HomeMy WebLinkAboutBuilding Permit #387 - 15 FIRST STREET 11/17/2009 TF�10R
BUILDING PERMIT of r4OR ,bgti
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TOWN OF NORTH ANDOVER ►0-3 L - p O
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APPLICATION FOR PLAN EXAMINATION
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Permit NO: 0 Date Received �� ogZoo
pPt G,
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION 1 Q- �� '•1
Print
PROPERTY OWNER Rowry lzU (,1IF
Print �'
MAP NO: PARCEL: ZONING DISTRICT..�Historic District yes no
Machine 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
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic Well Floodplain Wetlands Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PREFORMED:
7o ieeav"
7so,)-� AU o&1 6:!� 04 P A.S QQP , (2A'
-,rhx-P e!g70 fizz) l titi i Tv 7-h--
Identification
hiIdentification Please Type or Print Clearly)
OWNER: Name:F 0L ` ?E-22C44 0�4 "Of- 46294,7,y Phone: y22-64?-Q' 72
Address: FII i
CONTRACTOR Name: UL-T 1)(- Phone: a-629-7-0412V
Address: lS i s '
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: $ ()00 FEE: $ 30
Check No.: �0 / Receipt No.: 2
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
�_
Location
No. —3� Date
NGRTN TOWN OF NORTH ANDOVER
C� �to •1ti
F 9
Certificate of Occupancy $ �U
�'�s''•'• Eco Building/Frame Permit Fee $ o
.7 CRUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ M3 6
r
Check #
226JJ
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
ti
Planning 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: 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.$10041000 fine
NOTES and DATA— For department use)
s�
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
J
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
❑ 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
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2008
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 387 Date: April 8, 2010
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 11 First Street
MAY BE OCCUPIED AS Coffee Shoa & Ice Cream Parlor IN
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Paul Dedoglou
11 First St
�J ^North Andover Ma 01845
Building Inspector
NORTH
1. 4 over
Town of
No.3
dover, Mass., 1
LAKE A-
A- COCHICHEWICK y /�
7 ADRATED
'9S E BOARD F HE
I
Food/Kitchen! (
Septic System
PERMIT TBUILDING INSPECTOR
i
c� o � � � v
THIS CERTIFIES THAT........111'1.1.. ..... ..........-� ...................................... Foundation
j...........��'J`....... ....................................... ough
has permission to erect........................................ buildings on .................. .........�
to be occupied as. ., %E .. o. .. �. .. +.�...;. .. .. ...../..-../ /Y fS C imne
provided that the person accepting this per it shall in every respect co rm to the terms of the application on file in ;n
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
PERMIT EXPIRES IN 6 MONTHS
EL INS CTOR
UNLESS CONSTRUCTION TARTS Rough
.
Service
. .
B DING INSPECTOR
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.
Date.
40RTPI
•1"o TOWN OF NORTH ANDOVER
°c
PERMIT FOR PLUMBING
,SSACMUS�
This certifies that
has permission to . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . . . . . . . . . . . .
t
at . ��. _� �:� . . .. '. . . . . . . . . . ,'North Andover, Mass.
. .
Feell r . . Lic. No.� �
r�. . . ?,IN, .
. �/ . . . . . . . .
PLUfNBG INSPECTOR
Check N Z.2 1�el e15 .Y
8555
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Date �
Building Location / Owners NamAzlie�7— Permit#
Amount
Type of Occupancy
New Renovation Replacement Plans Submitted Yes No
FIXTURES
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(Print or type) Chec one: ertificate
Installing Company Nam/ - Corp.
Address `�-� — Partner.
Bustness Te ep one El Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: In 'cate th type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond ❑
Insurance Waiver: I,thedersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner ❑ Agent ❑
I hereby certify that all of the details and information I have su I`N d(or entered)in abo e licat' e true and accurate to the
best of my knowledge and that all plumbing wor nd install ion ed under e it ss for •s application will be in
compliance with all pertinent provisions of th e s ate Plumbing Code of the Gene"Ws.
By: ure M Licengeaum er
Title
Type of Plumbing License
City/Town icense Numoer Master ❑ Journeyman
APPROVED(OFFICE USE ONLY
C
PROPOSED
EXIST jNG �
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3 Y5
Caf1e h Pastry
nr�totta� F war�w S1!
,
M1 _
732" Paradise
CO �� + a
C,M
N firir
• Coffee&Pastry " !
LEFT SIDE FONT ARRUS BOLO O 9 RIGHTS I D E
AWNING SIDE AWNING v
-FRAME C'ONSTRI.M-RD OF I SQ GALVANIZED TUBING.WELDED CONNECTIONS.
-AWNING COVER TO BE VINYL COLOR GREEN
NO GRAPHICS
customer name: STAR'PIZZA oate/Remsions Designer saes Ren. File name work oreer#I Drawing#
Location: 4-16-09 IN STAR PIZZA 2702 C
15 First Street.North Andover.MA
t 2009 N1,d-grvd—mg s copyngh1M pwp M pl%1a.Sign 6 Aummglnc No part al Ih s azenny may pe rcprMuced vnlnput vmtien consent
EXISTING
PROPOSED
a 71-1
48"
161
bE:l COFFEE
AWNING SIDE AWNING L BREAKFASTco
SCALM IQ'.1• -
FRAME CONSTRUCTED OF I SQ GALVANIZED TUBING.WELDED CONNECPIONS. _
-AWNING COVER TO BE VINYL COLOR GREEN
-NO GRAPHICS
www.metrosign.net Fax:978-851-2022 170 Lorum Street, Tewksbury, Ma 01876 978-851-2424 j
cn>stonler Ramr. STAR PIZZA oete/Reel>aoas Door Min Rea F99 lame jW01418rd"#j0pjWlll*
to IN: 15 First Street,North Andover.MA 4-16-09 °""'" B.N STAR PIZZA 2702 B
62004 rhkdW*k%% B cw**W e"-w d Mom To-84-im c no Pyrd Ws dw.i9"to Nwxhod lbs cpawR. '...``
NORTH
Town of 4Andover
- L
10 9
-= LAKE dover, Mass., i� Z/ 7
COCMICKEWICK
7,pS00ATED
1 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT........ ..... .:t..4,1. ... C�� O .. L/
Foundation
(I'J`
has permission to erect........................................ buildings on ...... �...C��
..... ....... . ....................................... ough
,./�
to be occupied as.s E .. o... ...16.. �t'. ✓' c�s�!.:.... .....1..�.! �"'...X coney
c iprovided that the person accepting this perfnit shall in every respect co 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 ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION TARTS Rough
.................. ...... . Service
.. SU1L1)ING 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 Smoke Det.