HomeMy WebLinkAboutBuilding Permit #803 - 85 FLAGSHIP DRIVE 6/15/2006Permit NO: d105
Date Issued:
APDLIC �TIF6R L X �, INRATION
IMPORTANT:
LOCATION U -5
PROPERTY OWNER
NO..
Date Received:
applicant must complete all items on this
�I,� kir - OnL 4- D
Print
Q Print
PARCEL: O d-- ZONING DISTRICT:
TVT" TVlLTA" IIiQTl1D7!` n1rQTDfirT VFQ n
1 Yrr. Aijy vaG yr li Vi&J"AIL IV
TYPE OF IMPROVEMENT
- -- --
PROPOSED USE
Residential
Non- Residential ;
New Building
❑ One family
Q,
C Addition
' Two or more family
Industrial
lteration
No. of units:
`Repair, replacement
'! Assessory Bldg
L Commercial
ri Demolition
G Moving(relocation)
El Other
❑ Others:
Foundation only
DESCRIPTION OF WUKYv IU 13t rKr_VUKMtU
OWNEF
Address
CONTR
Please'rype orTrint Clearly)
/ z Rn .7-0 ��er4,, /, M,7as :
Supervisor's Construction License: f Exp. Date: - 4/
Home Improvement License: Exp. Date:
ARCHITECT.IENGINEER k6�A Name: Phone: P21' 3 5-v – 5-06 yr— f
�? n
,Xddress:-2U 4SS�Reg. No.40
FEE SCHEDULE: BULDING PERMIT. 810.00 PER 81000.00 OF THE TOT.4 L ESTLN,4 TED COST BA&ED ON 5125.00 PER S. F.
Total Project Cost :$ (Q � 0 66 xI0.00=FEE:$ Le ®® —
Check No.: /00,7/ Receipt No.: 19412-7
11:gic lot 4
Location
No. 6Pv Date
NORT1y TOWN OF NORTH ANDOVER
O:t`c ,,h•C
3? • OL
Certificate of Occupancy $
*Ar so
it Fee $
'Ss�CHUS I Building/Frame Perma��'
Foundation Permit Fee $
Other Permit Fee $l
TOTAL $
Check #Ido 71
t /Building Inspector
'A`'
TYPE OF SEwARGE DISPOSAL
Public Sewer
well
Private (septic tank, etc. u
NOTE: Persons contract
Signature of Age Owner
Plans fitted ❑
Tanning/Massage/Body Art _.i I Swimming Pools iJ
Tobacco Sales ! Food Packaging�Sales _
Permanent Dumpster on Site
Electric Meter location to
project
)egisterec� l cage Wtors do not have access to the guarantyfind
Signature of Contractor
Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED
PLANNING & DEVELOPMENT - ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
DATE-APPROVED-
DATE
ATE-APPROVED
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
DATE REJECTED
Comments
Comments
DATE .APPROVED
Water & Sewer connection signature & date
Temp Dumpster on site yes_nok Fire Department signature/date _ Y h.� rii Q6
Building Permit kpproNed and Issued by:
Page 2 of 4
Building Setback (ft.)
Front Yard
Side Yard
Rear Yard
Required
Provided
Required
Provides
Required
Provided
DIMENSION
Number of Stories: Total square feet of floor area, based on Exterior dimensions. -
Total. land
imensions.Totalland area, sq. ft.:
NOTES and DATA — (For department use)
Page 3 til' 1
Doc. INSPEC7iONAL SER\, ICES DLI1ARINIL-NT:BPFOIZM05
mcd IMC. Jan.'6ob
t
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
zi Workers Comp Affidavit
I
Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
o Floor Plan Or Proposed Interior Work
Addition Or Decks
b
o Building Permit Application
o 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 Hydrauli,
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: I\SPtx T1ONAL SERVICES DEPARTNIF.VTMFORN105
11;i,x 4 of 4
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 026517
Birthdate: 01 /04/1954
•
Expires: 01/04/2008 Tr. no: 14250
Restricted: 00
MAURICE C MICHAUD
28 HADLEY RD
METHUEN, MA 01844• G
Commissioner
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