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Home My WebLink AboutBuilding Permit #158-2016 - 16 BERRY STREET 8/5/2015 I I � AAW „�` �1 � NORTIi � N BUILDING PERMIT O �giED 1 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ~ ,. Permit No#: Date Received ��1`''01?,TE0.eA''.�5 �SSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION 15 /`�e S'/- f Print PROPERTY OWNER 6-) Print 100 Year Structure yesno MAP PARCEL: N� ZONING DISTRICT: Historic District ye 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 'D Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ElSeptic ElWell ❑'Floodplain ❑Wetlands ❑ Watershed District D Water/Sewer :- / DE kR IPTIO N OF WORK TO BE PERFORMED: Identification- Please Type or Prinli.Clearly OWNER: Name:/�/) Phone ��/- 0�3 Address: Contractor Name-Z141�.Lio� �m� 'hone 7 /= 0cS"- 3Z53 4 Email- Address: mailAddress: 3A mnn Alm ATsmfr 3c2 u 1dbvrn MA ni 3,t I Supervisor's Construction License- Exp. Date: Home Improvement License: Exp. Date: Ir ARCHITECT/ENGINEER Phone: Address: Reg. No. a FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F. Total Project Cost: $ FEE- $ Check No.: / `�' Receipt No.: �'� NOTE: Persons contracting with unregistered contractors do not have access to e guar ty fund Location B-Ir No. � Date . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ a Building/Frame Permit Fee $ ,,- Foundation Permit Fee $ "+ Other Permit Fee Qv Ile, $ lib TOTAL $ Check#: 2 Building Inspector 2915 8 i 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. ❑ Pennanent 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 1 Planning Board Decision: Comments Conservation Decision: Comments f Ater& Sewer Connection/Signature&Date Driveway Permit A W Town Engineer: Signature: Located 384 Osgood Street „FIRE DEP-AR�TMENT' ,�� ,� tumpsterMonisite; eS ► . �. ��#no _ �` f 4 Located�55111e24F re D �arrtments g rhe/dated , , ENTS, a Dimension Number of Stories: Totals square feet of floor or 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 DANCER 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 Permit 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 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/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 NORTHTownofndover No. o;OkAh ver, Mass, A15 94 COCHIC HI WICK`y1 RATED /.P��.�y L) BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .:..+ 1! BUILDING INSPECTOR ....... ..... ......................... ......... ........................................... ... buildings On ...UP Foundation has permission to erect ....................... g ... .. .... .. .....�.��e................: ................ Rough to be occupied as ...Aelii:��. ........ ..... ... �............................. Chimney provided that the person accephis 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. 9fth`�7GI1• V. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START Rough � Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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.