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Home My WebLink AboutBuilding Permit #444-14 - 72 Elm Street 11/18/2013 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: I I I 1 IMPORTANT: Applicant must complete all items on this page LOCATION T__L l T/Z I rV�Y�J 1.4w os v (t'r t r A`Ti OV4 PROPERTY QWNER�_ if _ __- �-�. � Print .100-Year0ld Structure n0 .MAP NO -___ PARCEL:�� ZONING,DISTRICT: __�-.Historic District a no- Machine ShopVillage es no 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 ❑ Septic ❑WellFloodplain+ D 1Netlarnds 1Natershed District 11 Water/Sewer_. DESCRIPTION OF WORK TO BE PERFORMED: ,AIA/o-3 <.4Joe,4 Zip /-? A-Dv&-,J 'r) Identification Please Type or Print Clear y) OWNER: Name: i�`T�I?M j C'V5,-,1a A7o-, ' 0'2: . "4 Phone: 17� 6f 4T'Z Address: ? _r Phone:. CONTRACTO Name: . Adtlre SS: __s ' _ s Supervisor's4Construction License. _ _ Exp Oate . Home Improvement License, __- z_ - ._ _ __ _. Exp. 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: $ 21�Oy FEE: $ Check No.: i o Receipt No.: NOTE: Persons contrac 'n with unregistered contractors do not have access to the guaranty fund SignatureLof Agent/Owne _ Sigature�of'contractor,:, Plans Submitted Li Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location Elm S 1 No. Date r ' • - TOWN OF NORTH ANDOVER--' • Certificate of Occupancy $ Building/Frame Permit Fee c Foundation Permit Fee $ , Other Permit Fee $ TOTAL $ Check# J 27115 Building Inspector i Plans Submitted-0 -.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 11 Private(septic tank,etc.._ ❑- _ -Permanent Dumpster on Site ❑ IJ_ THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE.APPR-OVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS `i CONSERVATION Reviewed on Signature COMMENTS HEALTH ' ' Reviewed on _ Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes- .- Planning es -Planning Board Decision: Comments D Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Tb`v ! Engineer: Signature: � Located 384 Osgood Street FIRE DEPARTMI==NT Temp Dumpster on site .yes no Located at:124Mair Street Fire De ' j r part mei�t'signatureldate COMMENTS F 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.Sectio n.21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use ,G� r y . ® Notified for pickup - Date 1 Doc.Building Permit Revised 2010 i 1 Building Department The fol!'owing ig�a-list of the required.forms to be filled out for-the appropriate:permit to.be obtained. Roofh,g, Siding, Interior Rehabilitation Permits g, ❑ ' B%gilding 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 ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ 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) ❑ Copy of Contract ❑ Mass check Energy Compliance Report 1 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building permit Revised 2012 NORTH oven of � t E .. 1, Andov.IF.. No. * - 1 soh " ver, Mass, COC NIC Nl MACK V� % (D 1P S V BOARD OF HEALTH Food/Kitchen PE �� Septic System VOill THIS CERTIFIES THAT .... ...................... BUILDING INSPECTOR ..... . . . .... ....... .. Foundationhas permission to ere .. .... ...... buildings on .. . Rough tobe occupied as ........ .. .. .... .... .... ......... .......................................................... Chimney ery provided that the person accepting this permit shall in evrespe onform 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 CONSTRUCTIO STARTS 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. NORTH own o z *._ E ndover 0 No. 44q -14 _ �` zh ver, Mass �s,9 A°RATE D P�,�•(5 S U BOARD OF HEALTH Food/Kitchen PE MIT T �* ft Septic System o*.. 8-7!! L THIS CERTIFIES THAT ,�. ��„� a,� ! ...... ., {� �;,�/1�1�„�h.. BUILDING INSPECTOR .. ... ......... has permission to erect .......................... buildings on .... ..4'.... .IM.%wo...... ................. Foundation Rough to be occupied as .......... .....il.�.l�!� 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 20 . PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT S TS 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. SEE REVERSE SIDE s 47D �et J,60 Amin sw digsafe.com Dig Safe Ticket# 2013 Date f I >3 IZyr:� Time 10! rel Contr I.D. Caller's Name tVIL-t,.ij'►'► Title Phone# 9-* (of 7 1 1 Fax# Alt# 1/'7j- &S 3 7 Email address b e4,wp5e mvLc4 s, • 1 Business Hours to Company A)14 Cl uI-e-k Address 47 Z Cl'P^ k City 414>6dio C State 04- Zip G��FY1 State A4 Municipality (optional) Latitude Longitude P ,, c 5 c� G i q�iaGti E Address/Intersection lX1O.,� JT' �,(-!�tRC�F 5 . . .� �9-1 Buffer Distance(Please circle): 500' 600' 700' 800' 900' 1000' 1100' 1200' 1320' Nearest Cross St 1 C?,OsS Nearest Cross St 2 (11 S-T a-9-� Additional information c One-'b 6iinA -R7 12t+�� 2ata�1 �°. ittg2C.i st CkU 1 h c)mu tu1oe6 i� 6--A __- i Type of Work � � �S� l�(�'tc� Cf<Y11 � YP Area of Work A-Jog A Wil: :5 t c1e- i?�` %alt �6,UAA*inq W-141 ween OV-1 4�-P- 5iC3i-e— c z:i z +fl-e.. V i, L r roc Area Premarked? Y N Start Date 111 Up Time Excavator Doing Workv�r� , ��Y"s , Sc -t s Member Companies Notified: • There may be non-member utilities in the area that you need to notify. • Electric and other companies may not mark lines they don't own or maintain. • The excavator is responsible to maintain marking placed by member utilities. • Tickets expire exactly 30 days from today in NH and VT;60 days in ME and Rl. _�- �- _ I T I ,T � � 1 it I T I + � , ! I ► II II i � � � j _ -f 71 TL It TT �. t 71 I I I I J- I I • LLILS - _` ,� �� t •I t i i I 4 I ('� • �'P I { �� ) ..� 1 I [1la —$ �. r # # � 6 r I f � •".1 i i .j �r j r i , { 11 3 i t1j ` •r. -1- i I I I I I # 1 I- f I