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HomeMy WebLinkAboutBuilding Permit #544-2011 - 60 WILLOW STREET 5/1/2018 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received1/2-7/11 Date Issued: IMPORTANT:A licant must com lete all items on this age LOCATION 6J tow Print PROPERTY OWNER Uahce- 'S I S`fieyY► S Print MAP NO: C-C 4 PARCEL: `� ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: [IDemolition [I Other _ ds ti "©1 Watershed►District -. Flood lainpryWetlau .�k ' } D�Water,�S�wer,',_'':_ �., x _.- "i✓i{,I ����.._'_._.'.�i �_ ''� .--'--` -}--='-=--�--t-u�`���},�,. . .�_'. s'�-- --.���-�:�-�'.c,� I DESCRIPTION OF WORK TO BE PERFORMED. cheCC, Pre —(fog;vieered sy Sem s a or Print Clearly)• Identification Please Typ OWNER: Name: Phone: Address: CONTRACTOR Name: Ago— Fal4 v, eme f,f TM r- Phone: Address: Sa NtCKS Ave,,.Fue- McAzAl mA O ZIS� Supervisor's Construction License: Exp. Date: - Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT'$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Tota( Project Cost: $--dr-1-90-0 FEE: $ Check No.: Receipt No.: �23?66 NOTE: Persons contracting 'h r gis a retractors do not have access to the guaranty fund -----------=s---- — — - _ ---:mag11A.r-x.._.._.---_-- -_-�=:�--- ----- ----- --� `enf/Owner; _. W= - f._n - - - Pdvt,� NAAer1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody 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 Siqnature 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 Connertio11/Signature Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main.Street Fire Department signature/date I CON.MENTS 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.$10041000 fine NOTES and DATA— For department use EI Notified for pickup - Date Doc:.Building Permit Revised 2008 V 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) o 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 CalculationsIf ( Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products , OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals it the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording is be submitted with the building application Doe: Doc-Building Permit Revised 2008mi Location 1161�1J.11141li, S'L No. �-'?�/� Date ? i NORTIy TOWN OF NORTH ANDOVER F R Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ -2 s�cHust 9 Foundation Permit Fee $ Other Permit Fee $ / 1, TOTAL $ tir Check # //b 7 r 23Es66 Building Inspector NORTy E TO" of � Andover , o over, Mass., Ila 2, z COCHICHEWICK %S RATED PPG`-` 4` BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System THIS CERTIFIES THAT BUILDING INSPECTOR .......Dac'v..................... ......................................................................................................... Foundation has permission to erect........................................ buildings on G.p.. ..(�......5.......................:,. Rough Li l<'. ��G u 1 ... �1yi Chimney to be occupied as.................. . ...... ..... .... . ........ ..: ��............... . .. ✓`.. '. ..5 �............... ............... t� h' provided that the person acceptir► this permit shall in every respect 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ..... .......... ................................ ................................ 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. Bumer. Street No. SEE REVERSE SIDE Smoke Det.