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HomeMy WebLinkAboutBuilding Permit #730 - 78 SUTTON STREET 5/22/2006HONT" Ot �. • o e 1't'O 3= e ^ r .., • OL ° p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 'b •.r.o �49 ,SSICNU`+e� �70 Permit NO: Date Received: Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER MAP NO.: PARCEL: m�rnn •err rrrr. ter, nirry TIFXTf� nt ZONING DISTRICT: 1jTQrr 1DTC TI1CT121f"T VIVS47 n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential L New Building ❑ Addition b,�+rl"teration F One family ❑ Two or more family No. of units: 71 Industrial C Repair, replacement Demolition ❑ Assessory Bldg Commercial ❑ Moving (relocation) ❑ Other ❑ Others: 1-7 only DESCRIPTION OF WORK 10 13h FF-E1,uxML1) • - ,/A x--1 � �jz, G� C C ,Z, Identification Please Type or Print Clearly) OWNER: Name: Signa Address: % CONTRACTOR Name: Address: , '-�> Phone: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: .-ARCHITECT; ENGINEER Name: Phone: 0 no Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. • $10.00 PER $10.00 OF THE TOTAL ESTLVIATED COST BASED Oil' $125.00 PER S.F. Total Project Cost 0 r x10.00==FEE:$_1 , Check No.: 3� Receipt No.: f ©l l 1 cl Page Iof4 TYPE OF SEWARGE DISPOSAL ,— Tanning/Massager1- Airt _ J _ Swimming PoolsBody ' Public Sewer `i Well i � Tobacco Sales Food Packaging/Sales Private (,septic tank, etc. ❑ _ Permanent Dumpster on Site Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Ownerignature of Contractor Plans Submitted 1:1Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: DATE REJECTED ❑ ❑ ❑ Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED ❑ Zoning Decision/receipt submitted yes __ Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer connection signature & date Temp Dumpster on site ycs___no Fire Department signature.'date Building Permit Approved and Issued by: Page 2 of ❑ DATE APPROVED Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided 1NIE SIO Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. NOTES and DATA — ( For department use) Page 3 of l Doc: INSPECTIONAL SERVICES DEPAR'rMEN'CLiPFORM05 Crc.d,:d AIC. I.m._001, 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 Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan I ❑ 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) 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 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: INSPECTIONAL SBRN ICES DI:P.�R"1'.�IF.1'I':I)PfOR1111S Pa,!e 4 of,* Location 7� -5j No. Date �22Jfa TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 41 /2)0 Check # ('J 1 1 9 I Building Inspector o A u o w° u a C4) w° a w z z A C ° U w o c� oa a w a 0 a ~~I L^ W u c�i w p w cL � w w a W W rA z cin u cn �O L� CO) co .E CD CL G3 y.r C O co Q y 0 V .CL CA C O O i O V CD O. CO) C O CM C O .0 o� m m CD 3 .o CD G i o �- cc d �a C c CD Z w O O. CA C uj N W W 19 W C4