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Home My WebLink AboutBuilding Permit #449-2016 - 90 MOLLY TOWNE ROAD 10/8/2015 %AORTy c�G � BUILDING PERMITO`ttLED 16�NO TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATION Permit No#: /(//J/J Date Received SqCH„5�`�y Date Issued: '� IMPORTANT:Applicant must complete all items on this page LOCATION .v �� f 15A Print PROPERTY OWNERUr��, � '" �r I� (e�,`,. Print 100 Yea Structure yes UP— MAP `y PARCEL:c ' ZONING DISTRICT:= Historic District yes r� Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resi ntial Non- Residential New Building 4ne family ❑Addition ❑Two or more family ❑ Industrial 11 Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ -.. .. _ 'Septic ❑ :1Nelf _ ��F,Ioodplain O'�UVetFanrJs ❑ Watff,1;ed p si tract urate_/Sewer - DESCRIPiTiION O WORK TO,BE PERFORMED: _ Identification- Please Type or Print Clea-r-l�y OWNER: Name:U)(A _Go P� ��A�� Phone: �'7 's " ?� �77� Address: Contractor Name: Q Me S 1017 -(rJ Phone' 7R 1'f " ��Z Email C�tr�j� cc�e ��,��.1't� c .►aim,• ► ��3,2� Address: Supervisor's Construction License: � (2 co 7 �3 Exp. Date:• � Home Improvement License: Exp. Date: ARCH ITECT/ENGINEER�� :� � 1— Phone: I DC7 ��r DL Address: Reg. No. 09_7_7 FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: 6-7 Receipt No.: NOTE: Persons contracting with unregistered contracto s do not have access to the guaranty fund gna Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans EPubhlicSewer OFERAGE DISPOSAL, V STanning/MassageBody Art ❑ whnming Pools ❑❑ Tobacco Sales ❑ Food Packaging/Sales ❑ nk, etc. ❑ permanent Du Pster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on .� 5 S iq nature -lul COMMENTS_2:S — (p 3`0 � a1 HEALTH Reviewed on Signature t COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receiptsubmitted yes Planning Board Decision: Comments Conservation Decision: Comments C plater& Sewer Connection/Si nature& Dateg-l5 Drivewa Permit r4oA�0-1 -DPW Town Engineer: Signature: J /o FIRED ,Q( � Rjy '_ ' ' pb Located 384 Osgood Street Te }{ :; mmpster oite ; Located at�2 �a '• u. nsr „ ,�- .� �� 49MamtStreet• ., �.• , •.:,_ _ __,,�_..�_. _.,...,._.. �� Fire+'Departmenfgnafure/dale art,` is' �' �t, t"'^. ; _ +^ r- �. __�-. ..__ ..,._ n.._— _-- "--•o `I COMMENT-S:`` Dimension Number of Stories: Z Total square feet of floor area based on Exterior dimensions. Total land area, sq. ft.: �/7 ELECTRICAL: Movement of Meter location, mast or service Top requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 section 21A—F anti G dn.$1oo-woo fine NOTES and DATA— (For department use) L1 Notified for pickup Call Email Date__.___—..-----_._____--_ Time Contact Name Doc.Building Permit Revised 2014 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 OTE: 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/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (if Applicable) Engineering Affidavit's for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 4- Building Permit Application 4, Certified Proposed Plot Plan 6 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 2012 IECC Energy code 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 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:Building Permit Revised 2014 Location d ,)' No. I t"Zb Date • - TOWN OF NORTH ANDOVER � ' . � r Certificate of Occupancy $ ` = Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ Check#r �� Building Inspector 2 .01 r :of /� NORTH own Of _ _a An.dover 0 No. � 2 y h ver, Mass, 0 2Z(rj O L111461. cocN�chew�cw � A0RATEO ►P��S S u BOARD OF HEALTH Food/Kitchen PERMIT T LD 4A0 Ilr� Septic System THIS ERTI '`� � Pte- ` 1 v"K BUILDING INSPECTOR C FIES THAT ............. .......... ......................... . .......P:............................ . .. ...... .... ,p .. has permission to erect ...... ................ buildings on .....�.Q... Foundation to �!'.:...��...`�... Rough t0 be occupied as . !JI.. ......................................................................... Chimney p .................................................. `� provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 NorthjAndover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS Rough .............. Service .......... .... ..... . .�� ............. BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. 0 0 0 0 0 0 0 MAI5 ell^ f" �2 / J v M C� C� 0 0 ��