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HomeMy WebLinkAboutBuilding Permit #012-2017 - 6 Hillview Road 7/5/2016 BUILDING PERMIT � O� NORTy16 q Y �tL EU 16 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION A Permit No#: / Date Received " A�R1TE0 rPa`�5 9SSA C HUS�� Date Issued:® 05 2PI61 IMPORTANT: Applicant must complete all items on this page LOCATION �'� /' RAD FOPW S'-SCE&- /" Print PROPERTY OWNER ` / kOW 4-� S m4 Jere M A,-J i Print 100 Year Structure yes n? MAP 6/ PARCEL: ZONING DISTRICT: kl Historic District yes Machine Shop Village yeso 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 Y"Others: ?X i a —C o©r ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands p Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: "1kOV•nw0.� c►, VAA1�c7 Phone: `��FS 9 3�2� Address: c2g4. 6tz io erz® sne c-e- — Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: 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: $ 3 0 . e ° FEE: $ Check No.: Gir�� "!� Receipt No.: 7 S�-;Z- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor - ^I NOF2M BUILDING PERMIT TOWN OF NORTH ANDOVER o - APPLICATION FOR PLAN EXAMINATION ~ _ Permit No#: Date Received �gs R/TEOM Date Issued& ® Wa SACHL IMPORTANT:Applicant must complete all items on this page LOCATION* Print PROPERTY OWNER ` / hV tm 4-S S o4JC7E'`' 04 A1,J C) Print 100 Year Structure yes nd MAP PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yeso TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition El Two or more family El Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg C"Others: X I a To©\ ❑ Demolition ❑ Other Septic El Flood Iain El Wetlands Ei Watershed District, ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: k its —Too \ Sv.t o Identification- Please Type or Print Clearly OWNER: Name: 0 4•e� A�J 0VA •:J Phone: �? � '� �' 3 � Address: C;24, `- T— Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement Licenser - 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: $ (✓ 3 o e a FEE: $ �! Check No.: Gi�� 3" Receipt No.: 7� S7z-;Z- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund - - „nate ire of cont"rnatn[ :Cice,�+i iro._rif_dr�entlG'Sn/nPr - .__SL _` Location �� No. (��L f� Date e-,Z �c1��� . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# G-t�'�� / f c, `� Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Sw mming pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed OnINZot� Signature COMMENTS j9W d WC� til�yWOXcl CL).4-Cr CONSERVATION Reviewed on / 4 Si nature J� COMMENTS HEALTH Reviewed on y b Signature &�M { c1 COMMENTS �Z) N°+ PIC,( J, O nJ I Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments I Wafter & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: � Located 384 Osgood Street FIRE DEPAR9TME N - Tem Dumpster onaite ,yes. tno _ i i Located�at r124tMam�.Stfeet FireIDepft,—ont:s gnature/date, COMMENTS j Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ TanningWassage/Sody.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 m U FORM & DEVELOPMENT Reviewed On Al— PLANNING � Signature_ COMMENTS �r a Q,tC W CONSERVATION Reviewed on Signature COMMENTSp HEALTH Reviewed on y b Signature COMMENTS �L-) N o+ a C 2, 5�# O nl It,,,d, 6,—�LJ,3 0 kC- Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments !dater& Sewer Connection/ Driveway Permit DPW Town Engineer: Signature: FIRE Located 384 Osgood Street :� RTjDEP , rM_E_NT o T�emp,�Dumpster on} t � es c � � } `.�€ si nom c;L�ocated at�124iMain�St�eet � ''�' ;�t� •�'� :�. �` "� „ -rt - ,,' F :�;, ` -�-�- .� t .F�re�Dep�artment�signature/ciate:�.� „�_ .,,,_. w ��"z ®ftonsion Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, roast 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) Ll Notified for pickup Call Email Date Time Contact Name F_....._............. Doc.Building Pennit Revised 2014 I i 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 OTE: 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 Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) 6g pp 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 NORTH Town of �� ndover No. bZ - 20"6 1-7 - h , ver, Mass, 07 OS 0!;16coc"Ic"twrc■ y1' A�RATEO S S U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ........ .W:d.OV. .+�. ...... ... BUILDING INSPECTOR ............. has permission to erect .......................... buildings on ..T.**....,�_to.rFoundation Rough tobe occupied as ...w4SP.....................:....................................................................................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR ION ST Rough ,.Service . ... . .. .. ....... ..... .. .. � Fina BUILDING INSPE 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. '_�_ 4<�� �"' ii. ��,3^P*.�z''sy,,'a s �j' h�k��""�..x„ ; .•fi,< ra� .:; ' P�a '-�{ ei l: +I'/'f� �[a7� ,rr �,: , ` ', S"" ::z "r' r�" .,l`^:- `,;,�$`*, :* ' Y3"i' '. �j�,' ?f�}s4,.,`.r�a i • ..'.`. r 44 i n „� � »���* � ��^ r►.# �'" •'v'��.,��4 // 1 ��r�L "„�t.a y�b� _r'Vis?$ �°r,'! ,� ♦a �•d %wr' 4 " '� _ ag* � �`� `�.�a 'A/'. a •1 R 1 � � 1 j A r`. ";a fi + .,+ +w'•' S aS-4 �, � r"�� .a.` * k�� `�'^J�!.*" p��b .��. 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