HomeMy WebLinkAboutBuilding Permit #Exception - 65 STANTON WAY 5/1/2018 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT: Applicant most complete all items on this page
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TYPE OF IMPROVEMENT. PROPOSED USE
Residential Non- Residential
ew Building Xone family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other .
�`Se ticC . ❑Well OtFloordplaln ❑11:�/Vetlands pWatelshed Dlstnct 6 t
DESCRIPTION OF WORK TO BE PERFORMED:
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Identification Please Type r Print Clearly)
OWNER: Name: ' �-�� .� J� C:?czJ ,- e". Phone: �)"
Address: S)c 1-�'17 /V"),/,7' ,w JU// ews'?eig'
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CONTRACTOR }
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Home Im roverrt°ent Llcense� w Date
ARCHITECT/ENGINEER �4gJNy Phone: 60S i/3%
Address: -5 b'Q A/eE, c�,4Y a)?/j /tw, Reg. No. 'c��(' 7
FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$1000.00.OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
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Total Project Cost: $_ -4y FEE: �`�,+ C°
Check No.: .. . .. . .. Receipt No.:
NOTE: Persons contracting with unregistered ontractors do not have access to the guaranty fund
Signature of Agent/Owner - ig nature of contractor -!
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�� PIanC .qI lhmittari Planc Waiwg:�t-I F1 (`or+ifiorJ AIS+ Dion Plnne �
Plans Submitted] Plans Waived❑ C-ertified Plot Plan Vstarnped Plans
TYPE_OF-*-SEWERAGE:DiSPOSAL
Public Server ❑ Swuiimirig Pools ❑
Tanning/Massage/BodyArt El
Well ❑. ,Tobacco.3ales ❑ Food Packa in Sales Elg �
Private(septic tank,etc... -Y - Permanent Dumpster on Site ❑
THE.FOLLOWING SECTIONS FOROFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U.FORM
REJECTED DATE APPROVED
PLANNING & DEVELOPMENT- ❑ ❑ �.� I q
COMMENTS
-CONSERVATION Reviewed on I Si nature
COMMENTS.
HEALTH Reviewed o / Si naturpkaz"
COMMENTS r _>
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes _
Planning Board Decision: Comments
Conservation Decision: :Commen-ts,
Water & Sewer Connection/Si natur D00Drivewa Permit
DPW Tow;! Engineer: Signature:
Located 384 Osgood Street
—FIRE-DEPARTM���9T - Temp Dumpster on site yes no
Located'at 124 Mair Street
Fire Department signature/date `
COMMENTS
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Number of Stories: Totalsquare feet of floor area, based on Exterior dimensions._
.Total land area; sq. ft.: <-34
ELECTRICAL: Movement of Meter location, roast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL-Chapter-466 section 21A-F and G min.$100-$1000.fine
NOTES and DATA— (For department use
B Notified for pickup - Date
Doe.Building Permit Revised 2010
r , NORTH
.
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No. C10'
h ver, Mass, /�
coc"Ic"awic �1•
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BOARD OF HEALTH
Food/Kitchen
Septic Syste
j`U�LCi Cl� 3
PERMIT T LD
BUILDING INSPE�T0
THIS CERTIFIES THAT ......... ������( c T4
has
has permission to erect .......................... buildings on ................... ................. u
. .....til
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to be occupied as ............ ....�r./. ......... .......... ... .......................................................................... imneyl1N
.
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provided that the person accepting this permit shall in ery respect conform to the terms of the application Final
on file in 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 INSP YR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS
........... .�.. - .........................
""" "' ' Final
BUILDING INSPECTOR
GASINSPE TOR
Occupancy Permit Required to Occupy Buildin 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. Burner
Street No.
Smoke Det.