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Home My WebLink AboutBuilding Permit #616 - 65 FLAGSHIP DRIVE 4/18/2008Permit NO: `ti_ Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received �7 IMPORTANT: Applicant must complete all items on this page 0' �t�ec 16-6 O? 4° .1� 6 O� -a� \7a4poRA7eo ►'1P �4�/ LOCATION �'t/,UA f �y V -, '4'j f ^ t U PROPERTY OWNER N41yr� IOa^ ^� Print MAP NO: 167.0 PARCEL: fid/ ZONING DISTRICT: -T^/ Historic District yes `n Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family IndustriAL, AI ration No. of units: Com Repair, replacement Assessory Bldg - Others: Demolition Other Septic Well Floodplain Wetlands Watershed District ater/Sewer DESCRIP ION OF WORK TO BE PREF RMED: 4S A Flt 9�/4M ��% l .S 7-7) 1'1/C2��9J� �vlC �/2f /;<';17 Identification Pease Type N�dr- OWNER: rint Clearly) Name:/V/640,zC� �'�G�Af • Phone: lv�%'9�r -12- 2,7 Address:] Ar44D,0CX4/77- i6y ��2G�w6 'npw 'st'� DsW - CONTRACTOR Address UaL Awvv -A Ca Ph 42ND— X�7 "'7J 9e'/Lz 7 loaov ,� Supervisor's Construction License: �+ 9 Exp. Date: 0-3 Home Improvement License:�`� Exp. Date: P -- ARCHITECT/ENGINEER Phone: Address:N / JL9A*Z O/Vc-fEJ 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: $�� FEE: $ 1021 Check No.: - a 17j--*' Receipt No.:_a` v " NOTE: Persons contracting x'�' h1yn! red contractors do not have acces/ 1 e guilrlanty f r re of Agent/OwnerX--/¢--//y/ )/ Signature of contra( Location6,.� kd"/)o No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 70 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Id 2 1 0 9 3 Building Inspector Dimension V Number of Stories: OAJt Total square feet of floor area, based on Exterior dimensions. S� 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 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 (S' ) eOmAf Building Permit Application Certified Proposed Plot Plan �'� �� p'�' '� `�`a A/-07 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 X 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 DEPARTMENTMFORM07 Revised 2.2008 4 Plans Submitted y�S Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL =Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private (septic tank, etc. ermanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS Reviewed on Signature HEALTH r ' Reviewed on k - Signature rCOMMENTS Zoning Board of Appeals: ase, 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: FIRE DEPARTMENT - Temp Dumpster on site yes. Located at 124 Main. Street Fire Department signature/date COMMENTS uocatea Sts4 usgooa street no