The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #CI-CO - 95 MAIN STREET 3/26/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received PRO 1 0 0 co Date Issued:9-2--6-/'),— !MPORTANT: Applicant must complete all items on this page Ar L 0 C AT -'7 011 i", ,,PROPERT & P -RA ;`YP 7, 26NING NOC ZV TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential D New Building [I Addition 0 One family 0 Two or more family 0 Industrial D Alteration No. of uNts: Commercial D Repair, replacement El Assessory Bldg D Others: D Demolition --n s6ptic-�:� ff W6 j 00 S werii El Other Flood -0 n 6M d'D** te, r"s' e jz s rid'.. wlb b OWNER: Name DIESCRIPTAQV Ul- VVUKK I U bt VKLI-U Identification Please Type or Print Clearly) CLOU q5K— Phone: 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: $ FEE: $ Check No.: / 9ze ReceiptNo.: NOTE: Person; co�tracting with unregistered contractors do not have access to the guarantyfund .......... ure Q 6teadtdr Plans Submitted El Plans Waived D Certified Plot Plan 11 Stamped Plans F1 TYPE OF SEWERAGE DISPOSAL Public Sewer V1 Tanning/Massage/Body Art Swinu-ning Pools 11 Well Tobacco Sales 0 Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site 0 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT 11 COMMENTS CONSERVATION F1 COMMENTS HEALTH 11 COMMENTS i L Zoning Board of Appeals Planning Board Decision: DATE REJECTED DATEAPPROVED In DATE REJECTED DATE APPROVED 1-1 DATE REJECTED DATE APPROVED 11 Variance, Petition No: -----.Zoning Decision/receipt submitted yes Comments Conservation Decision: - Comments Water & Sewer Connection/signature & Date Driveway Permit Located at 384 Osgood Street Dimension j FA�Ap— 9co'sp 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 21 A —F and G min.$100-$1 000 fine 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 • Copy of Contract - Ei Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg, Permit Addition Or Decks u Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Li 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) ci Copy of Contract o Mass check Energy Compliance Report Li 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 Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location 1144117 s -r 6 Z> No. Datq Check 25126 TOWN OF NORTH ANDOVER r. Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Building Inspector E)jn/ub!S U) ui CD -4 N - ej 10 C) I U) m 0 U) (n LLI ui (i) CIO z LLI po L) U) -i LL 0 UJUI LU > 0 uj m < tf)W Lli LLJ LU CL w j < Luce z: < cr- V) w -in U) <Lu L:IDJ M Z LU t") U) m Z >- LLJ (�, _j < 0 LLJ U < Li to X C� C) 0