancy $ s'; SE<� Building/Frame Permit Fee $ Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check # �J 21 / .UU Building Inspector 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 COMMENTS 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"DurnpSter oaa.site yes '� �_ n a wcatetl at 124 Main S#�eet�r.. r Fire D part nent.si+gnatijr6,:,at ;. ��_ o , COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: I 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 ti jv I i ❑ Notified for pickup - Date ----- ..._._.........._.. ---_..........................__—--._._.._......_-.......................---.......- - .............._.........................._..._.....---._............-......-..-........_......................................._...._...-- ......................_._ Doc.Building Permit Revised 2008 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 o Building Permit Application ❑ Workers Comp Affidavit i ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract L3 Floor ,Plan Or Proposed Interior Work o 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o 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 o Certified Proposed Plot Plan ❑ Photo of.H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o 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 Application Revised 2.2008 FORTH 0 Of over o ,ti.. No. a 1 1 LIAdover, Mass. , cccc,..,:KWICoVA ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... ... ......... . ...... .�!.A.. .�.:. .. .:...:............ ...�.... .... ............ Foundation has permission to erec ..................................... buildings on ...... .......P A '........... Rough ....... ... ............................ to be occupied as..:. 11JON).0..... ..... ........ .... .�... �. .....:.......... /..d'.....,t.... Chimney provided that the person accepting this permit shall in every r ect 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 PERMIT EXPIRES IN. 6 THS Final c p y ELECTRICAL INSPECTOR UNLESS LESS CO A T V STR V S Rough s................................................................. Service BUILDING 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.