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Home My WebLink AboutBuilding Permit #Exception - 535 CHICKERING ROAD 5/1/2018 (3) BUILDING PERMIT 0No or" qti TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION OPermit NO: Date Received `°`""p" �.95 A4Teo SACHUSfc Date Issued: IMPORTANT: Applicant must complete all items on this page GATaON t 2 t c .` <s -PROPERTY OWER' print - .MAP NO PARCEL: 7ZON1NG_DISTRICT: Historic District des 1Vlctaine Shop ag es TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Al"oTwo or more family Industrial Alteration No. of units: —Co mmerci Repair, replacement Assessory Bldg Others: Demolition Other Septic llllell° :Floodplain - V btlanils. . U1/atershed'D str�ctj :Wa#erlSewer . DES RIPTION OFORK TOB REFORMED: 7Identification Please Typer Print Clearly) OWNER: Name: �,�s oP t� -�a� S C Phone: I� 3 Z Q t Address: Choc Sgd6� Vit: N f` 'Al Oone.h�O1TCTR NZ 1 Z dlress l' ` J'e� c cep e,..\ /q A 6q S�:pervist�r's Construction�Licerase k °t Exp. `Data: t o t `,Harpe Irnproveme�a#L-icense: ! Exp:. Date ARCHITECT/ENGINEER T �� rah., Phone: Address: ZZ /°� ,�, S f S E, e 4 � /�A Reg. No. /''t FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 0 Total Project Cost: $ 6 %Z 0 dy FEE: $ o U Check No.: Receipt No.: NOTE: Persons contracting with uilrCgistered contractors do not have access to t e uaranty fund �a nature of A ent/C)wner S� nature of contractor -'� Building Department The followingis a list of the required forms to be filled out for the appropriate permit to be obtained. Q 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 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) o 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 Application Revised 2.2008 Building Department artment 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 01 ❑ 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 Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses `a u 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) Q ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit NeWL Construction (Single and Two Family) i ❑ 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 i 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 OORTH BUILDING PERMIT of t%AD qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION , O Permit NO: Date Received'"R ED PT �SSACHUS��•(`� Date Issued: IMPORTANT: Applicant must complete all items on this page AAa Print PROPERTY OIVNER aLL Print MAP NO PARCEL: ZONING DISTRICT: Historic Uistrict yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family dit Two or more family Industrial Alteration No. of units: Commerc Repair, replacement Assessory Bldg Others: Demolition Other Septic . Well Floodplain Wetlands Watershed District. Water/Sewer DESCRIPTION OF ORK TOB REFORMED: L04 Identification Please Type p�°r Print Clearly) OWNER: Name: �-, s d pok-��TS r � n C Phone: (► Q Address: S 2c)<) 4 N - A y//2 f- ✓t'i CONTRACTOR Marne: ISI CT I Phone. .Address: l � � c� � � �� + ��-�. � 1 6 St;pervasor',sConstructionticense: 'it �t FExp. Date- 10 11� Home lrnprovemen#;License; 15 � � � � -Exp.. .Datez � 11.E lo ARCHITECT/ENGINEER 1 �� ,��t�r- /'ti•?l�� i ��, Phone: ? c3� Address: 2Z S M 5 f lcV S-F C, Reg. No. IAI A- q b � 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- FEE: $ ° G O Check No.: Receipt No.: NOTE: Persons contracting with U11registered contractors do not have access to uaranty fund signature of Agent/Owner Signature of contractor.