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HomeMy WebLinkAboutBuilding Permit #604 - Bldg-7A-Groupe Schneider 4/15/2008BUILDING PERMIT o* "°Rr.H q TOWN OF NORTH ANDOVER 02 '° ° , APPLICATION FOR PLAN EXAMINATION Permit NO: Oq Date Received 09., e/gSSACHUS���y Date Issued: PROPOSED USE Residential Non- Residential IMPORTANT: Applicant must complete all items on this page One family 411 Two or more family Industrial Alteration No. of units: LOCATION' Repair, replacement Assessory Bldg Others: Demolition Print PROPERTY OWNER m i 5 �" �-t1►'�c i ► floodplain 4 Wetlands Watershed District YL hyes Y( C t� t MAP NO: _ Print PARCEL: �� � ZONING DIST I -T: � Historic District - yes no . Machine Shop Village 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 Well � floodplain 4 Wetlands Watershed District Water/Sewer �. , DscRiPTION OF WORK TO BE PREFORME O IN G 1�/ ! �� S p �Ir 0 t1 S ti2_Y 1., Identific tion Please Type or Print Clearly) q OWNER: Name: SC r\e_)' ar 6 L — �, M c_ � i, p Phone Address: S Nor�� Ando vw ,. C / © _ CONTRACTOR Name: As D A S coJ t�� Phone: Address: Address: t a V_�!. s Construction Supervisor's p License: d 8 3 Exp. Date: Home Improvement License: Exp. Date: _ ARCHITECT/ENGINEER &f �f �'�-�I►�QA Sln� 2 Phone: 17 -270 3:)'103 Address: 3a� Col)Vlls S� s��► l� Reg. No. 1 040 10 8lD FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ � 0 0 FEE: $ / 2t�: e -a Check No.: Receipt No.: o? /,q a NOTE: Persons contracting with unregistered contractors do not have, access to the zuaranty fund Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public SewerTanning/MassageBody Art Swimming Pools a\ Well Tobacco Sales Food Packagind/S ,es Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT 4 _ COMMENTS CONSERVATION Reviewed on Signature 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: 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 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup - Date Doc.Building Permit -Revised 2008 <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 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 u Copy Of Contract ❑ Floor/Cr-ossection/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 All dumpster'permits require sign off from Fire Department prior Wissuance of Bldg Permit Ley" 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) o Copy of Contract Li Mass check Energy Compliance Report ❑ 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 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:BPFORM07 Revised 2.2008 . . . . . . . T TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2-1083 06-iibi'ng inspector m m X X m v m H C � 'C O CD n Z CO) CL r o CO) O 0 0 CD CD 0= Q �d CD CD CD C CD rA CL C) y S. O o C sm v CA O 1 Z co � o CD 0 ccoo 0 O =r —• fA ` Q to mi co so O a mn Z O Ot m• N O .d•► a o arc.� N O S' � o ' o > > p r !07 O 0 y !09 O O : CA C ? co) m S CL O s . O y CD m O m CL, CD H CO y c G H U O ?_ m H N y O m d tOA� CD' Fw co a CO, CD CD � 3 CD CD CD CA W i� m dd n c' CCD �C CA Cl) M s T m CO2 2 340 o m 0 0 P=h cn,000004C �*o CD 9cn 9 °'- a arc CA m M o arc b z = o arc.� b M z °= n z acr o ::J Otz r o a. n y 0O a 4 4 08 05:14k % Snieder T led, "14 I High S (i COe&,, C U 116 It - 'I "ithwood N 032E ork I Win# regular business hours, phase completed by ly ase 1: i -a �4!1 _;L10tdav evenin z On e # 603 9" 0 FA # 603 -9 &d. 6039428294 Attention: Matt Volpe tl Name Addre'ss i,lA7 Estimate # Snieder T led, Rat I High S (i 'i 4 116 North Awl 1A 0 - !IX ork I Win# regular business hours, phase completed by ly ase 1: i -a �4!1 _;L10tdav evenin z :S.4t a PTOXIM' S 511. pUTOXIM a", go, r 41111 eg tvsiness hours, phase completed by Saturday Q�UaFc 2: Work ),7 rid ay f P aC ng -8 ARD appTOXiM 4' t4, YO UN A .21 timate Datep! Estimate # Same Rat 3/31/20til Total 116 W01 Location 1711 tion Same Rat Total R ed aj I ork I Win# regular business hours, phase completed by ly ase 1: i -a �4!1 _;L10tdav evenin z 1� tA K. LT 10TI, F .3 Signature 1711 tion Stations Rat Total R ed aj I ork I Win# regular business hours, phase completed by ly ase 1: i -a �4!1 _;L10tdav evenin z a PTOXIM' S 511. pUTOXIM a", go, r 41111 eg tvsiness hours, phase completed by Saturday Q�UaFc 2: Work ),7 rid ay f P aC ng -8 ARD appTOXiM 4' t4, YO in tI "VU. 'Mi be doni-NOPICeac -d& to aSM "g. C onnCCL a) (YMVf)1eT-,. b lacv, to I, 3,Rgmove 'r Ai all pre": iks"� boxe to removal. "Lo IS "Mations on 2nd floor. i,�, �;hockdown 61 it Rase m 1+14'5*41 fte d 41 korkst9ti, _pve an ru 'n stay �,-;156ve all filing ;Uiqe',Ls t 01, full). o all book`�', -}.t. lid stoNA space (they must be emptied). ve f all scad 19cel kiM1x' 401AA lid'3C"nCw i space- :ojpstall compul lww L. -e. , - Mgt parsona� in work �to ib P8, zd'1ng y. Td(Al Job 100 'Wof Vmonth) oo 14,900.00 111 - (Price ,13 yo A, ": Jeremy MF` 1,,) 14 Ti job. 's��t)i3w41kec,t t!s L Suit i 1'.U_ ilog!"' drder Electric. Fj5Y crates 4 i'!Iltv' V�he stay crates kc JU V1,m1i a charge to Snei der Electric. c. L I, ?T� iti �03 �D &A T - knj 19 11 1 6 NIP. 11'kl`�fliccn a plcas�A�Lt,_"Ghing U AV '�,t 4�4 Total $14.900.00 1� tA K. LT 10TI, F .3 Signature