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Home My WebLink AboutBuilding Permit #67-11 - 7 BONNY LANE 7/15/2010N BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: (( Date Received 0 11411i'Qkl-�- 11-1 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Others: Repair, replacement Assessory Bldg Demolition Other �'oK, - ��g� 'Akyg � �y�n`� 'r* A �iF-.v • y� a 3 � �w - �,54` ,,iYw�,rc+(3„ .t6�r�7�' ��'"wc -teF.� i ..i.t •. p3„r,,� .. �„Jn „x..� .v?_wy+. �s^�,...,. 4- . �^�, w�`,-"�±,t-r. �'T-':. �" 3 ..3^� 5. .. ;�. ..?'c..�,..:� &`�'.,F, t' tri, UESUKIPTION OF WORK TO E PREFORMED: -IJ Cr Ja / D IX)2-1 v, et_ k &.,-% a hd 0. Ird � ro e"., 4 Identification Please Type or Print Clearly) OWNER: Name: I'6) Ja fmwvr'e-� JyA v,, 1 v d' / .) PC ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 9S-40 FEE: $ ( I Check No.: 91�l Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty.fund Location No. -� Date MoRTq TOWN OF NORTH ANDOVER 3: '°t � a Certificate of Occupancy Building/Frame Permit Fee $ $ J Foundation Permit Fee $ —� Other Permit Fee $ TOTAL $ Check # 231Li. 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTSC-td 61 Reviewed on DATE REJECTED DATE APPROVED p►7 HEALTH Reviewed on Siqnature COMMENTS t Zoning Board of Appeals: Variance, 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: 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.$100-$1000 fine 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 ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o 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 (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 Calculations (If Applicable) ❑ Copy of Contract ❑ 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: Building Permit Revised 2008 AAL AC CLAIMS DEPT. Commerce Insurance The Commerce Insurance Company Citation Insurance Company Members of The Commerce Group, Inc. 11 Gore Road, Webster, Massachusetts 01570 (508) 949-1500 www.Commercelnsurance.com April 06, 2005 BUILDING COMMISSIONER or INSPECTOR OF BUILDINGS TOWN/CITY HALL N ANDOVER MA 01845 RE: Our Insfired: VINCENT P COTTONE / Property Ad ress: 7 BONNY LN Po 'cy#: 389553 Date of oss: 01/30/2005 / 'le#: YX4806-VJW240 Board of Health or Board of Selectmen Town/City Hall I UT Exey"91 OV -M Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. JAMES NOWAK Claim Adjuster Telephone: (508)949-5581 Toll Free: 1-800-221-1605, Ext: 5581 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. April 06, 2005 Interior water damage due to ice dams. CommCrc CIumpanies .... COME GROW WITH us CIC 254 (Rev. 4/95) MAIL, H01