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Home My WebLink AboutBuilding Permit #394-13 - 8 Royal Crest 11/13/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issuedoe : I �/ IMPORTANT:Applicant must complete all items on this page LOCATION ' - . - P t PROPERTY OWNER � - Print 100 Year Old St[ucture z yes o0 MAP NO: PARCEL:_ZONING DISTRICT _ HistonceDistrict yes no- IVlachne Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 11cDepair, replacement ❑Assessory Bldg ❑ Others: ` ❑ Demolition ❑ Other ❑ Septic ❑wlNell ❑ Floodplain; ❑Wetlands; ❑ Watersheistdct ❑Water/Sewer; j DESCRIPTION OF WORK TO BE PERFORMED: II i Identification Please Type or Print Clearly) OWNER: Name: 1 Phone: Address: So \ C ec CONTRACTOR Name Phone-.. Address: - � � - ► n= 2y(� f7v�`i�Z�'1 I . Supervisgr's Construction License _ _ Exp. bate: Home.Improyement License: Exp Date: �I ARCHITECT/ENGINEER n � ✓� `Gh�. Phone: Address: Reg. No. ti FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � ��. o0 FEE: $(00 do I Check No.: 1\ 2-� Receipt No.: �. NOTE: Persons contracts wit ' ter contractors do not have acce to ra ty and ,- Signature of Agent/Ovv r" Sgnafurexof contract a. o . Plans Submitted ❑ lans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I 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 FORINT DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS 1 HEALTH Reviewed on Signature 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 Towa Engineer: Signature: 1 Located 384 Osgood Street FIRE DEPARTMENT = Temp Dumpster on site yes no Located at 124 Main Street: Fire Departinent.signatu"re/date COMMENTS I 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 lies No DANGER ZONE LITERATURE: Yes filo MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i NOTES and DATA— For department use i ® Notified foricku - Date P p t Doc.Building Permit Revised 2010 i Building Department The fohowing 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 a Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot_Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) L3 Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And j Hydraulic Calculations (If Applicable) o Copy of Contract Li Mass check Energy Compliance Report o 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 was ors special permit required the Town Clerks office must stamp the decision from the Board of Appeals P P 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: Doc.Building Permit Revised 2012 Location L No. ! Date 'S v e JOWN,OF NORTH ANDOVER Certificate of Occupancy $ r 44Z" Building/Frame Permit Fee A> r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a• Check# 112-1 25939 Building Inspector NORTH -Tiown of t _E : I, Andover No. �.K. h ver, Mass, �• 13• ��.... �,� COC NIC HIWI[H �Ot A°RATED ►'f�,�'(y s L) BOARD OF HEALTH T LD PERM. T Food/Kitchen Septic System THIS CERTIFIES THAT ............. ....:......... .4�.. L...... . :#'�-...... BUILDING INSPECTOR has permission to erect .......................... buildings on .. ..... '. ./:9' .....�'k�-�......... Foundation _ , Rough to be occupied as ....D7, , dA:.6n....K)a4',... .��. .. ...`.-�.... :..... �kB�L'............... Chimney provided that the person accepting this permit shall in eve resp t 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 Sq UNLESS CONSTRUCTRTS 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