HomeMy WebLinkAboutBuilding Permit # 9/30/2015 TOWN OF NORTHANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: 43 Date Received °��
Date Issued:
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IMPORTANT:Applicant must complete all items on this page
LOCATION
PI
PROPERTY OWNER
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes dW
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ❑ One family
11.Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: 11Commercial
11Repair, replacement XAssessory Bldg � �_ ❑ Others:
❑ Demolition ❑ Other
❑ Septic; ❑Well ❑ Floodplain 0 Wetlands ❑ Watershed District
❑ Water/Sewer ,
Identification Please Type or Print Clearly)
OWNER: Name: c �crtA LLN(LA8r Phone:
Address:
CONTRACTOR Nairne Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Jc I`(, Phone: L - 741 370/
address: ' vr���1 , �,2>1/� 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: $ L�LI FEE: $
Check No.:�/ ..�: Receipt No.: "
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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BOARD OF HEALTH
Food/Kitchen
PERMIT LD Septic System
OTHIS CERTIFIES THAT ......., „ BUILDING INSPECTOR
.......... ............. ......... ...... ....� . .. . . ........-
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has permission to erect.......................... buildings on .. .............. ....• ...... .
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to be occupied as ...........to.V10......it,
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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 North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION S Rough
Service
................... . ... ..... .. .......................... Final
BUILDING INSPECTOR
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.
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
COMENTS Aed-3
°w CONSERVATION
COMMENTS '
DATE REJECTED DATE APPROVED
HEALTH
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Drivewav Permit
Located at 384 Osgood Street
F
DEF'ARTIVCENT Temp Duan star onsite es
L.oted at'1� 4,' in� r t
Fire Department rgnature/date
COMMENTS
RetreatRolling Ridge
and ConferenceCenter
September 30, 2015
To Whom it may concern
Rolling Ridge is owned by the New England Conference of the United Methodist Church and I as Executive
Director have authority to develop programs, hire staff and oversee operations on the estate.
The Giving Garden of South Church has our blessing and the Town's permission to grow organic vegetables on
the designated area. The proposed shed is also approved by Rolling Ridge and allowable under the
Conservation Easement that the Town purchased.
Thanks for your review of the plans.
Larry J. Peacock
Executive Director
660 Grerlt fond Road, North Aiidover, lvlassach_usetts 01845 Tel: 978682-8815 Fax: 978.681-1162
wwv.rollinwrid�e.org/email: chis aEiC�rollin ricl e.or
Rolling Riche is a Not-For-Profit Ministry of Flospirality
of the New Lngtand AnlIual Conference of the United X4ethodist Church. 'Tax 1D4 04.22:34128
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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.s100-$1000 fine
NOTES and DATA – (For department use)
Notified for pickup - Date
Doc.Building Permit Revised 2012