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HomeMy WebLinkAboutBuilding Permit #652 - 60 SAUNDERS STREET 5/5/2008BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: J Date Received v q6�� 16*-ryO oe PROPOSED USE CONTRACTOR Name,_ g Rheine: %. n pb Date Issued: J TYPE OF IMPROVEMENT PROPOSED USE CONTRACTOR Name,_ g Rheine: Residential Date Issued: J New Building One family Addition IMPORTANT: Applicant must complete all items on this page Industrial Alteration m Commercial Repair, replacement .LOCATION Others: Demolition Other PROPERTY,OWNER Pdnt - D;ist(c# W�terISeUl/Er w e .. l nt MAP NO:FARCEtr Z N:ING DISTRICT: Hid#oris Dts#riot des no Machine ship V)flage --yes o TYPE OF IMPROVEMENT PROPOSED USE CONTRACTOR Name,_ g Rheine: 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: Well a Floodplatn:e'" VlretlanclsWa#ershed D;ist(c# W�terISeUl/Er rt " PTION OF WORK TO BE PREFORMED: N nti Ica 'on P se T or Print Clearly) OWNER: Name: r r Address:.[L6 Phone: 4"j CONTRACTOR Name,_ g Rheine: Addrss.: Ad , -• - • * < x +. "f j�ti ryfi P t xe t SuperV15or'S Construction ceh1se �" 9 EXE dg F {A h} Datee . ate. mt Home Irnpr©vemer ticerase. Ex pa Date.. > f ., S* ` ' ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDINGRMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Ar - Total Project Cost: 66 FEE: $ �c/- Check No.: 023 Receipt No.: 112cZ NOTE: Persons con"cdu44itkVegis4oedlchntractors do not have access to the guaranty fund 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 1»_ L'IN `1cX--1 :041110101W`L]" COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature ,. COMMENTS t N 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: 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 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. ❑ 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 EnergyCompliance 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) ❑ 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 2.2008 Location C20,fa UAIWI,".1' No. Date A- 5�ORT TOWN OF NORTH ANDOVER If Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL Check# 9-3.9 v 21 '1 34 z��8uilding Inspector x o Ow C L ce 0 u � co L. aO U w O U C.,�' w x O W U a w O C7 W � k. m o z n Q O nn c • FMT �I 0 O z IMM COD uiW_ LL H CLW C.3 CO2 c o m C C V O ` C H O C c O vU d C O O CD C o CD N � Q 'r O .L +-� CD CD0 CL N O m o~ Ca CD c :a= N R mm N 3 co y C � O O G.C. CA Q d C t c � o CL m : !!,o C 0 :ago O O� Com. .y O.= O C �E Ri V •N L- V Co •— cm CD CL O O.fl A 0 H O t s CL w m E N N C CD Q cm C m O cm c 'c N CD t yr O Z O J O 4 U O v v'' r4 I O E CD O v Z °D O y CD cm I .— CO m o D = O� CD 3.0 O L m o o- oMa co C cc .v J •G C CD CL C..7 h � C cc C CO2 W D N o� W W W _/ k \ ? k ■ 2 \ S . gococ •®��R X. CL L) ■� ��% §0/ �0 :