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Building Permit #508-14 - 5-Johnson Street 12/17/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: vll;�"I � Date Received Date Issued: 1 L1I1 1 I I" IMPORTANT: Applicant must complete all items on this page LOCATION .1 Ca v� ► -- _ Print 1 PROPERTY OWNER 6 ,ri c K- S7.''O,-_ co -<-r, Prinf� .. 100 Year Old Structure es no MAP NO: /6 PARCEL:I�zl,�' ZONING DISTRICT: Historic DistrictL5 no Machine Shop Village yes no TYPE OF IMPROVEMENT- PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg. Others: ❑ Demolition ❑ Other- ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED' vim, S I ft e -/a JI vu, Aa-vx 0 Q SEA S .4Cr Identification Pleas Type or Print Clearly) OWNER: Name: Air t r_K STo v,,t Lol _ Phone: `/o3k5' Address: Pio)( ?7Ir. AAopt.-A/I CONTRACTOR Name: Alcor _ T fr c�5 Address:��'Slo�� f rl ��� /�' 1`�• r Supervisor's Construction License: J r Exp. Date:�� Home Improvement License: Exp. Date: ARCHITECT/ENGINEER IC_ Phone: 97?, Address: / Jr_1k4 �� ua W AJec.-&-y- RX Reg. No. FEE SCHEDULE: BOLDING PEIMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ J0, FEE: Check No.: 1 Q Receipt No.: -2-7 (S' NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund A ;Signature of Agent/Owner Sigpature of contractor F,51 Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ IPam!dP I a n z Plans Submitted ig PlansWaived-E] ..Certified Plot Plan ❑ Stamped Plans X :TYPE OMWERAGEDISPDSAL Public Sewer :+ Tanning/MassageBodyArt ❑ Swimming Pools ❑ Well ❑. Tobacco Sales ❑ _ Food Packaging/Sales Aw Private (septic tank, etc"- ❑ - - . -Permanent Dumpster on Site ❑ THE. FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT' COMMENTS CONSERVATION COMMENTS EALTH COMMENTS DATE REJECTED ❑ DATE.APPROVED Reviewed on Signature Reviewed on V711 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit a DPW Town Engineer: Signature: -Located 384 Osgood Street F3RE DEPARTM:L- -Temp Dumpste"r on site yes no Located-bt 1N.Mair Street Fire Departmer"it signature/date"' COMMENTS 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 NU I t5 and DA I A — (t -or aepartment use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fol?owing W ---a list of the required -forms to be filled out for the appropriate. permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o B.uilding Permit Application ❑ Workers Comp Affidavit a 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 a Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a 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 apo, -al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Bui?ding permit Revised 2012 Location )5 - —,to y � ✓%s,, /1 r, J No. Date 1a 14 its Check #/U 0 c TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 30,000.00 m $ - $ 360.00 Plumbing Fee $ 45.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 45.00 Total fees collected $ 550.00 5 Johnson Street 508-14 on 12/17/2013 Tenant Fit Up 2.40 Home Occupation (1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly Secondary'to the use. of the building.. for living purposes. Home occupations shall ` 'include, -but not limited to the following uses; personal services such as famished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty parlors, animal kennels, or the conduct of retail business, or the manufacturing oigoods, which impacts thio residential nature of the neighborhood 4. For use of a dwelling in any residential district or multi -family district for a home occupation, the following conditions shall apply: a. Not more than, a total of three (3) people may be, employed in the home occupation, one of whom shall be thetolwier of the home occupation and residing in said diyvefling; b. The use is carried on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customa y with residential buildings; - d. Not more than twenty-five (25) percent of the existing gross floor area of fhe dwelling unit . so used, not to exceed one thousand (1000) square feet, is devoted to'such use. In connection with such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these limits; C. There will be no display of goods or wares visible from the street; f. The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood, g. Any such building shall include no features of design not customary in buildings for residential use. Signature Date V NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978-688-9542 BUSNESS FORM FOR TOWN CLERK DATE: NAME: O- C-)( ADDRESS:, �S ©kj,"Sc VN� ZOIdi1►NG DISTRICT: TYM OF BUSINESS:. r Food s, /c - BUILDING LAYOUT PROVIDED: YE NO . AVAILABLE PARKING SPAMS: /a ZONING BYLAW USAGE: 40s -- NO BUILDING INSPECTOR SIGNATURE BUSINESS FORM FORTOWN CLERK ro 9 1 00 ti J Q W LL.Z p m C U Y \ 0 LL N UU Q (A 00 W C Z 3 m C N 7 LLL 3E d' 41 U LL OC O W N H Z Z ca J a to 3 K LL 0 W CL Z cc LU to 7> OC N LL O U LU IL0 vi N C7 L 7 2' LL Z W a CL W 0 LU 5 w y CO 0 Z a+to CU a) Ln a 0 Y 0 V) _ O Cc V O •E L R O it E g � N d R f �0 �J N1 � L tip > _ R L c °' vi a) O __a)> 'a c .O V _ � as .0 E o 4) Z 0. N O QaM w• 3 o 0 IL CL Q. • .+r- 'a u) •m c.i4): _ E CL H 0N V m ujW = -02- O O 2w.—,o _ .N .Q w O Mw z W v d i Qd •> w C N = O H t ..0 . Q. O V J z Z W w a. W H LU a. 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