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HomeMy WebLinkAboutBuilding Permit #667 - 9 BEECH STREET 4/13/2007Permit NO: Y Date Issued: " l BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received TYPE OF IMPROVEMENT PROPOSED USE 1 b q 1• TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial 'K Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other : S�t�N^ ❑Wel! l ewer',, �loodplin 11�/ettnds ; �' ;Waershed'IJ�sfict`a OWNER: Name: DESCRIPTION OF WORK TO BE PREFORMED: 1,& r(— or Print Clearly) 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: $ 1,17G�.Y>, a FEE: $ Check No.:— y 0 Receipt No.: 90 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and Signature of Agent/©caner Signatpre`of contrecta 4 Location if No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # o 20 i'j 9 <-Z Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body 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 DATE REJECTED PLANNING & DEVELOPMENT ❑ COMMENTS DATE APPROVED El DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS I, DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Planning Board Decision: Conservation Decision: Comments Comments Zoning Decision/receipt submitted yes Water & Sewer Connection/Signature & Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMICNT Temp I�ulIpster oh sltp ye no Located at 124 Mam Street s dire Now meen sigh , rt M COMMENTS 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 NOTES and DATA — For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: 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 o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 o 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 Li 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 L cur The Commonwealth. of Massachusetts Department of Fire Services Office of the State Fire Marshal R.O. Box 1025 State Road, Stow, MA 01775 PERMIT Date: North Andover permit No Dig Safe Num er (_City of Town) (if Applicable ) In accordance with the provisions of M. G.L.l 4 g Chapter1Q as provided in section S 2 7 CMR 34 Start Date This Permit is granted to: Full name of person, Firmor Corporation Pennissionto locate dumpster for construction/renovation/demolition of building.. Comments: dumpster must be. 25' from structure if unable to place with required Restrictions: clearance dumpster must be covered with pl rywo_od or tarp end of work-day at ( Give location by siree Fee Paid$ 50.00 This Permit tivill expires 3'01-7 —1 and no., or descri ' such ma e to provied adequate identification of location ) A;, ��Q���Fire Chief S ignature of offical granting permit) Offical granting permit ( Title ) NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws 'Chapter 148 Section 10A. The debris will be disposed of in: (Location of Facility) Signatu rmit Applicant Fire Department Sign off. VG� Dumpster Permit Date BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NODate Received Date Issued: ' f TYPE OF IMPROVEMENTPROPOSED USE Residential I Non- Residential ❑ New Building XOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial 0epair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other w+ �,Rr' . � 1 iW. �{` LV' 2` � a � �"•WS'� �' t�+�p� ��YT �r✓/�Xa�4a' ��-4���� 'F'9�.y .� DESCRIPTION OF WORK TO BE PREFORMED: Type or Print Clearly) OWNER: Name: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 3 FEE: $ T Check No.: c�? i 3J Receipt No.:S t� NOTE: Persons contracting with unregist red contractors do not have access to the uaran fund Q Signature of A ent/Owner . 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