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Home My WebLink AboutBuilding Permit #570-13 - 66 CIDERPRESS WAY 2/21/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: " � Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION S rint PROPERTY OWNER A16— ARCEL: tnt100 Year Old Structureyes no MAP NO: ZONING DISTRICT:4�__Historic District yes Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential lk'New Building ❑ One family El Addition Two or more family 11 Industrial ❑Alteration No. of units: -W"- F Foto UJUl ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: VKjbSArF(�� ' STS t�c7�� D Ar,�'d �R L tv ?TS Id f tion P ase Type or Print Clearly) phone: OWNER: Name: .S rz Address: N` CONTRACTOR Name: R1 �l �! LL Phone: 87" Address:/ _ _ y Supervisor's Construction License: �� Exp. Date: _ e Improvement License: NJ Exp. Date: �— H�m N /l U I ARCHITECT/ENGINEER V's-�llC,� Phone: 7,11 13�� 61 b Address: Reg. No. 661D FEE SCHEDULE:BULDING PERMIT:$12.0 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ Gz S'Zf) FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with un gistered co actors do not have access to the gu anty f Signature of Agent/Owner Signature of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ amped Plans ❑ Location_ Jif/C i No. �,(� ' / Date a �� • • TOWN OF NORTH ANDOVER � 4�•�'�LisI7 j64 ` O • ; `.TA Certificate of Occupancy $�00 Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /9/•.moo i Check C 26167 Building Inspector 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 PLANNING & DEVELOPMENT ❑ ❑ COMMENTS ; ,k)l J\, nzFviewed CONSERVATION on A Si nature U - COM EN HEALTH viewed onAY7 Signature COMMEN 1 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments r Conservation Decision: Comments l Water & Sewer Connection/Signature� Dafe Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 MainStreet Fire Department•signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. un Total land area, sq. ft.:_12•� ELECTRICAL: Movement of Meter location, mast or service drop res approval of Electrical Inspector 1A Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department use Z S- S� Zb`l SF X ) � rom SO + DD b ® Notified for pickup - Date I F E Doc.Building Permit Revised 2010 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 o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Li Building Permit Application Li Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a 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 o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses u Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) z o Copy of Contract u Mass check Energy Compliance Report o 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: Doc.Building Permit Revised 2012 Of t&ORT11 Z.EO q a1'r 104:4. +. .6 O APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Area ��SSACHUsBUILDING PERMIT # S 0- 13 ADDRESS/LOCATION OF PROPERTY:_ Co (o Cit�,erbrCS1 �n)e Map 0 y C Parcel 3 1 Lot Number NIA SUBDIVISION: 1�ee7�c Cdnnm s DATE REQUESTED FILED/READY FOR INSPECTION: �/ 3 y 8 CLOSING DATE ON PROPERTY:�/f��3 _FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($2 WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICAB E CODES. APPLICANT SIGNATURE Permit Issued to: AL6 1 amA S uC Address:1 j S Gam.;4 r- -jq ld RoaA N � ,/yl�(mtClT�4,4 O )n� ROUTING TOWN ENGINEER, SITE PLAN—DRIVE-WAY REVIEW iL IIa1�3 CONSERVATION . p �2�i2-�t�'� �� ac��►� w�ooc �. a� �� PLANNING .4d$ DPW-WATER METER V1313 SEWER CONNECTION �Y DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW w-- SIGN File:Application for OC form revised Jan 2007/2011