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Home My WebLink AboutBuilding Permit #719 - 595 CHICKERING ROAD 5/4/2007Permit NO: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received 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 Septie Well OF iaodpla n - Wetlands,;. ❑ i`atershsd p�strlcti [� WatetlS�a��r _ r DESCRIPTION OF WORK TO BE PREFORMED: Enc%Sc Z-Wdl�� doCk Qre-a WITH EXIST/U& pv6F-IAAu& _ C%l-�ATlw(, LAp-GC V8ST)&L-E /-fZLA- Identific tion Please Type or Print Clearly) OWNER: Name: 'Dennis Refay4r Phone: G7e"y-'z 6 33/ Address: 'TI Ck/eAnCrj L'K2, SO' Mm, P/4 03o79 CONTRACTOR Dame: CYC 1Qh Phone..4143 -A 31 31J Address; �? J� 4G°'2CtI fP6. Supervr's Constructror> Lrense 8'�/ Exp ©ateW WnmP l�1mnExn.Daer� ARCHITECT/ENGINEER &Idf, , AYCh I tCCtS Phone: kicharel L4rOci J r• AT -A Address: MA Aiam cS-f, SlkLEM , N %� o3a�� Reg. No. qi" q4 FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 4160 bG�' by FEE: $ Sr2 Check No.: 5-22 x Receipt No.: Of 7r NOTE: Persons contractingw'th unregistered co f actors do not have access to the guaranty fund Signature of Agent/Owner nature of contractor' SIC40t er . Location No. Date _. -,,2 . TOWN OF NORTH ANDOVER • . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL r'_ " Check # -, $ 201/d Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ElTanning/Massage/Body Art ❑ Swimming Pools Well ❑ Tobacco Sales ❑ Food Packaging/liales 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 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 Cjoanection/Signature & Date Driveway Permit Located at 384 Osgood �tregt, FIRI`"DEPARTMF-Wr mp i7urnpster dl sif yes Located at. 124 66n Street ». " Fire ©epartmensiignatureldate` a; R ;: 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 MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine No Doc.Building Permit Revised 2007 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 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 o 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 DEPARTMENT:BPFORM07 Revised 2.2007 n 0 O z y n .w w cn a � o � o w � o AU v � '�c c w a � a a' "c� cd ts, a w W "�tw o a' .•� w a O 'Cnu o rs: w C as � cn c o cn M I c CM O •- y M O �� mm CD Hz = O � m � � L cc O d ca cac O V CD ca Z0 CLC C.± h c C C— •— C c V3 0 U) LLI W W I% W U) 'C y � 3 V N m w TL o� 7:2 C C O F� = dOi 4D :mCL H m oo m om~ W Z S C w 0 re oc E ID • a O� h N •� D N a..m M I c CM O •- y M O �� mm CD Hz = O � m � � L cc O d ca cac O V CD ca Z0 CLC C.± h c C C— •— C c V3 0 U) LLI W W I% W U)