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Home My WebLink AboutBuilding Permit #Exception - 133 MAIN STREET 5/1/2018 ,AORTH BUILDING PERMIT 1'" #6,6 6 op TOWN OF NORTH ANDOVER _ APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received gSSACHU`�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION �� t>1I _ Print PROPERTY OWNER Print L QC7.�.� "MAP NO`. PARCEL:�� i ZONING DISTRICT: Historic District yes. o Machine-Shop Village yes � , 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 Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: O I 77A (rC� I entification Please Type or Print Clearly) OWNER: Namei_p ��vl�o�] Phone: q�g 2Df�`�S2S Address: 310 Aye �JAVEP__KiLL. MAss oie3o CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGIN EER Phone: . i Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED�ON$125.00 PER S.F. Total Project Cost: $ FEE: $ / Check No.: Receipt No.: :'4 NOTE: Persons contracting with u .stered 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 TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments r Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located-at 124 Main Street Fire!De partment signature/date COMMENTS 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 i NOTES and DATA— (For department use) ❑ Notified for pickup - Date ...---........ Doc.Building Permit Revised 2008 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 ❑ Copy Of Contract o 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 ❑ 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 q P PP 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 —H 1 Z-2 Location No. Date �v • ' TOWN OF NORTH ANDOVER Certificate of Occupancy $ I� Building/Frame Permit Fee $ 3�. '44� - Foundation Permit Fee $ � w . Other Permit Fee $ TOTAL $ Check# t 25289 Buillit Inspector o,MODTH^ M } ��SSSCNU fid' CERTIFICATE OF USE & .00CUPANC TOWN OF NORTH ANDOVER Building Permit Number.-�Date: May 10, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 133 Main Street—House Of Pizza_ MAY BE OCCUPIED AS Restaurant IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. /6 SC6�S Certificate Issued to: Nick Papaioannou 350 Kenoza Avenue Haverhill,MA 01830 Building Inspector Fee: 100.00 Receipt: 25289 Check :119 COMMONWEALTH OF MASSACHUSETTS NUMBER •- BHP 2'012-0573 North Andover • FEE • BOARD OF HEALTH $185.00 House Pizza DATE ISSUED NAME May 08,2012 = P 133 MAIN STREET - -- -------- ---- - - --- ------ --------- --------- ------------- --- - ----- ----- - ------ -------- ------------------ - -------- ADDRESS IS HEREBY GRANTED A Food Est. -"Restaurant Permit Food Establishment-Restaurant This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires ___________ December 31,2012------- ____unless sooner suspended or revoked. RESTRICTIONS:FOOD SERVICE- 18 SEAT CAPACITY BOARD OF i ---------------------------------- -------- ------ HEALTH -- - ---- -- ---- _ HOURS ACTIVE:MONDAY-SUNDAY- 10 A.M.- 10 P.M. ------------------------------------------------------------- Public Health Director