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HomeMy WebLinkAboutBuilding Permit #443 - 9 Winter Street 12/9/2005 0f,10RT1{ 31 e.. ._ • oc i ~ p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �9SS.ICNUSEt . Permit NO: l ` Date Received: 3 Date Issued: IMPORTANT: Applicant must complete all items on this page 1 LOCATION # p V, PROPERTY OWNER (IrUC�- IAV.fikf Print MAPNO.: PARCEL: ZONING DISTRICT: i TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building 0 One family ❑Addition ❑ Two or more family ❑Industrial ❑Alteration No. of units: ❑Repair, replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑ Moving(relocation) ❑ Other 0 Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED ntj# cat i(Q� Pl�se`Typ�or Print Clearly) r y 1° OWNER: Name: gn/C kePhone:6 /®2 iggdture Address: � K71-6C et Il er/eq. NAL , Ot d"2 / CONTRACTOR Name: 61-c,,C e Yv� 1 es Phone:c?�)?(5 Address: �2 �( t^�� (/ �i�ll-ellcr? A4 © � 7 3 < Ex Date: 7/f'�/d i Supervisor's Construction License: p. • Home Improvement License: k^ rr��- �� C( Exp. Date: {w ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.0VER S.F. Total Project Cost :$ x10.00=FEE:$ Receipt 9D� Check No.: t No.:p i Page l of 4 TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ F1Tanning/Massage/Body Art F1g Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ ❑ Permanent Dumpster on Site Private( Pse tic tank etc. F1 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of Contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED , PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit + El Other COMMENTS e - DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ - i COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments Water&Sewer connection signature&date Temp Dumpster on site yes no Fire Department signature/date I Building Permit Approved and Issued by: Page 2 of 4 Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use 0 Page 3 of 4 I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 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 Addition Or Decks o Building Permit Application ❑ 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) 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4 Locations-.w- � No. ` Dated ,.pRTN TOWN OF NORTH ANDOVER � s Certificate of Occupancy $ Building/Frame Permit Fee $ .•"` s�cwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #16_3 Building Inspector AORTH Town of 4 over. C% �� - dower, Mass., 3 o LA A. COC MICKEWICK V DRATED PPS\ BOARD OF HEALTH Food/Kitchen PERMIT- -. Septic System BUILDING INSPECTOR 14V THIS CERTIFIES THAT S ................................................... .................:. ........... ................. ............................................ Foundation has'permission to er .............................. .. buildings on ...... ... .............. .... .... ............................ Rough to be occupied as.... w... :........ ........... .`....... ......�, ,, ..... ........... .... .. chimney III provided that the person acc ng this permd shall in respect conform to the t of the application on file in Final this office, and to the provisi s of the Codes and By- s relating to the Inspectio Alteration and Construction of Buildings in the Town of North Andover. A0 J " Z 46 A O V w 4043 94 40 3A PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough Service ........... ........ A UILDINSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. _ XECUp.CG� - �� ' � Ucer�se CQNSTF�UCTION SUPt�,1'% `R�: _ 6 Tr nog 2712 BRUCE JUG E � r BIL LERIOA Board of Badding R-egulatiO°s andStandards HOME IMPROVEMENT CONTRACTOR Registr;;4` 9i 122064 ,: E-xp��twn X1,1612006 ��ion Yype Private Core BRUCE HUGHES`\CONSTRUCTIO,N BRUCE HUGHES` 12 KIRK RDAdministrator BILLERICA,MA 01821 -- r