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HomeMy WebLinkAboutBuilding Permit #814-11 - 2 JOHNSON STREET 6/2/2011TOWN OF NORTH ANDOVER (� f, APPLICATION FOR PLAN EXAMINATION Permit NO: d 7 Date Received Date Issued: 62 A // IMPORTANT: Applicant must complete all items on this page LOCATION Print _ PROPERTY OWNER �P - o2 "Ked -U y t 2.L:,A Print MAP NO: 4 PARCEL: `z`% ZONING DISTRICT: G - Historic District es no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition 0 Two or more family ❑ Industrial P,A teration No. of units: P�C—bmmercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic 0 Well. ❑ Floodplain ❑ Wetland's 0 Watershed District U Water/Sewer _ DESCRIPTION OF WQQRK TO B�-/ P 'i - (Identification Please Type or Print Clearly) OWNER: Name: C'a�c `tZQ.�.t-y -7 7LVs.4- Address: Q.D.U. �� �e.�-(, Alvzoveg_ ( w4ss CONTRACTOR Name: "Zew,i 4 (*t'.* �s � o o n Phone: sect -a Address: gip l 04etcoo'& M4- e1 T 4 s c � Supervisor's Construction Licensers %.3a y- Exp. Date: /S 14 1.0 6,f -?-- Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 6S,L( ,vow �P, UG &c,)'S -i�c c Phone: Address: L kod A s~ , curt -s5 _Reg. No. FEE SCHEDULE. BULDING PERMIT. • $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 6z�)l ©©e> FEE: $ 700 U Check No.: J/ 6 Receipt No.: 2 , 2 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �Signatureaof Agent/Owne . _ Signaftare of confracto 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 ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed o ` Si natur COMMENTS 4�L— Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board'Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit 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 COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. it.: 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 de ® Notified for pickup - Date Doc:.Building Permit Revised 2008mi ent use No 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 ❑ 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 a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit a 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 MOTE: 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: Doc.Building Permit Revised 2008mi Location.2 — v No. ���� �� Date MORT" TOWN OF NORTH ANDOVER O't•�•o •1q.O .. A Certificate of Occupancy $ '� s'"•°' E<�'• Building/Frame Permit Fee $ �CMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # J'-/6 • 24�I,i u� Inspector 4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 814-2011 Date: June 16, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON _2-4 Johnson Street, North Andover, MA 01845 Haute Dish Cafe MAY BE OCCUPIED AS cafe IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: 100.00 previously paid Receipt: 8169 Center Realty Trust 2-4 Johnson Street North Andover, MA 01845 Building Inspector /0 51 W co RP4 �'' \ \ a ok CaG "'0 C 4,, [� w w -0 O oa o a °O c 4 ro U w W °�° C7 °�° w z O L2 cin G G w2 O G O v G cn w O G f2 w m cn U) Lu z � c o as c c � C= +� O H � C V0 co C d C t O k- p i E Q c m o _ CD f� c EE Co fit �, cL fV cm CD c co : N R ®m L o z 3 fA C f�f � 'p !� , � m ti C ECD .a fa o vim : E o : \ C.3 C.3 y Z : � O H C m N m CCD = m o F- vs co F- WMow'C oZ o �... •VJ �dZ o C .110.1y - LU ® le c .oc CO3 d O-0 .= W .0 o h = `..c f3,� m E coL CL f/! y O C 0 CD cm c Co32 0 cm C .0 N m y.r 0 Z O J 0 •a f co O co ■ L O O v Z aL CL O CO) D C 03 pm CO2O D CD O ■O mm CD CD CL = O.D co C cm O i cc O Q CL CMQ c CO2 Cc c CJ J "p O. O, a)CD 0 CL V y c C ■� cc CO) LU 0 LUN to OL W LIJ 19 W 0) A I. CERTIFICATE OF USE & OCCUPANCY Building Permit Number 814-2011 Date: June 16, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 2-4 Johnson Street, North Andover, MA 01845 - Haute Dish Cafe MAY BE OCCUPIED AS cafe IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: 100.00 previously paid Receipt: 8169 Center Realty Trust 2-4 Johnson Street North Andover, MA 01845 Building Inspector O z r� H :=o €o as c d a0 � U Cts Q x v G r•a a goO w C bo w z v 0 v w U) O G w U O G cG w O w U) V5. cn cn r� LU 0 0 to W 19 W N :=o €o as c :H Cts Q C H O C v V m C c R m c i � E CC L O c m o v _ C-3 co �' .,•, c mm E E J .�o Cw ca 43 �\ u cm E CD C c:= GO ccm \ C L N N N m Oz u a = C y O CO) C y N E� O �... O L O CD �O o.c..) m O y m' z= 0 cm •m nC= c m Z 0 Izv Qv r C L O d C •O H Q v O C y �: y C O col r0. � y.. 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