HomeMy WebLinkAboutBuilding Permit #707 - 90 SUTTON STREET 5/21/2006dSgCMUst
Permit Ni0:
-2� _-
Date Issued:
T IO'kI
TOWN OF NORTH .0DOVER
,APPLICATION FOR PLAN EXA',I ATION
Date Received:
[NIP AT, LNT' kpphcant must complete all items on this
1) (<� l) 14,)k (S i-
WC.A
Print
PROPERTY OVfNER 3CS-1Cw *1 &
Pr
nt
MAP NO,: PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT
TYPE OF Ih1PROVEMENT rResidential
D USE
New Buildingmily
Addition r more family
Alteration units:
epair, replacementory Bldg
tUI1C Demolition
Moving relocation) = Other
Foundation only
DESCRIPTION OF WORK /TJO BE PREFORMED
G
Identification Please Type or Print Clearly)
OVl NER: 'Mame: fit"T . �✓ , rv►(JbA �iPnlSfi'��-
Address:Tt0,. &)6 1-72--
CONTRACTOR
-72
CONTRACTOR Name:
YES ❑
Non- Residential
= Industrial
Commercial
Others: _
hnne•
��hP2 � � , �eGy7 -� �� Phone• �c�//
Address: C i 1
of Super,, isor's Construction License: �� G /rF3,� % Exp. Date: 7
n d r/
Home Improvement License:
` Y Exp. Date: / G
ARCHITEC C I;\(j'NLER Virnc: Phcne:
Address:
Reg. No.
FEE SCHEDULE: BULDIAG PERMIT: 510.,00 TER Sr )oo.t;o (iF THE TOT IL ESTLt1, 9TED COST T ISED UN S = 5.00 PER -5- `
Total Protect Cost :$ /�'rl� t /i✓l��hs►) s xl0.00- FEE:$ Al t
Receipt No.:
(::heck tits.: I
I
TYPE OF SD'ARGE DISPOSAL
Public Seer
- Well
PriNate (septic tank, etc. _
Tanning' lassage Bode Art _
Tobacco Sales
Permanent Dumpster on Site
S"imming Pools
Food Packaging Sales
Electric deter location to
project
NOTE: Persons contractingwit a regWered contractors do not have access to the guaranty fund
Signature of Agent Owner Signature of Contract?St
r_
Plans Submitted ans Waived� Certified Plot Plan ped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ iii
COMMENTS
CONSERVATION
COMMENTS
❑Water Shed Special Permit
Site Plan Special Permit
J Other
DATE REJECTED
F1
DATE APPROVED
IJ
f DATE REJECTED DATE :.kPPROVED
HEALTH _
C01 f�tENTS
Luning Board of Appeals: � ariance. Petition No:
Zoning Decision, receipt submitted des _
Nammil- Board Dcci;:ii>n: lomntcnts
Co,iscr\;&cn Decision: Comments
b';,tur < eerneetioni;' matt - late .
(emp ID-umpster cn site A --s` io _ fire Deparu7ye�nt sig natur_ date -- — - -- --- — —
Building Pcrmit Appro-ved and fSSLlcd by: —d 1 11 L_
i
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Re uired ProN ided Required Provided Required Provides
� Q
DIMENSION
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. f3.:
�ri_�_ r, I ;',AL AN% Wr n i r. r.r iii
Building Department
µ 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
j Building Permit Application
j Workers Comp Affidavit
.j Photo Copy Of H.I.C. And/Or C.S.L. Licenses
j Copy of Contract
:j Floor Plan Or Proposed Interior V1'ork
Addition Or Decks
Building Permit Application
Surveyed Plot Plan
o Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
El Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydr"
Calculations (If Applicable)
a 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
o 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
Ina cases if a ,ariance or special permit was required the Town Clerks office must stamp the decision from the Board
\ppeals that the appeal period is o%er. The applicant must then get this recorded at the Registry of Deeds. One cop3 a
proof of recording must be submitted with the building application
Jur 1"A'FA I'10NAL 1F:R\ I('F.'; DFAI `R I IE`,�':UI'P�)It't11S
I'.".0 4 r I -I
Location 1� �i'/ S) ---
No. d Date
NORT,y TOWN OF NORTH ANDOVER
O
9
* Certificate of Occupancy $
Eta' Building/Frame Permit Fee $ v
-2 CRUS
Foundation Permit Fee $�
Other Permit Fee $
TOTAL $
Check #
It
Building Inspector
O
z
a
U
Q
O
CD
Z d
O H
® C
O cm
C
C
CO2
CO2 O O
'7E co m
CD C3 CD
C 4-0
O
CL
rY
CL CM<
c
ev
.CAL.)
C Z ai
0 CL
C.3 h
O C
Cl)
Y♦
W
W
C9
W
N
a
O
F
C
�v
U
U
W
CLo
®
W
CD
m
E a
me
ts
_ts
CL
N
E c
O_
:16-
O r
O �0+
`S CI
:C
RE
v
CD 3:
h�
:-.5
CA
�
: = C
C
N O
O
'�•+ H
CD
mo
ra
wz
o,
av b.:
m
co
V'4
cm
h
'
Hm
12
xc
O
Ao
aw
vH z
O
0 Cc
CL.
(U
Q
v
.o
o
G
w
wv)
N
ocx
oc
o
t
w
•H
C2 w
dZO C
V m •�
�q
v)
cn
a
U
Q
O
CD
Z d
O H
® C
O cm
C
C
CO2
CO2 O O
'7E co m
CD C3 CD
C 4-0
O
CL
rY
CL CM<
c
ev
.CAL.)
C Z ai
0 CL
C.3 h
O C
Cl)
Y♦
W
W
C9
W
N
c c
c y
O
C
�v
CLo
CD
m
E a
me
ts
_ts
CL
N
E c
O_
:16-
O r
O �0+
`S CI
:C
RE
CD 3:
h�
:-.5
CA
�
: = C
C
N O
O
'�•+ H
CD
mo
ra
o,
av b.:
m
cm
h
Hm
12
O
vH z
O
0 Cc
CL.
c
Q
:cmc
.o
_
W
:moo
N
oI-
o
t
•H
'O
dZO C
V m •�
Z
O
LU
CO)
CL
W- O�
y
O
x
O
CL ��. CG
::No
a
U
Q
O
CD
Z d
O H
® C
O cm
C
C
CO2
CO2 O O
'7E co m
CD C3 CD
C 4-0
O
CL
rY
CL CM<
c
ev
.CAL.)
C Z ai
0 CL
C.3 h
O C
Cl)
Y♦
W
W
C9
W
N