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HomeMy WebLinkAboutBuilding Permit #825-13 - 8 HEMLOCK STREET 6/3/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit -NO: V � Date Received Date Issued: ki h? IMPORTANT: Applicant must complete all items on this page iI 'PR©PER�TIYI0�INNERL_ _� c7 _ f -_ -M . -R P � Hti �s oc©ist`r ctctu�e Y4 n MAi?1NOPARCEL :_X� ZONINGDISTR CT, y� y 'MaclShet fioa3Villade) ve93 = er.W, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )kOne family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 1❑1Septic OtWelli ® Flood rlam) �Wetlands� pT ®i 1NatershedjDstnct y _ DESCRIPTION OF WORK TO B1 -j P FORMED: -� P4 01 C xk-v-v A e . Ick e Y! 1M ®CSP_ &_ Please Type or Print Clearly) OWNER: Name: Ae1rlrace• -.. -. �.�._....L...`.K. `'� ww r.Y�M':... ter.... _.-ed..-. _..——..-...�...,.1- ..r.. •'C-�1....4m_ _ _,.- = T .z -_-. _ ..�. r.�f`.z`.rw.o CONI RAC"T®R� t%aml [rnG►�. 1� i✓i- �� Phone _� l q_ A`ddnJetw_ -V-� � Siap�ervi'sor�s�GonstructionxLtcense:^C�1 / tf .��`'7 � _.Exp?, 'Date: } . i,Homv,Improvement�License: _ �Ex0 Date ARCHITECT/ENGINEER Phone: T U mu, FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTB/ASED ON $125.00 PER S.F. 'Total Project Cost: $6/PJ FEE: $ Check No.: `7 �/ Receipt No.: `2 6 NOTE: Persons contractqPlansaived 'egistered contractors do not have access to guaranty fund nature 'of.Agent/OW. h St ture of contractor. Plans Submitted 0 ❑ Certified Plot Plan ❑ Stamped Plans ❑ q� Plans Submitted ❑ Plans Waived-❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF-SEWERAGEDISPOSAL Public Sewer ❑ Tanning/Massage/BodyArt ❑.. 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 COMMENTS HEALTH COMMENTS DATE REJECTED - DATE APPROVED ❑ 11 Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: Co Cocservation Decision: Comments Water & Seger Connection/Signature & Date Driveway Permit DPW To -v •>! Engineer: Signature: Located 384 Osqood Street FIRE:DEPARTI Located at'124 Ma Fire Departine COMMENTS E'NT - Temp Dumpste-r on site yes no. Street t-signature/date 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. Roofirig, 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 DOTE: 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 10TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o 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 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 appy al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording roust be subm'Ated with the building application Doc: Doc.Bui!ding permit Revised 2012 Location �����'� Check #qll 26459 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $— _ --- ?I, -- ding Inspector Enter construction cost for fee cal - North Andover Fee Caldulaflon Construction Cost $ 50,000.00 m $ - $ 600.00 Plumbing Fee $ 75.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 75.00 Total fees collected $ 850.00 8 Hemlock Street 825-13 on 6/3/2013 Remodel 2 bathrooms and Kitchen, Remove and replace Siding CO) m m m CA m F) J 0z C O Cr as rt CL �. co -0 O 0v CDC a� CD O CDW O CQ. m N CD O A n O O 0 CD CD U)' N iv O O CD O CD O h 3 CD N O Q Q cm W Q CD co 0 cn 0 cn cnCD K OO -a — 3 —1 O N (D m N •-► (D Q0 CD O• Q 0 -1 m O + =-o N- O y N D O T O O .r CL O PTI WID N p N n � �D CD mD Q O N -1 O O n rt N Q C1 CD Q �: S � O Q O C CO o0N -�, y 'O Z CD rt � CD Q nm =- ��s CL O o C. — CD W -t o Q om. 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