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HomeMy WebLinkAboutBuilding Permit #650-15 - 315 SOUTH BRADFORD STREET 5/1/2018 BUILDING PERMIT NORTH q C TOWN OF NORTH ANDOVER 02 y�tit(�ec ti646~O APPLICATION FOR PLAN EXAMINATION - T Permit No#: � b— /r Date Received 4 ��SSArED CHUSE���. Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION• 1IV 1` [�C`-�� v( RROPRTY OWNERr ( Pring 100 Year tructure l u'yes no MAP/y_1 PARCEL_ ZONING',- —,TR]CT Historic'Distnct yes no t -v� LL , 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: ❑ Demolition ❑ Other $epti.er ❑ 1Nell' ❑ Floodplain p Wetlands ❑ '.1Natershed' Dstrict T DESCRIPTIONOF WORK TO BE PERFORMED: I entification- Pleas Type or Print �n OWNER: Name: t(�(Cc C ��l� Phonel;�� 7ze z3e)t Address: E5 Contractor Name _-_ _ Ph;one.__ Address: Supervisor's .Construction License 'Home'Improueenent License _ _ _iExp, +Date>=�� ARCHITECT/ENGINEER Phone: ' Address: Reg. No f. FEE SCHEDULE.BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ d, 20, FEE: $ /tea•w Check No.: A00/ Receipt No.: 1E4��y NOTE: Persons contracting with unregisterg4ntrc rs do not have access to the guarantyfund Signature of Agent/,O'wner nature of contractor -__-� VV� I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TypF bF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ i 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 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments b Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street rFIRE,DEPeo►RTMENT Tempt®urrmpsteron site eyes ,.__ no=_- L:ocated:at 12'4.fMam_Street: _ i ;Fire%DepartmentIsignature/date.__ _ _ - __ _ (Co C > MMENTa - — - --- -- f Dimension Number of Stories: Total square feet of floor area, based on•Ex- erior 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) i I I T ❑ Notified for pickup Call Email Date Time Contact Name i Doc.Building Permit 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 o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ 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 a Building Permit Application L3 Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) a Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo,& H.I.C. And C.S.L. Licenses ❑ orkers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) 1 ❑ Copy of Contract ❑ Mass check Energy Compliance Report o 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:Building Permit 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 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/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 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 ❑ Phot i of H.I.C. And C.S.L. Licenses ❑ V!lorkers Comp Affidavit /fJ- "Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) -4 ❑ 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:Building Permit Revised 2014 � 7 Location No. S�_ /�. Date . - TOWN OF NORTH ANDOVER • ,, Certificate of Occupancy $ Building/Frame Permit Fee $ r Foundation Permit Fee $-- r Other Permit Fee $ , TOTAL $ Check#/00 r 28484 fi �Building Inspector ector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ - $ 480.00 Plumbing Fee $ 60.00 Gas Fee 100 comm. M S 11©:©OD Electrical Fee $ 60.00 Total fees collected $ 700.00 315 South Bradford Street 650-15 on 2/23/2015 Kitchen Renovation own � N0RTy o No. o An over I. ver, Mass ED PIP Vo BOARD OF HEALTH Food/Kitchen CERTIFIES THIS CERTHAT �.T HAT,,,,,,,,,,•,•1,p�•6 ��17p�1^ Septic system . ' buildings ................ ....has Permission to erect.... •�•.S.•••' •••� ....................... BUILDING INSPECTOR...................... buildi gson ��s� to be occupied as •• •••......, Foundation co provided that the epti '�'C" ` • •�`�' Q� Rough r . ............: e. a person acce tin " p g this permit shall in eve N I on file In this office, and to the provisions r the Codes and B - Chimney Construction of Buildings every By-Laws conform to the terms of the application 0 g the Town of North Andover. elating to the Inspection,Alteration and Final VIOLATION of the Zoning or Building Regulations Voids this S PLUMBING INSPECTOR o Permit. Rough Y PERMIT EXPIRES--IN 6 MO Final UNLESS CONSTRUCTIONR MONTHS STARTS ELECTRICAL INSPECTOR Rough s ........... ...... Service ��'�- ' ... ............... t3UILDING INSPECTOR Final anc Perinit Occu Re ui�ed to Occu la Buildin GAS INSPECTOR Display Y ►n a Conspicuous PRoughlace on the Premises - Do Not Remove No Lathingor D � Fina' Until Inspected � Wall To Be Done " . p and Approved by the B FIRE DEPARTMENT Building Inspector. Burner Street No. i I Smoke Det. r , I rr 11/17/2015 - OLIVER j,.SHVW OLIVER: MassGIS's Online Mapping Tool OLIVER Updates Please use the red pushpin instead of the "Search for location" window. Zoom to a town I vf a y,' • r � �•- ' ., �.'-f. �a^ t .fi, ,:.. ,. ,.. + +fir.�., � :y } { n ry i i i m .n+ t Y, " - 4 t ' ,a ; d I i< r r � s. r *= f of r k � i. 9 Ja - s- M' .x v 3 a ,a 4 is i 'fit Sym- 7 - , I t - http://maps.massgis.state.ma.us/map_ol/oliver.php 1/1