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Home My WebLink AboutBuilding Permit #157-16 - 16 BERRY STREET 8/4/2016 LIF BUILDING PERMIT ce".DTN q�p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION t 7D Permit No#: Date ReceivedArED �SSgCHUs�� Date Issued: ivp MPORTANT: Applicant must complete all items on this page LOCATION Pr/' Sl� Print PROPERTY OWNER Print 100 Year Structure yes no MAP / PARCEL: L%3_3 ZONING DISTRICT: Historic District y no Machine Shop Village ye 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 Q Other ❑ Septic []Well ❑ Floodplain ❑Wetlands ❑ Watershed'District D,Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: An _}dentifieation- Please Type or Print Clearly OWNER: Name: OZ6S2� - � Phone:L'03 (-,9 aWl_ Address: dl Ctl 10f �SIScxzt6 NW Q O Contractor Name: e Z/ Phone: 603 Email: Address: 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: $ FEE: Check No.: 1-+ ► Receipt No.: NOTE: Persons contra ting with unregistered contractors do not have access to the guaranty fund Location -R No. Date y • • TOWN OF NORTH ANDOVER - r • Certificate of Occupancy $ " Building/Frame Permit Fee $ Foundation Permit Fee $ •�� ' Other Permit Fee AP TOTAL r� Check#A"2? / C� 29159 Building Ins ector i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL = Public Sewer ❑ Tanning/Massage/Body Art ❑ Swiimning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennauent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ 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 A Conservation Decision: Comments Water&Sewer Connection/Snature&Date Driveway Permit DP`V'V Town Engineer: Signature: Located 384 Osgood Street „FIRE DEP R�MENT'� TernDurripsternonsiteA= yes ;� no 'tee^' H 4,Located at 1�24 —HotStr 'Fi e`tDep rtmentsignatur�e/date.rvn _ I C6M1 ENTS, _ - - •, Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions.,6fj(6 6 Total land area, sq. ft.: 7Z0 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) Ll Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4 Building Permit Application Certified Surveyed Plot Plan 4 Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 PILOT 1ON%& TION , www.pilotconstructioninc.com 436-2510 24 Ladd Street Phone(603)436-1146510 Portsmouth,NH 03801 Fax(603) E-Mail:frontdesk@pilotconstructioninc.com NORTH own of EAndover No: � Za 4 Z � oh ver, Mass, �� COCMIC Nl WICN �� A�RATEO �Pa��h s U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System 4• AOft • THIS CERTIFIES THAT ................_. ... ... . .......... ..........Q .... ...�d�......................................... BUILDING INSPECTOR Foundation has permission to erect ........................ .. buildings on ...I. ...... .. .... � ................ Rough to be occupied as .... ....� . . .4n.�.... . �1 ,�/�.s..-... .. �. �� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 STAT Rough Service ......................... ...... ..�"r""r'r . ....................... Final BUIL ING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. BUILDING PERMIT t SZLE►LED O` TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION .e 0 41 Permit No#: Date Received �9"O'+wren SSaCHUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION � fA"[A (� Print PROPERTY OWNER `JAL, tLI Print 100 Year Structure yes no MAP 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 0 Well El ❑Wetlands ❑ Watershed District ❑ Q Water/Sewer_ DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: �lo � Phone: Address: Contractor Name: Phone: 60,95 - Email: Address CDSFro Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PERS.F. Total Project Cost: $ FEE: $ �vn �6] Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Siq _c1nature of nntractor 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Application Permit A lication Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses � Copy Of Contract Floor/Cross Section/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 OTE: 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 2012 IECC Energy code aEngineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Taming/Massage/Body Art ❑ Swumning Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dmnpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ 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 Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street DEQ TMEN ern ®um�psterR ois tef yes 12— l �o atea at 124MMam Street; e Depa�ment sig atur�eldate . J i Dimension Number of Stories: C Total square feet of floor area, based on Exterior dimensions. 1aX60 Total land area, sq. ft.: 7Z d ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector lies 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 Call Email Date Time C - ontact Name Doc.Building Pennit Revised 2014