HomeMy WebLinkAboutBuilding Permit #125 - 63 BRADFORD STREET 8/18/2008 ORT►i
BUILDING PERMIT o� "'aD q
TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION
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Permit NO: # Date Received 0
SSACHUS
Date Issued: &d�
IMPORTANT:Applicant must complete all items on this page
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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
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DESCRIPTION OF WORK TO BE PREFORMED:
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Identification Please , yp Print Clearly)
OWNER: Name: S Phone:2 7 Y 6 3 y
Address: U P'` `
10
007
10
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1�-WOW
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ D-M FEE: $ %b,
Check No.: 96o Receipt No.: �
NOTE: Persons contracts with unregistere con actors do not have access to the guaranty fund
Sliafitre oAgen/�vu � gnature of kcontra aWvi
te'
Location 6 - &a���-a0 S�
No. _ m Date a
t
No^Th TOWN OF NORTH ANDOVER
F 9
+ •
Certificate of Occupancy $
Building/Frame Permit Fee $
AtNUs
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
2 4 2 5 BuildMgf inspector
J
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 to 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 y Si;�ature
COMMENTS APD
Zoning Board of Appeals:Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water$ Sewer Connection/si nature&Date
Driveway Permit
DPW Town Engineer: Signature:
Located 384 sj ood Street
Loc�ateca�Z : a!f ltreet,
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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.s100-s1000 fine
NOTES and DATA— (For department use
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
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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.G. 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
L3 Building Permit Application
o Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.L.P. And C.S.L. Licenses
Li 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)
o Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o Two,Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2008
I
NORTH
TONM of ®ver
NO.
C, s: o dower, Mass.,
O LAKS
COC IC EwICK 1
7�ADRATED pPa\,��y
�S BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPEC'T'OR
THIS CERTIFIES THAT............... v �a.e..1'./.................... .. . . . ....................................................................... Foundation
has permission to erect........................................ buildings on ...j s,.t�'... ria:v ................................ Rough
g
to be occupied as.......................................... .e��......./®.7.......
x.....:P..!p........................................................... Chimney
provided that the person accepting 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
PERT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR.
UNLESS CONSTRUCTION ARTS Rough
Service
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 Inspe or. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
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OUTDOOR WOOD ./
]PRODUCTS
MODEL; O CHATEAU O GAMBREL 0 QUAKER t9 DELMAR 0 GAZEBO
371A Oakland Ave.,Meth MA 01"4 SiDBlG: O PINE O CEDAR
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(978)-689-4414 shed Price $ �; � ...�
Total Cost of ..
options Uom below $
QUWQM WFORMAlAM
Sub Total •.$41c L
LL-
ME _ag5d �t���(ivrT� Saks Tax S
tTREET .3 13 2 a d FvAb ST- Sub Total
:ITY /V4 CPN /c Moving.Charge $
;TATE /` ZIP Carrying Charge $
�-��, -
iOME PHONE ( _L <�) 8�—3 c�3�� Deovery Charge $ - --
NORK PHONE ( ) Sub Total $
iEMARKS r-6�, D"s# $_
Total Awcwt Due
upw Debwy $ _.
OPTIONSsus ;
�.� 9=7 vovom STIED I"OMY:
Door Exc je $
Rarer
ROOF COLOR: 0 BLACK Gem
Add 1'wall height(77) $
PLACEMff OF DOORS AND WMDCMS
Window Ewe $
Pressure Tri Plywood
s SIDE
pkWp
$
FRONT
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$ SPECIAL MSI RtJCTt M
$
TOTAL COST OF OPTIONS $
i 'd 6006- 169-6L6- i sionaoma aoom mooaino •3 •N dg T = 10 60 16 inc
Jul 31 08 01 : 13P N. E. OUTDOOR WOOD PRODUCTS 1 -978-681 -8009 P. 3
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RECEIVED 07-31-'08 12: 26 FROM- 19786818009 TO- Russ McQueen Prod, P003/003