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HomeMy WebLinkAboutBuilding Permit #Exception - 967 JOHNSON STREET 5/1/2018 r4ORT#t BUILDING PERMIT Qf gLID ,6'9ti TOWN OF NORTH ANDOVER A APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �SSACHus�� Date Issued: p IMPORTANT: Applicant must complete all items on this page LOCATl04C S c,,A r , . Pant PRflPEt�TY OWNER C�y+'LS Po�c2 cmc 'Print MAI' NO: PARCEL" t -ZONING.DaSTf�ICT: 1=istonc istnct dies no MadhineShop Village .:yes ago TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other dell floo lain 1Netiands Wate' hsd Disnirt Septic; d0 lain ((�� _1 DESCRIPTION OFWORKTO BE PREFORMED: 1Y[��� ON �C� LX ,S- Identification lease Type or Print Clearly) OWNER: Name: —1—cL 2S P.c-o Phone: T-78 3 i,E - 2-i t Address.. ��'l S—i C©NTRAI✓TCaR Na . `e Phone:one.., V Ad-dress: Super�lsgfs Construe#ion License: Exp: Date e a Horneimprov�naent Licen e Exp` Date: 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: $ 11 C�� _FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signaturef Agent/Owner = Signature of contractor 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 DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature I COMMENTS / `HEALTH Reviewed on c Si nat COMMENTS c�— rig•-�,,,,�I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT:=Ternp Dempster on site ;yes no: Located-,at 1.24-Main.Street 'Fere Department signature/date 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 2008 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 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 O Workers Comp Affidavit ❑ P�bpy_o � G�.,P dam". . '_'. F_cs ❑ � ti art L Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydf lic--� eufa s- I#�+ea ❑ Mass check Energy Compliance Report (If Applicable) -4 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) ❑ Copy of Contract ❑ 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 2.2008 N34- 19.50W -, 135000 f a LOT It 44,45e . { ; ELEVATION' TOP C'ND 219106 HOL6E Out i 217.S�4 Fj °p ST INLET 21,.7 S T OUTLET 21C ;•� 0-50 9 OU YL.f- -170 PiT*l 21576 N PIT"2 213 65 Yl Z D -V % I I JOI-WtN 5T `C p tog 341 ��1�i 1 {l��r ,}.-`[/fir C r F- { C' i./P -LoVtTlo : HJT I I volt, if I CE RTi n T ATTHE SFPTIC SYSTEM WAS INSTALLED-AS SHOWN. CM t.m 17RR J() t L C TMr.) FLAP'IS DjOT It4TENDfL AS AWARRAN'Y OF THE SYSTEL' DHT 10 �-� S ALS 1 = 4J' t-►- j i GES CRIKilt.% �RUf.' t.FRD PLA1�92740 _ f PREPAIEL BY- lc--L Y , 00,