The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #632 - 141 BERRY STREET 4/20/2010 BUILDING PERMIT of OORoTH qti TOWN OF NORTH ANDOVER - - p APPLICATION FOR PLAN EXAMINATION10 Permit NO: Date Received ��SSAGH�1`-+�� Date Issued: f� le P RTANT: Applicant must complete all items on this page LOCATION M-, S Print PROPERTY OWNER—AA L4 TSU SA— Pdnt MAP 210 PARCEL: ZONING DISTRICT: Historic District yes no !Machine Shop Village yes CTT 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 BldgOthers: 0C o Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: v/ 2 �v ' Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name:_ 771-y) 1OU.) Phone: SO ZQ (1337 Address: Sox- �z Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: 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: $ �� /� ',1 /'� �fr FEE: $ /00'` Check No.: Receipt No.: .4?2 `1 NOTE: Persons contracting with unregistered contractors do not have acc4tep anty fundctor Signature of Agent/Owner Signature of contra Location /y/ No. ��— Date G� 2 1 �� rORTq TOWN OF NORTH ANDOVER � 9 ` Certificate of Occupancy $ �'+s •'<� 9 Buildin /Frame Permit Fee $ s,+cHust Foundation Permit Fee $ Other Permit Fee $ 0 TOTAL $ Check # :a G63 225 4 7 Building Inspector 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 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 Manning Board Decision: Comments 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 Department signature/date COMMENTS Dimension Number of Stories: 2 Total square feet of floor area, based on Exterior dimensions. 22(CC) Total land area, sq. ft.: , S1CO 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 -, vis tinLVL fiLind 100M Y� ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 PI;, I Building Department hg is a list of the required forms to be filled out for the appropriate permit to be obtained. A9, 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 ❑ 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 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 i i Doc: Doc.Building Permit Revised 2008 NORTH own of Andover 0 . . TO No. (o S 2., 0 dover, Mass, Z COC KIC H ICK 0RATED P'P0:` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System e- Z,u5rr BUILDING INSPECTOR THISCERTIFIES THAT........//Y......................................................................................................................................... Foundation has permission to erect........................................ buildings on .... ./ .... ..... Rough Chimneyto be occupied as....i' * .......... ............ .. ....... *�- ....................... provided that the personaccepting permt shall in every ect conform to the terms of the'application on file in Final 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 UNLESS CONSTRUCCTIO - STARTS ELECTRICAL INSPECTOR Rough ........ ....... .. ................ ..............-s"'--,.................. ................ Service BUILDING INSPECTOR 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 _J1 Smoke Det. 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 r ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 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 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 ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract L3 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 L3 Photo of H.I.C. And C.S.L. Licenses L3 Workers Comp Affidavit E3 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 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 or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that thea appeal period is over. The applicant must then et this recorded at the Registry f D PP P PP g o Deeds. One co and roof of recording g Y PY P g must be submitted with the building application Doc:Building Permit Revised 2008