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HomeMy WebLinkAboutBuilding Permit #873-12 - 7 COCHICHEWICK DRIVE 6/6/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0:__? 7 3 -- /2 Date Issued: OWNER: Name: Date Received i nin Ur YYUKIL 1 U t3E P ARCHITECT/ENGINEER IIV- 6f_ � �Lyl phone: � ,1�.;��� Addressj20 (� Re . N����S vfz r S 19 FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cast: $_ /004� FEE: $_ ------ Check No.: /2OS� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty f7,H.4 DNL, 73 X21 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: 73 Y9 ARCHITECT/ENGINEER]) P��! �J Ff (>, 1 Phone: O 7 Address: ) .� b Ll r o4® 7,1, Reg. No. FEE SCHEDULE: BULDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PFR c c Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE Persons contracting with unregistered contractors do not have access to the guaranty. fund -7 IF 7 7 —12 -- Check 25371 Date TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL $ Building Inspector Pians Submitted Pians Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 I�Z—laa % )C COMMENTS CONSERVATION Reviewed on )6 l� Sianature'A_1 Il JL %r',0MNil CIVTOr' HEALTH 0 18IILT1l9 Reviewed or I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes _ i Planning Board Decision: Comments A I 1 _ INTERDEPARTMENTAL SIGN OFF tJ FORME ONLY PLANNING & ENT DEVELOPM DATE REJECTED DATE APPROVED 1 COMMENTS CONSERVATION Reviewed on Si nature COMviEN T S HEALTHReviewed on �© `- ; - COMM f Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: n l — Comments Conservation Decision: / V t 4 _ Dimension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions. /00 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 MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine No Doc.Building Permit Revised 2010 F Dimension ` Number of Stories: -4 square feet of floor / -4 Tot ' or area, based on Exterior dimensions. ! OO Total land area, sq. ft.:9F ELECTRICAL: Movement of Meter location, mast or service drop requires a I Electrical Inspector -Yes approval of No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.s100-$1000 fine Doe.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 ❑ 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 Piot 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 M WD ril cd 0 z cn � w° rn cn 00 v . a G •� 03 w° w°' v U w v � a°' -a w O v w w°' cn w � a°' cd w w a+ a «� ° vi v Q o CO E a Z h O 'O i CA c 0 a CD C" m O CM C N CD t O Z 0 g 0 F. a v O O v .lzv P4 i..l �Tw, W O co■ L 0 co Z C. O h C I G CM O •— CA C r. h � � 'E m m d■ ~ t � � � 3 'v CD o � 0 Q C Q A ■� 'p c= c ev Cc CD c Z CD CL tj CO) c C •G J+ � _c C. CO2 C W W 19 W C4 cts O L O O OMV co m m C 3 Ea m �O Q. h VCom c� 0 cm cm mm ��N O m� c V. m cc cc Em 1 ymm ��z CO3 H c� 75 Z O. m : m 3 H w ar +- o W y m Cc 12 =C H: COD c M ELS C3= CD C.3 .3 m o c COD a O m� � 210 R I- =j-a*m � •`o E a Z h O 'O i CA c 0 a CD C" m O CM C N CD t O Z 0 g 0 F. a v O O v .lzv P4 i..l �Tw, W O co■ L 0 co Z C. 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