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Home My WebLink AboutBuilding Permit #342-2012 - 18 JOHNSON STREET 10/18/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 54/2— °�b�2 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION /S �oGlr156�c. S� �i P ' t PROPERTY OWNER �� a �oW.Y / ✓,e p Print MAP NO: 6 P PARCEL: °2a ZONING DISTRICT: Q3 Historic District es 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: 915emolition ❑ Other _ jag Dept c ®Well� IDFloodplam� ®Wetlands ti0 Watershed]DistrictJ �z DESCRIPTd ON OF WORK TO BE PERFORMED: ,yam e 'd.2 `rf�'o w — �A►roy r a�2 L��►,�:��s-. I}entification� �'leas�Type pr Print Clearly) OWNER: Name: ee4 rkoe 66-d-& 7241- Phone: Address: /77 swow SIBS A. §4vG��I� CONTRACTOR Name: xo�t V-*V,0, o tj Phone: Address: CP f Supervisor's Construction License: 65 7,S3oZ Exp. Date: .2 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Tota! Project Cost: $ ,2.3 dV "r - -3, Dom. e--- FEE: 670 Check No.: V'9 0 Receipt No.: V 7- NOTE: Persons contractline with unrterecl contractors d- of have access to e gua ty fund ---� - --- --- 'Q C Signature,�o gent/Qwner Signature o con. ..ctor T. -� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ E WERAGE DISPOSAL Tanning/MassageBody Art ❑ Swimming Pools ❑ Tobacco Sales ❑ Food Packaging/Salesc 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 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 ' I 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 COAEVIENTS I } Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 1 ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No i 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, ® Notified for pickup - Date 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 o Building Permit Application i ❑ 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 ConstructionSin le ( g 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 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit a all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals 'gat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording Lust be submitted with the building application I Doc: Doe-Building Permit Revised 2008mi I T Location /CC No. y .1v/2 Date TOWN OF NORTH ANDOVER f w Certificate of Occupancy $ CMUs Building/Frame Permit Fee $ ' Foundation Permit Fee $ s Other Permit Fee $ TOTAL $ B + n s w Check # eve 2 4 7 2-9 Building Inspector 0'" ` �v ti. �� r .. 0Andove NorthAndover, Mass., 9 - L, t 'IA."E`N ICK _ Alr_ + ✓a �„o ..UILD BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ��-t 1 �� .. �f ..................................... C.... . . ......6. �! Foundatign +,,., has permission to erect...................................... buildings on ..:, . ..�........:.:............:/......................................... Rough',.- �-.'— to be occupied as........... `:.. . � �` Chimney . ............................................................. provided that the pe ,on accepting this perm' shall in ev,Bry respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Latws relating to the Inspection, Alteration and Construction of Buildings in'the Town of North Andover. _ PLUMPING INSP CTOR Rough X. .C.C� �/��21 VIOLATION of. the Zoning or Building Regulations Voids this Permit. Final _ ELECTRICAL INSPECTOR � � Rough's_{ I — � wQTJw � q ` Lt _ _ ' Service ........................... . .. ..:..u...................;................................................. BUILDING INSPECTOR Final 1 ' 1 GAS INSPECTOR Occupancy Permit cqui,ccl to Occ�� Bui ing 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 4pproved by the Building Inspector. Burner 7 Street No. # SEE ,REVERSE SIDE smoke Det. NORT#q 0 0Andover. .. i o dover, Mass. O LAKE COC HICEWICK 0 Ra re v BOARD OF HEALTH Food/Kitchen PERM .IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ . ........ ................................................................... Foundation has permission to erect........................................ buildings on ......... :................................................................................ Rough �9�Ct"o` �P '!� Chimney to be occupied as................. y... .o. ..... ......................................................................... i provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final. 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 CONSTR dJ CTION TARTS Rough s:C��:r 'rl.:/t' ............................................ Service ................. ...... , . .. ....... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. '`� 111x�s:tchusctts- Dcp:artment of Ful)lic 5aef'ct-' Board of Building Rch'ul:ations:and 5t:anc am'fs L� Construction Supervisor License License: CS 75302 BENJAMIN C OSGOOD 69 OLD VILLAGE LANE ru NO ANDOVER, MA 01845 Expiration: i2/4/;p,? ('omm ixvioner I, T#: 6 ? I I