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HomeMy WebLinkAboutBuilding Permit #Exception - 156 CHESTNUT STREET 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION tPROPERTY OWNER LZ� ,PG&/U!�/ /U /5 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 19 Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: _❑ Demolition ❑ Other [� Se fi✓ ®hWe ®E odplaul; ®:WetlandsTr f � .�` "" �P D UVaterslledtDistncty. DESCRIPTION OF WORK TO BE PERFORMED: —1d if Please Type or Print Clearly) OWNER: Name: Phone: Address: G-7 CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. ti FEE SCHEDULE:BULDING PERMIT;$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ �;?0,�,-? Check No.: P/ -7 7 Receipt No.: 93917 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signatureof Agent/Owner �' ,. 4 R� Signature ofacontractorn� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION � Pr' t -- PROPERTY OWNER Print MAP NO: Gy 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 0Two or more family 11Industrial 10 Alteration No. of units: 11Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ® S p ickViTell }y+ p ❑Fl od `la ©Wetlands , ' x` P ❑ UVaterslied District I®1►Water/Sewer �,>..< ._ t.� ..:t93r .a:.._-r_.- ......__... .�+_._:._.-# � :,•.�__--_�' c'"__.,.t:�;+.::w�,. .s"�_��r +�i?'X�n.Y. •�..r s ., DESCR II'TION OF WORK TO BE PERFORMED: >9�.�1.��i�rlQ .� d—Identification Please Ty e orPrint CIearly) OWNER: Name: /.� Phone: Address: GQl 5 ex 1U • CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.'$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S.F. Total Project Cost: $ FEE: $ Check No.: P/ ? 2 Receipt No.: ?3913 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Location B--6 No. Date NORTN TOWN OF NORTH ANDOVER f Certificate of Occupancy $ ,?00 Building/Frame Permit Fee $ s�GMus Building /Frame Permit Fee $ Other Permit Fee $ TOTAL $ Check # F1 -7 7 •' 239`13 �14 i uilding Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL i 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 I� Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments t 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.$100-$1000 fine NOTES and DATA— For department use I i I I! ® Notified for pickup - Date l 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 ❑ 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 'COTE: 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 :hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording nust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 292-2011 Date: February 22,2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 156 Chestnut Street, North Andover MA 01845 'Unit 2A MAY BE OCCUPIED AS dwelling unit IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: John Deangelis 156 Chestnut Street North Andover,MA 01845 Building Inspector Fee: 100.00 Receipt: 8177 t -3Fi 3 s�cxK CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER 130ding 1'eXmit dumber 292-2011 Date: February 22,2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 156 Chestnut Street North Andover. MA 01845 Unit 2B MAY BE OCCUPIED AS _ dwelling unit IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: John Deangelis 156 Chestnut Street North Andover,MA 01845 Bui ding Insp ctor Fee: 100.00 Receipt: 8177