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Home My WebLink AboutBuilding Permit #119-15 - 412 MAIN STREET 8/1/2014 Ir NORTH BUILDING PERMIT °�ti`eD 6'��0 TOWN OF NORTH ANDOVER 3� y •a ° APPLICATION FOR PLAN EXAMINATION Permit No#: �"/ Date Received �d A0Rq TED PPP�•�� S$ACHUe,E Date Issued: F l IMPORTANT: Applicant Tust complete all items on this page LOCATIONq1z 11�L i�IA �� ``,P,rint AZ4 PROPERTY OWNER �lZCAG� .,t1W _ ._S� C2 L- - - Print 100 Year Structure yes MAP . 056.-dPARCEL: _ _ ZONING DISTRICT: Historic District yes Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑ Other Septic ❑Well 0 Floodplain ❑Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: E1W0 d6 ?2+L� �MvY� G��1►-�1�. Identification- Please Type or Print Clearly ' OWNER: Name: Phone: Address: �l2 �ill�In/ S% 1106 . Contractore Clam( Phone:.. 0 O ?79 �r r Address: ► vS� L d bf (�l j� �A- 01�i � Supervisor's Construction License: l _ ;Exp. Date:. Home Improvement License.: -- _. ._ _ _ _ _ _._ _Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 5000 FEE: Check No.: Receipt No.: 'T NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund signature of Ageht/Owneri, Signature of contractor 7 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on v Si nature ,,�- 176 C-�K 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 Con nection/Sinnature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp'Dumpster on site yes no__ _ Located�at 124 MainStreet Fire'Department signature/date COMMENTS i 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 No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use) ❑ 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 ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.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 o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit 4 o 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) 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) i o Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) a 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 Location No. Date �'� • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ r Foundation Permit Fee $ Other Permit Fee $ : TOTAL $ Check# 27847 Building Inspector NORTt-{ own of sAndover O - to No. ,� oh ver, Mass, Ab CO MIC Nl wtc �'1' V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System . THIS CERTIFIES THAT ............ 1�..........�......... ... ........... 4...... ................................. BUILDING INSPECTOR . . . ' has permission to erect .......................... buildings on ...... ..�.�....�". 1A..... ....�j........ Foundation� Rough to be occupied as .... SNON0.60....... ...Q.. r...'t'........ .a......... .... ........... Chimney provided that the person accepting this perm 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 CONSTRUCTIO Rough Service ... ............. ............................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. r , Smoke Det. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 6 961wv—. C1r is that the debris resulting from this work shall be disposed of in a properly licensed solid waste e dis osal facility as defined by MGL c11, S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: U/��reve� �Cjr r2U 77vJt1 � ; 5 ��j /fijgb 6 C�/NST/ /�7U/U (Location of Facility) i pplicant e121- 1 Date //flS 'lv i 5s a e- /l Le _ --%f ej N42y 4 (-ee OXFORD STREET r 133'± I PARCEL A 12,005 Sq.Ft.± i ! +1 o OD T---- W I W Lr- +1 IRREGULAR SHAPED _ N/F POOL J J ST. PAUL'S CHURCH W i, 55'+ 5 PROP. USE EASEMENT FOR EXISTING POOL AND CABANA O PARCEL B CD 10,937 Sq.Ft.± 7 i DEED BOOK 1022 PAGE 236 PLAN REFERENCE 2649 - SUBDIVISION OF LAND, MAIN AND RUSSELL ST 9TH ANDOVER , MA - MAY ?, 19 63 SCALE 1" - 20' .�. 46 20 10 0 20 . REGISTRY USE ONLY PROPOSED EASEMENT for ERCOLE B ANGELA ` SIDERI JR 412 MAIN STREET NORTH ANDOVER , MA APRIL, 199.0 ., "I CERTIFY THE PROPERTY LINES.SHOWN ARE THE LINES DIVIDING EXISTING OWNERSHIPS, . AND THE LINE OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED, AND THAT NO NEW LINES FOR DIVISION OF EXISTING., OWNERSHIPS OR FOR NEW .WAYS ARE SHOWN, AND.FURTHER, I CERTIFY THAT THIS PLAN CONFORMS.TO THE RULES A AND REGULATIONS OF THE REGISTOR OF DEEDS. OF M9s go r MORMSM0, 22159 �• / RAM ENGINEERIN11 ICn AAAIAI CTOCC-