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Home My WebLink AboutBuilding Permit #562-2017 - 351 WILLOW STREET 11/23/2016 ?rl� BUILDING PERMIT ftq X V G �soRry Q`�SIED t6�� 7 y� v 1 'V0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ' '" ~ Permit No#Z9— Date Received 2 �RQORwren wea` �c � CHU5�� Date Issued: 9SS'9 LVIPORTANT:Applicant must complete all items on this page Pr t PR®PERT�Y°OWNERy - - Pnnt 100 Year uct ru e_ yes o MAP ._ PARCEL _ ,Z®NINGe®1STRICT,__l HistoriclAistnct eyes, no'- w. Yom:{ _�,: .cw.,,..� aehme:Shop�Villa no TYPEOF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family Xlndustrial ;BrAlteration No. of units: fl Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Se tie ❑Well M ❑ Floodplain 01Netlands D^Watershed Distract; p i+ []Water/Sewer,_ ;k DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: MQ - Rsat�"� L�S i Phone: --Q$3-Iol 1 Address: 3'--)f t_�® � Q7H (:,IvpoV .Contractor Nafne .CMC.` .- P.1166.e.:.-G33 Ad dress:ON 1-s+"kc:�L. -Q _ -- Su eGvisor s.Construction Lice N rase .CS__ -q4 Exp:. Date 1 S --COq- .7 P _ -� — a- Momellrnproverne t,License . Expo Date- ARCHITECT/ENGINEER rnoQ 1P _Cf-%MERU Phone: Address: 6(.. M O tt Reg. Noet\l L- 1�\p FEE SCHEDULE;BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.:,�F�- 5 j /l Receipt No.: NOTE: Persons contYactingivith unregistered co Tactors do not have.access to the guaranty fund Signature of_Agent.0--er Signature of contractor, Plans Submitted Plans Waived E] Certified Plot Plan ElStamped Plans El TypF'OF SEWERAGE DISPOSAL Public Sewer ❑ Tannin g/MassageBody 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMkIENTS 1 p `Zo.ning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes .Ce --ening 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 ', COMMENTS i limension 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 Yep No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email ate Time Contact Name Doc.Building Permit Revised 2014 i 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 o 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o 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) o 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) o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy o f' Contract o Mass check Energy Compliance Report o Engineering Affidavits for Engineered products VOTE: 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 i I Location No. Stt'Q 2- a0l 7 Date 11J3-aoi 6 I } • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ j Building/Frame Permit Fee $ �s Y� 1 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# � `Building Inspector `:y' r 1 jttORT" .: .c ve" #* 4. Q ...,,. _ 'y'• Y X11 No. 661— C% - LAKS h ver, Mass, & A_ COCNIc"RWICK 7,95 R^reo �pP��S U BOARD OF HEALTH Food/Kitchen PERMIT Septic System THIS CERTIFIES THAT . ... .. ...� ... ' ,•, BUILDING INSPECTOR . ... ..... .. ..... Foundation has permission to erect .......................... buildings on t .... ... ...�r.................... Rough tobe occupied as .... .. //!1 ......................................................................................................... Chimney provided that the pe son 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final - PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST ON Rough Service . .. . BUILDING........IN... PEC R...... .. Final GAS INSPECTOR Occupancy Permit Reguired to Occupy Building 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. Smoke Det. ......---------------- Massachusetts Department of Public Safety Board of Building Regulations and Standards. License: CS-094656 Construction Supervisor KAREN F CURRAN ±. 70 UNION ST MARSHFIELD MA 02 = to F� Expiration: Commissioner 10/09/2017