HomeMy WebLinkAboutBuilding Permit #1307-2016 - 73 LINDEN AVENUE 6/15/2015 BUILDING PERMIT o� "oRTH
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TOWN OF NORTH ANDOVER 46 0
APPLICATION FOR PLAN EXAMINATION _
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Permit No#: V �C�' Date Received
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Date Issued: l
IMPOR ANT: Applicant must complete all items on this page
LOCATION 73 4r� ,el7l �
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Print
PROPERTY OWNER /t G .(�e
Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
11 Addition 11 Two or more family [I Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
0 Septic ❑Well 0 Floodplain ❑ Wetlands ❑ Watershed-bistrict
0 Water/Sewer
_DESCRIPTION OF WORK TO BE PERFORMED:
D66 1-10145 t-,- ed&r..:2 F1
Identification- Please Type or Print Clearly
OWNER: Name: Phone:
Address: 7_�
Contractor Name: P e:
Email:
Address:
Supervisor's Construction cense: Exp. Date:
Home Improve ent License: Exp. e:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$M.0APER$1000,0p OF THE TOTAL ESTIMATED COST BASED ON 5.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Building Permit Application
;rF Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/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
OTE: 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
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: 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 2014
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanuing/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
PLANNING DEVELOPMENT Reviewed On Signature_
COMMENTS
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CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Siqnature
COMMENTS
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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:
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FIREDEI?�4R�T EM Y "T�empDum „ster, ontsifeR ,yeses. =�S` `
Located 384 Osgood Street
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-_ , _ - ted� � , -.� ..r �_ . -.�._�. �-.�.�:>�_�3 K_ �.��..�_ _-��. .��.�.•. �
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Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Dieter 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
NOTES and DATA— (For department use)
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Ll Notified for pickup Call Email
Date Time Contact Name
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: �__...._..._..._._..._._............
_
Doc.Building Permit Revised 2014
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Town of
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No. _ 2A I%*
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oh , ver, Mass, 06 /.f sol t>
A- CONICNl WICK .
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U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ... r. t;!........5A.# �j BUILDING INSPECTOR
.... ..... . .....................................................................
has permission to erect .......................... buildings on ..93
'.........zono'sR.....AVA%............. Foundation
Rough
..... ..... ...... ..... ......................... Chimney
to be occupied as .��. .���.... 09%.fax
provided that the person accepting this permit shall in every 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 INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTPM7§i1O Rough
Service
.......... ........ ...... Final
BUIL INSPECTOR
GASINSPECTOR
Occupancy Permit Required to Occupy Building 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.
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