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HomeMy WebLinkAboutBuilding Permit #213 - 80 PATTON LANE 9/18/2007 DUILNIIYV rU-MV11 I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION .sem r Do4 c. Permit N0: ate Received ' �SSACNUSE� Date Issued: IMPORTANT:A plicant must complete all items on this page s sn g '.� t. 5t-" a 4J^ ^:a^ .�.t� u+-� t ��• � wi"..,. F � 5 s Ec TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: 0 Commercial ❑ Repair, replacement KAssessory Bldg 0 Others: ❑ Demolition ❑ Other DESCRIPTION OF WORK TO BE PREFORMED: Identifcation Please Type or Print Clearly) Phone: fTk"6 -JZLZ. OWNER: Name: l✓I�^1� �{� Address: gd Patfn �-a s y t t' w x ARCHITECT/ENGINEER Phone: Address: 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: $ /6 3 1,f . FEE: $_ D �— Check No.: 3 Receipt No.: 0?40 NOTE: Persons contracting with un gistered contractors do not have access to the guaranty fund fl MW> F ,,,w FAX+. '.aim wre..4.sour 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 m stet permits require sign off from Fire Department prior to issuance of Bldg Permit NOTE: All du p p q g 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 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 SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location efv No. 1212 Date 40RTN TOWN OF NORTH ANDOVER 0'« 0 , 1tiQ F 9 ` Certificate of Occupancy 4 i ��J'•° E,� Building/Frame Permit Fee ;$ ACHUS Foundation Permit Fee $ 4 Other Permit Fee $ TOTAL $ Check # T 20607 Building Inspector S ECT 1oN 15-00 GALLON EPTIc TANK - - NOT TU SCALE '� d i � O T r �G,. �QO of ._„`� ♦ O_ �,�;.. 1� -�� !I�= ! ♦ iSI F rob _ r.. 0 RP h1.5 A 71 � �• NG - 6 -E3 � LOT # -� - - _ 13 7, 70-8 A - vv 0 01 s. , 1 FILL x,500 5-f 7 T EL A tit 5 � .3 30 r _. ..,a. . ,._..v...vn..........w.- _. .. -:....gym. NORTH Town of 2,/3o , dover, Mass., �` -- LAKE COCMICMEWICK V 7�S RATED p �C7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System � BUILDING INSPECTOR THIS CERTIFIES THAT..........I. 101.4.04........�It/I'PM..! ....... . Foundation has permission to erect........................................ buildings on ....apo..... ... ................../..... .............................. Rough 411 • Chimney to be occupied as.............hceeptintgt .....� ........�.......................................................................................................... provided that the person is permit shall in every respect conform to the terms of the application on file in Final 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 3b PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR. UNLESS CONSTRUCTIO T S Rough ............. Service BUILDING SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.