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HomeMy WebLinkAboutBuilding Permit #075-2012 - 57 WATER STREET 7/28/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7S o�L Date Received Date Issued: IMPORTANT: Applicant must com let- -11 ;t-- LOCATION llitemLOCATION 5-7 aAd— q-�_Ve., t PROPERTY OWNER 7��� L Unit# Print MAP NO: A�/ PARCEL:ZONING DISTRICT: Historic District yes no Machine Shop Village no 100 ear-old structure es no Y Y TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential i ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑_Other Septic O Well 0 Floodplamr ❑'-Wetlands 0Watersh-d`District O Water/Sewer DESCRIPTION OF WORK TO BE PERF E : . 0 4 � ?a(4 CJ ea a 1 lease Type or nt Clearly) Iden ificatio y) � yp e Phone: OWNER: Name: - of Address: vu f /heAve CONTRACTOR Name O k-eP—t Phone:q � T Address: ®Al `�� lon- 1 - /? / "t Supervisor's Construction License: l0 3J� Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: F Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. �1 Total Project Cost: $ D 0 FEE: Check No.: 77,?/ Receipt No.: 9 NOTE: Persons contracting wit nregistered contractors do not have access to Zthua(rantyJfiund ,Sognature of Agent/Own ignature of contracto a 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 ❑ j 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 CONSERVATION Reviewed on Signature COMMENTS , e HEALTH Reviewed on w ) /(Signature COMMENTS - F Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments `Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit 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 4 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 I r i i� ❑ Notified for pickup - Date ` Doc:.Building Permit Revised 2011 June/mi 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 t L3 Building Permit Application o Workers Comp Affidavit Li Photo Copy of H.I.C. And/Or C.S.L. Licenses Li Copy of Contract u Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks i Li Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses Li Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With-Sprinkler Plan And Hydraulic Calculations (If Applicable) Li 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 Li Certified Proposed Plot Plan El Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit L, Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Copy of Contract L3 Mass check Energy Compliance Report La 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 Doe: Doc.Building Permit Revised 2008mi Y Location No. © *7S-- a v/L Date i NpRTM TOWN OF NORTH ANDOVER • ; . Certificate of Occupancy $ Building/Frame Permit Fee $ � s�cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24412 �- Building Inspector NORTH TONM Of . . 0 No. � �5, =__ � _ 10� , dover, Mass., 02� �� T Q LAKE 1, C I� COC MIC HE WICK V oRA7ED `l BOARD OF HEALTH Food/Kitchen P�E �K M I T T Septic System BUILDING INSPECTOR ,�� �� c Q�e THISCERTIFIES THAT........ ...........................................................tom................. ............................................................. Foundation 4.146.7�6� s!dLhas permission toerect............::.......................... buildings on . 7 .......................................................... Rough to be occupied as �e�„� -....G�,/ ..:...... ... . ..�°. s.....�../ ..7` i�..Q` . .. !�� himn y ........... ................................... . ... . . . C e provided that the person accepting this permit shall in every ect conform to the terms of the application on file in Final- this inalthis office, and to the provisions of the Codes and By-Laws relating to Inspection, Alteration and nstruction of Buildings in the Town of North Andover. F � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ^ ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TART Rough Service ...................... ......... .c..�.,, BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SID& Smoke Det. 1 Board of Building Regulations and Standards Construction Supervisor License 1 License. CS 96357 { ,� n Birthdate 12/3/1953 - �A4 Expir12/3%2010 Tr# 96357 i {Restrjction 00 ROBERT ABESAMRA," r5l t 143 JACKSON STREET..�'r y' METHUEN,MA 01844 Commissioner t c 0 k t� y F-7 • 4- -4 1lei A-f% ........... t VS • 37-15 LI JU Fl --n---J ....... r.t77r A.- ------------ i all -- ---- - ---- t