HomeMy WebLinkAboutBuilding Permit # 12/22/2015 ti0 R T#1
BUILDING PERMIT
--TOWN OF NORTH ANDOVER � v �
APPLICATION FOR PLANMINAT -
Permit NO: Date Received
Date Issued: ' CH S
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: 1.1 Commercial
11Repair, replacement ❑Assessory Bldg 11Others:
❑ Demolition ❑ Other
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Identification Please Type or Print dearly) `
OWNER: Name: �. . .. ° Phone: 1 e1
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:EULDING PERMIT:$12.00 PER$100'0"'0POP-T1v1kT TAL ESTIMATED COST EASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: �13L, Receipt No.:
NO'T'E: .Personas contracting with unregistered contractors do not have access to the guaranty fund
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Plans Submitted ❑ Plans Waived ❑ Certified Plat-'Pan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swirruning 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 FORINT
PLANNING & DEVELOPMENT Reviewed On Signature,�\II _
COMMENTS '
CONSERVATION Reviewed on / Sica
nature
COMMENTS rte- .�
OL-
HEALTH Reviewed on-j- � ..
Si nature." " °
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 Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE,DEPARTMENT - Temp Dumpster onsite yes no.
Located''at 124 Main Street
Fire Department signature/date
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COMMENTS
'Town ofNORTH
z _ '' Andover
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,o h ver, ass,
coc"Ic Hf WIc" y1.
�es RA7E1) P4�`�.(5
U BOARD OF HEALTH
Food/Kitchen
rER
Septic System
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THIS CERTIFIES THAT
�..�� BUILDING INSPECTOR
..
has permission to erect .......................... buildings on ..Ni.lD...... .l4!I ...............�R ..:........ Foundation
.......................................................... Rough
to be occupied as ...........10..).tlo.......... Chimney
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
Rough
VIOLATION of the Zoning or Building Regulations voids this Permit.
�+ Final
PERMIT O HS ELECTRICAL INSPECTOR
L C CT ST S Rough
Service
............ . ....... .... ............................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® 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.
North Andover MIMAP 960 Johnson Street October 1,2015
950 JOHNSCJN' T
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InteIrstates /� - 1 Horizontal Datum:MAS ea Coordinate System,Datum
Meters Data Sources:Thh d
The dataa Merrimack
em for Ihfs map was produced by Merrimack
—SR A Nd�xH Valley Planning Commission(MVPC)using data provided by the Town of
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/� /� /1Ort gyp , '�� North Andover.Additional data provided by the ExecuWe Office of
Easemnts (4,; t '�/_,„{ ,� / .�. r� sEnvironmental Affairs/MassGIS.The Information depicted on this map Is
�„�„,I, v "` �—/ L for planning purposes only.It may not be adequate for legal boundary
.IadsParcels Q ve definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
4LTHE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
iF op +� y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
wo THIS INFORMATION
1"=47ft