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Home My WebLink AboutBuilding Permit #Exception - 52 WATER STREET 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received r Date Issued: Ih. IMPORTANT:Applicant must complete all items on this page LOCATION rint PROPERTY OWNER /)J/ `�' Unit# PI t MAP NO: PARCEL: 0' ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure 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 .. S?✓'r' r '-+ Tom' 1'i'!. t,-','t?+.e ' t 2 _r .} - .. i 3'rs '7"- P�1obd�Ialn �Wetlands: �� i�tershed�Dlstrict .aL� :w� a .-a,,� ✓a-E r... , k .z ,1., s �r�. ,r' s.ns xt r sK* Y' ..�,,,.. c. � . ��,,. . i i .� " .T� a> �'— , FC b n'G. xrr �'�r�� S a x3- fi'-C .".� ✓x w r` .n', DESCRIPTION OF WORK TO BE a ERFORMED: - ` 14e, o IclentiCc tion P else Ty a or Pri it Cl a •1 ) 0�3�3 OWNER: Name: Phone: y� Address: '53 CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. g FEE SCHEDULE:BULDING PERMIT:$42.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: Check No.: D Receipt No.: 02 , - NOTE: Persons contlactin with unregistered contractors do not have access to the guaranty fund Slgnatureof_Agent/Owhe,. . ;:.; . �- .:._ _Signature off_corttractor ' ,.. :: Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Taiming/Massage/Body Art ❑ Swimming Pools D 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I 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 Conservation Decision: Comments i i Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no r Located at 124 Main Street Fire Department signature/date _ COMMENTS M Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. I 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.$10041000 fine I NOTES and DATA—IFor department use I i 0 Notified for pickup - Date Doc.-Building Permit Revised 2011 June/mi 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 o 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 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 ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a 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 i a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit r ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) � o Co of Contract Copy a 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 fit all cases if a variance or special permit was required the Town Clerks office trust stamp the decision from the Board of Appeals that the appeal period is over. The applicant most then get this recorded at the Registry of Deeds. One copy and proof of recording inust be submitted with the building application Doe: Doe.Bui lding Permit Revised 2008mi Location No. Date 61-2 �L NORTh TOWN OF NORTH ANDOVER o c • ; . Certificate of Occupancy $ Aq D �'�s•►cNusEt�'' Building/Frame Permit Fee $ f Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r y X. Check # �� ' 24970 Building Inspector r: s �MoerN .Ritia !fir- Y i t t Pi thea��9 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Date: January 23,2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 52 Water Street North Andover, MA 01845 BEAD HAPPY LLC MAY BE OCCUPIED AS BUSINESS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Bead Happy LLC 52 Water Street North Andover,MA 01845 Building Inspector Fee: 100.00 Receipt 24970