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Home My WebLink AboutBuilding Permit #Exception - 200 SUTTON STREET 7/30/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: I I �10 IMPORTANT: Applicant must complete all items on this page LocAT.ION. si P" t' PROPERTYOVVNEk Y6-irididstrqc-ture�- yes� O� Pfint, lob MAP NO: PARCEL: MJ ZON 1,NG-:, 04STRI CT: Historic District, yes? no. e -ho no YO n Machin':S P.Villag s, no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 11 New Building 11 One family 11 Addition El Two or more family El Industrial 0 Alteration No. of units: XCommercial 0 Repair, replacement 0 Assessory Bldg El Others: El Demolition El Other �'qo - Septic - E]Well� - 0 FlOodolbim 0 Wetlands Ei Wbterthed0istridf, E]'Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: VV00 C"Iel rv-pw PA tUA al�d- C:0' e+, P�ass 09 E- sdoe-po-cy) 0 ury I ey Identiricatioh Please Type or Print Clea�ly) OWNER: Name: gu�e— Phone: Address: Fayy VV004 "DY' R yc;) CONTRACTOR, Name: Phone-.- AddVess: Su ervis�or's, C -ons4ructio h License: 'p Exp- Date: Home Improvement License: Exp Ipato. ARCH ITECT/ENG IN EER /1///q Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ES COST BASED ON $125.00 PER S.F. X�2 W Total Project Cost: $ FtE: Check No.: ReceiptNo.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund n re of A ent/Owner Sign ure'of.'cohtractor.. Sig Atu --g Plans Submitted Plans Waived Certified Plot Plan D Stamped Plans Plans Submitted 0 Plans Waived 11 Certified Plot Plan D Stamped Plans 11 TYPE OF SEWERAGE.DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools 11 Well Tobacco Sales Food Packaging/Sales 0 Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS DATE REJECTED I DATEAPPROVED 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 Drivewav Permit DPW Tow;! Engineer: Signature: FIRE I)EPAR'TREN'T' -'Temp Dumpster on site yes Located at *124 M*, Street Fire Depairtm" ey"it-sig natu teld ate COMMENTS Locateo 3M USgood ,3treet no 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 MGL Chapter 166 Section 21A �F and G min.$100-$l 000 fine NOTES and DATA — (For dwartment use D Notified for pickup - Date I Doe.Building Permit Revised 2010 No Building Department The fol�,Swing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits u Building Permit Application u Workers Comp Affidavit u Photo Copy Of H. 1. C. And/Or C. S. L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 ii Photo Copy of H.I.C. And C.S.L. Licenses Li Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) u Mass check Energy Compliance Report (If Applicable) u 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 Ei Photo of H.I.C. And C.S.L. Licenses Ei 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 140TE: 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 app�-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Builjing Permit Revised 2012 ,40RYN 0 AC CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date: July 30, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 220 Sutton Street Suite 240 MAY BE OCCUPIED AS East West Massage — Massage Therapy__ -,IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Suleeporn Currier 161 Farrwood Drive Bradford, MA 01835 Building Insktor Fee: $100.00 Receipt: 26685 Check : 146 td.A,:� Location U -Lb No. Date Check # 14& T- TOWN OF NORTH ANDOVER Certifi 6ate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee $- TOTAL $ 26 63 6 Building Inspector C�� S� ��g ��1 � :, �''t ;i {{r I ,AORTN CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date: July 30, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 220 Sutton Street Suite 240 MAY BE OCCUPIED AS East West Massage — Massage Therapy_jN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: $100.00 Receipt: 26685 Check: 146 Suleeporn Currier 161 Farrwood Drive Bradford, MA 01835 Buifding Insktor P 11 51 q, N co