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HomeMy WebLinkAboutBuilding Permit #699-14 - 72 MAYFLOWER DRIVE 4/10/2014TOWN OF NORTH ANDOVER 'nn APPLICATION FOR PLAN EXAMINATION Permit NO: (QNq —H Date Received 4 JbJJ+ I Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print, PROPERTY Print 100 Year Old Structure MAP NO: 107e5 PARCEL: /D ZONING DISTRICT:1"'tf Historic District Machine Shop Villa yes yes TYPE OF IMPROVEMENT, PROPOSED USE Resid tial Non- Residential ew Building FrIbne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO YE PERFURMEU: 'o ttl -'fk$,e S.'Y G -1e F4,107"1-11 M10-0/to 3 Please Type or Print Clearly) OWNER: Name: /fie y di Address: /6 les0-471�� a�2iy eism's 83 - -Is/(.3 CONTRACTOR Name:j•4",`-E2,,_ Phone:s'� 3aP9.-yG3U �� Address: &'ICitrcb # L Supervisor's Construction License: Exp. Date: /.I /,//)v Home Improvement License: Date: ARCHITECT/ENGINEER V! cc ZL v4o Phone:_ y�v Address: 1'nA ► • �$� a b- 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: $ /4 FEE: $ Check No.: �t"� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent%Own �'� ��ature of contract Plans Submitted Plans Waive ❑ Certified Plot Plan ❑ St ped Plans T - . - -Plans Submitted ❑ Plans -Waived -El : .Certified Plot Plan ❑ Stamped Plans 0 TYPE OF;SEWERAGE-DISROSAL" Public Sewer Tann m assa eBod -Art ❑ . � g Y Swimming Pools ❑ Well ❑ Tobacco.Sales •Food Packaging/Sales ❑ Private (septic tank, etc._❑ - : _ -permanent Diimpster on -Site ❑ THE. FOLLOWING SECTIONS FOR -OFFICE USE ONLY _ INTERDEPARTMENTAL SIGN OFF - U FORM - _.: _ DATE REJECTED:.--...DATE.APPROVED PLANNING & DEVELOPMENT D `T bC, COMMENTS /Ne�6 i rejre jg45 CONSERVATION Reviewed on `4 � t o I 1%4 . SinnafurP 11� .1 1 - COMMENTS d'LE�-- I HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Water & Sewer Connection/sic DPW Tow,z Engineer: Signature: Comments -4 Located 3M FIRE DEPARTKENT. - Temp Dumpster on site yes nc Located -at 124,Mair Street:- Fire -DL signature/date -~ COMMENTS Isgood Street 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-Chap.ter--166. Section 21A -F and G min.$100-$l000.fine NU I tti and UA I A — (i -or department use El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department -'The fol!-3wing-is'a=list of the retiuieed.forms to be filled out for the appropriate:permit to be obtained. Roofh,, g, Siding, Interior Rehabilitation Permits ❑ ` Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 ❑ 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 apr),,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building permit Revised 2012 Location -7Z Oa H � �.1 y C � ' 0 No. b q t— H Date L4• L o . TOWN OF NORTH ANDOVER 0 0 o Certificate of Occupancy $ 0 w Building/Frame Permit Fee $ . _ © Foundation Permit Fee $ 100 Other Permit Fee $ TOTAL $ Check #� J' Building Inspector A N Q = LL O Q O m C t Y \U O LL >-O ❑. (n 00 w Z Z J m C (y6 "O O LL -C N CC C U LL 00 Wa Z Z m = d t to LL 00 U a Z V u W LU L to d' U V) c LL oc a Z Q c7 t bD or LL Z Q Lu LL! E5 LL i m O z W v (n ++ N Y O N ■ T•. CL .� - V N o O o�L Q C d Q i i O 'O = O � � d •O H p cc V m W = -0 O O LL ' n w v� _ LLINFLA:E.2O — IIZ W .E ,= i U Q as N N � � O _ F- t Q. 0 Li O W LU O z ECl i •z v O O ZCL .m ti O I Cl) Y I O _ 2 W Q O o0 O O aI.-� L cfl _ o a Z s LV O �+> cCL W H D O o� x Z C LLI O .� Q N Q O cn uica g a' V J j Z C.L O Z m U) W o V O N V •� O cc O Nr .CD O CL Z N O • 0 Q � 9 J LU LL 0 o�c co C Nm u jy O LLL E N N Q Ln 0 O a z Z J C O i c6 7 LLL K T a) U LL 0 O of Z Z m J d cr LL O O Z F- W J W w U j> In +a LL O v d Z +n Q L 0 O' @ LL LU C H Q W o W p� LL i CO O Z ++ aJ (% a) U O N n 40: c cc O m o w Cc CL E c � V J d • Jz � i CL . uIc CD Q h v - T Z. 0 O Cl) �N T N J L a d Z > � Cl) � W o o '0 > a F— y yea =xZ 5 = t t o W ♦O♦ E C C 2 C� U p f/l o N G Cl) Of w c WJ cow -0 CZ or°' CL s m v 00 -I.- U c c c c Q g° c 2 o_ ~ w )gym om.. LLIW 'a ++ o o LL c Q N C o H N o� 2 z L E ��c� O LW L m •- P • U a) o N Q- m� _ J N -o o o � O o 2 ca L C o t CLv > w Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 350,125.00 m $ - $ 4,201.50 Plumbing Fee $ 525.19 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 525.19 Total fees collected $ 5,351.88 72 Mayflower Drive 836-14 on 5/19/14 Single Family Home