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HomeMy WebLinkAboutBuilding Permit #705 - 177 SALEM STREET 6/16/2009Permit NO: ?b S Date Issued: (A, ' Ma - BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received 6z Y�_J'L�7 . Machine $bb:Village yes no TYPE OF IMPROVEMENT PROPOSED USE _ Residential Non- Residential New Building One family dition Two or more family Industrial teration No. of units: Commercial Repair, replacement Assessory Bldg Others: Cemefmy Demolition Other 17 Septic UWell n Floodplain° :VUetlarids UVafer-shed District 11%ter/S_ewer DESCRIPTION OF WORK TO BE PREFORMED: . ex "S. f i'g ('_ I.�.k r7 Ova ieDowt CL: K AM1Utteg R*be h -'s 9LF ff_e6u0y+J'W 0 ficu I k''D''L O P /4- x P eo wt B v; Ll &4 w G• T o Wt A- r_ � L. Identification OWNER:.Name: le: b &0WCa0s ;ase Type or Print Clearly) WV&4e1%%/ ASSeC, -- (ORI -S' 78G ARCHITECT/ENGINEER ©'SuLL iyi4w h+_4iArcls Phone: /&10-7 Address: 11 & t�V4�ee- b2, Reg. No. © l FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMAT D COST BASED ON $125tS.F.Total Project Cost: $ 7&9, 000 FEE: Check No.: Receipt o:: 2 "Ze, NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 6 COMMENTS 1)�,�elr1 CONSERVATION Reviewed on / COMMENTS A- HEALTH ;- COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature & Date f - Driveway Permit DPW Town Engineer: Signature: _ - Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 31 I4Ck4ZS ,i, �e1ceL�. 18 MRP 37 D,L-. C°ewse �ee.,q oL#j GiB+4 �4 OKJ��• �91�i Te �7'A17� , � � , ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 Oi 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 _❑7 -Building Permit Application •, t., p Workers Cor 1p 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 Location/ %% 9,4, No. 72 Date NORTH TOWN OF NORTH ANDOVER Of„•c ,•,h•G i • OL F Certificate of Occupancy $ 0 <___.... s • J'MUs Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ y Check # 22*1 ZJ Building Inspector T CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER. Building Permit Number 705 (6/16/09 Date: December 8, 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON 177 Salem St MAY BE OCCUPIED AS Office IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Ridgewood Cemetery 177 Salem St North Andover Ma 01845 Building Inspector w O I * •: N R �E" CD COD :ave y m m '0 CM CM�a ez o.�r :mor am Z CD F- CD CD O O.~ 0 COD m .O-. LJJ c .0 �' fl LL _m•+ Cr � E c,� ,y O v o cmc COD a m � O z _ CL I-- CL.- Cc E d N O N C 0 �a cm CD cm S m O C �C N C13 L r 0 Z 0 0 f P§1 i7 2 y co h O i C O r•IN CO3 O d C O V m W CM CD m m C C CO3 0 e U) LU U) 19 W ul ce LLI U) U Wim'R • W w ow z d" c Q c � O C y O C O C 0 W f, 0 Q ro Tu\ no mro O W d0 u ICA nD w G o w �cn w c� a cn cn U) I * •: N R �E" CD COD :ave y m m '0 CM CM�a ez o.�r :mor am Z CD F- CD CD O O.~ 0 COD m .O-. LJJ c .0 �' fl LL _m•+ Cr � E c,� ,y O v o cmc COD a m � O z _ CL I-- CL.- Cc E d N O N C 0 �a cm CD cm S m O C �C N C13 L r 0 Z 0 0 f P§1 i7 2 y co h O i C O r•IN CO3 O d C O V m W CM CD m m C C CO3 0 e U) LU U) 19 W ul ce LLI U) • ' c o 'm c Q c � C y O C O •d C cc 03 COD Ea m .., C 0 CL •moo= to m C N _CLcc 3 y of C � I * •: N R �E" CD COD :ave y m m '0 CM CM�a ez o.�r :mor am Z CD F- CD CD O O.~ 0 COD m .O-. LJJ c .0 �' fl LL _m•+ Cr � E c,� ,y O v o cmc COD a m � O z _ CL I-- CL.- Cc E d N O N C 0 �a cm CD cm S m O C �C N C13 L r 0 Z 0 0 f P§1 i7 2 y co h O i C O r•IN CO3 O d C O V m W CM CD m m C C CO3 0 e U) LU U) 19 W ul ce LLI U) Massachusetts - Dehartanent of Puhlic Safest nNIEL 1;W Board of Building Regulations :►nd Standards Construction Supervisor License License: CS 75302 Restricted to: 00 BENJAMIN C OSGOOD _ 69 OLD VILLAGE LANE ' NO ANDOVER, MA 01845 " Expiration: 12/4/2010 C' uuuis.i n�c� Tr#: 6955 m m m /m Y/ m N m C05 C � B w CO) n co C'3 Z to E;O �• C12 ca d y = T ? .+ I a _ c CD o.`Q O Q O CD Er C3 C CD d 0 y y CO CD 5 CA A= O CD CD Z o CD O OC CD rw• tz C O H O.y c ® _ ®� m y OGQ CE CL c 2 Cl) IM C12 ca O = d d� H •-► _ .+ m T ? .+ I a _ m ti O o -iOmvi C O Is 2 p O O O y RitA O m A w m y :. m CL y 01 N :• z O E ,y 0 19, 2I IM 0 v i� Q OGQ O O o O mcp O UQ O o O y p O 0 v i� Q