Loading...
HomeMy WebLinkAboutBuilding Permit #025-2016 - 18 HEPATICA DRIVE 7/6/2015 BUILDING PERMIT = of NORTFj q TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit No#: 2d1� Date Received r �•9 q°R�reo�ea,�,(5 Date Issued: �P(�`� SsaCHusr` IMPORTANT: Applicant must complete all items on this page LOCATION P, =y be. c to i s Print PROPERTY OWNER_. i•yt c Print 100 Year Structure yes o MAPPARCEL: ZONING DISTRICT: v Historic District yes Machine Shop Village yes. no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic ❑Well ❑ Floodplain ❑Wetlands ;Watershed District C 0 Water/Sewer DESCRIPTIO OF WORK TO BE PERFORMED: �om�,_ �e�G-c� rr go ) Sf Identification- Please Type or Print Clearly OWNER: Name:�L.94.n e . 1�,� Phone: 978- :173-314� Address:_LO e A' :c No �rdove Contractor Name: dow ` �� Goo Phone: E - �. 0; ro i �� M Email:- V,a 4 L`.,, u L Address: GQ ©344 9:aaa �( IN © � Supervisor's Construction License: �S �. Exp. Date:. . � /�/Ice Home Improvement;License:. Exp. Date: 9 C�ARC�CH�yITjE i�TQ/ECNoGINEER �SUL�v �ec�tfrcfs Phone: wz�.Address: .'t � IP Wl Reg.. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 5,112 - FEE: Check No.: Receipt No.: y 6� NOTE: P ons contractin ith u ' t d contractors o not have access to guara and _ ofAdentlOwner SE=, -Y76rn)�n`tractor 7— � Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOS Public Sewer TSwimming pools 11annzng/MassageBody Art ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dempster 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 Aning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments conservation Decision: Comments R Water & Sewer Connection/Signature& Date Driveway Permit ' DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARt tME�NMT e�Temp Diamp,�ste�on site yes Loi ca ed'at Main S rE 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) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Bnilding 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 4 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) 4; Building Permit Application 4, 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 4; 2012 IECC Energy code 4 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 Doe:Building Permit Revised 2014 Location No. 0215— 2-6 Date `7 • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ /a2 Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ l TOTAL $_ S� Check# G� 1 + Building Inspector I � • [ `+ OE NORTH 1.y0 3Z°�r' o •'•• of i � 9 •"o .r r 379�cM1`+E4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 025-2016 on 7/6/2015 Date: December 3, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED at 18 Hepatica Drive—Lot 33 MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Key Lime,Inc. 10 Hepatica Drive North Andover,MA 01845 Building Inspector- Fee: PrePaid$100.00 Receipt: 29015 Check : 7836 NORTH own o.f �.. :. Andover p -r. - 0 No. b��j ' t - 2-6 '* T' o LAKE h ver, Mass, 5�1 C0C"1CK2WKK y1• ApR/1TED /'V C> S u_ BOARD OF HEALTH Food/Kitchen PERM IT T LD I Septic System THISCERTIFIES T ^''�e � BUIL,ING INSPECTOR C S HAT................��................................................................................................... -CA _DY, C Lb-� 331 Foundatio has permission to erect .......................... buildings on ...�. ... 'le .. ............................................. 17 OCi to be occupied as ....................�lseR-:......................................................... ne .s"� �i l®� . .........................:"�............... provided that the person accepting this permit shall in every respect conform to the terms of the application 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. UMBIN I SPECT Rough � p � VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T RTS R�qC°�a Service / ,) 1/ ................. ..... .. . ................................ �Final'' - L'V',�✓� l t BUILDING INSPECTOR J'-^tel/ GAS INSPECTOR Occupancy Permit Reguired to Occupy Buildinz Rough Disp l Y in a C4ns icuous Place on the Premises - Do Not Remove Fina p No Lathing or Dry Wall To Be Done FIRE DEPART NT Until Inspected and Approved by the Budding Inspector. B -n Street Street No. ` Smoke Det. �A404 .L OE•��e�AH SSACIN`'E CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 025-2016 on 7/6/2015 Date: December 3, 2015 THIS CERTIFIES THAT THE BUILDING LOCATED at 18 Hepatica Drive—Lot 33 MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Key Lime Inc. 10 Hepatica Drive North Andover, MA 01845 e:3 Building Inspector Fee: PrePaid$100.00 Receipt: 29015 Check : 7836 NORTH Town of 2 �.. E . ., Andover _ rn Z � � „ o �AK, h ver, Mass, �e COC NIc"I W'CK as �aS RATED tl BOARD OF HEALTH Food/Kitchen PERIMIT T LD Septic System THIS-CERTIFIES THAT......... xe, �'.y �� BUIL ING INSPECTOR . . ............................................................ has permission to erect ..,�. •2 � ► ��.......C --a-E- 33� Foundatio p .......................... buildings on ...... . ... ..... .................. ............ oug to be occupied as c imne ................... .......................`..:" .................................................................. ....... 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. LIMBINVII SPECT VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 1� Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T RTS Rou M- 40- '04" . Service BUILDING INSPECTOR Final ' �� I' 71 4- GAS INSPECTOR Occupancy Permit Reguired to Occupy Building Rough l pY in a Onspicuous Dis � Place on the Premises — Do Not Remove Fina P f No Lathing or Dry Wall To Be Done FIRE DEPART NT Until Inspected and Approved by the Binding Inspector. B ner to —J4 Street No. Smoke Det. O j j cj.__ Q NORTF� q O SLED tt APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION � O,PA txMt iw«:w 1 �qS Rwrev 0 , BUILDING PERMIT # '� I SACHUS J i ADDRESS/LOCATION OF PROPERTY: /'!� � V Map Parcel Lot Number lss SUBDIVISION: o DATE REQUESTED FILED/READY FOR INSPECTION:__.. /01L-7 CLOSING DATE ON PROPERTY: Ig- Is FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: K E 4N e e t y �.� � Address: la 4&e4- � C14 `� �iVan 0g,� Kc�o✓erg ROUTING TOWN ENGINEER; SITE PL —DRIVE-WAY REVIEW ❑ CONSERVATION ;L� r,A (1- ' PLANNING I CZE DPW-WATER METER SEWER CONNECTION L'1 DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW hQL, SIGNATURE File:Application for OC form revised Jan 2007/2011