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Home My WebLink AboutBuilding Permit #156-15 - 412 SALEM STREET 5/1/2018 (3) p`1 I NORTl1 BUILDING PERMIT "r.D agtio i TOWN OF NORTH ANDOVER o :: APPLICATION FOR PLAN EXAMINATION 14L ii Permit No#: - Date Received it �SSACHU`'�� I Date Issued: IMPORTANT: Applicant must complete all items on this page ik,0 ATION' - PRQPERTY OWNER'� �� Pnnt 10D Year Structure yes MAW PARCEL ZONING DISTRICT _ _ Historic Distract yes y== - r _ / Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )(One family ❑Addition ❑Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial f Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other p Septic ❑Well ❑+Floodplain 0 We-tl:-nds q Mtershed Distncf? 0 Water/Sewer _ — DESCRIPTIO O WORK TOB RF RMED: Idetification-Pease Type or Print Clearly _ OWNER: Name: i{^ Phone: Address: i t Contractor`Name 9 Phone �, _ Address:. ,t` -- _ --- -= _ - $u ervisorrs .Construction License:- Exp. rDate:. p � � Home i,Improvement License --__ _.. -. _`_ n 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. Z/ Total Project Cost: $ FEE: $ o� Check No.: e-19 7,6 Receipt No.: 7��,6 NOTE: Persons contracting with unre ' kred contractors do not have access to the guaranty fund Signature of,.Agent/Owner _ Signature-of contractor Plans Submitted ❑ Plans Waived El 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 Signature COMMENTS HEALTH Reviewed on Si nature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments It Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DARTMENT EPTemp€pumpster on site ,yes 'Locatedvat 124Main`Street ,Fire De partinentsJgnature/date` `COMMENTS s _. 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 _._...----...... _._._...-- -- ----------- ----- —--- ----._._._.....3 Doc.Building Permit Revised 2014 J 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 ❑ 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 ❑ Photo of H.I.C. And C.S.L. Licenses ❑ 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 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. �J 6 /S Date F1111141 o = TOWN OF NORTH ANDOVER Certificate of Occupancy $ � Building/Frame Permit Fee Foundation Permit Fee $ r" Other Permit Fee $ tf TOTAL $ Check# 27886 Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 409000.00 m $ - $ 480.00 Plumbing Fee $ 60.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 60.00 Total fees collected $ 700.00 412 Salem Street 156-15 on 8/16/14 Remodel Kitchen and add Two Bathrooms NORTH own of ndover O 0 i 'io K ver, Mass, 9/2�y C OC NICNEWICK y01' C BOARD OF HEALTH Food/Kitchen PERMI-T T LD Septic System THIS CERTIFIES THAT ...........� /'i... ... .. BUILDING INSPECTOR ....x....................................�................................. Foundation , has permission to erect ..................... buildings on 5q/e-� S ..... ................... .......................................... ............. n Rough to be occupied as .................�.:......:........................ ............., c; ....�...... �.' ...�4'//.... chimney provided that the person 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 CONSTRUCTIO ARTS Rough Service ........... ....... /5-1 ............................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required 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.