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Home My WebLink AboutBuilding Permit #Exception - 65 WATER STREET 6/22/2010Permit NO: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this page Adt,'l 64' MAP42 1�& 0 L TYPE OF IMPROVEMENT, PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family TYPE OF IMPROVEMENT, PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Others: Repair, replacement Assessory Bldg Other -.Demolition Mit If, _bOdplain- t an S, 3- V at rshJ&--dff,,Di t'r, t A� w 'a. lk. J , � . --. Ur-bt;KIF I 1UN UI- VVUHM TU 13F= PREFORM ED: Identification Please Type or Print Clearly) OWNER: Name: Phone: ±—q_�q Address: W, j, "Ot" 6":_` Rik t i b, 11_!�'N ib - 'A T i7; 7 1.7 4�' V7 '4 "bate -L, S' Isms t6fistRud6h t; - Je' P-m-'Pupy, U, ARCH ITECT/ENGI NEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT. $1Z00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ 0 01 Check No.: Receipt No.: �22 0/1'? NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund f .,borh t Ta t7u� f r T,... kgen, f.Whef.- 7§gna urejo g_q__ 61L8 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Located 384 USgood btreet ETIRE"DEPA �"-emlp u Mr,,, @r�,.qjn,�si 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 I COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATEAPPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments c�ori-�,enrvation Decision: Comments Water & Sewer Con nection/Sicinature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 USgood btreet ETIRE"DEPA �"-emlp u Mr,,, @r�,.qjn,�si Lit n E -"b ba t6d I atrM 24�M' 41h -I '�S tF pg� ft- 11-C-1 -if/ at I ft hn e n n-btuf d -4 r�s COM 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 21 A —F and G min.$100-$l 000 fine NOTES and DATA — (For department use) U Notified for pickup - Date Doe.Building Pennit Revised 2010 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 u Building Permit Application L3 Workers Comp Affidavit • Photo Copy Of H.I.C. And/Or C.S.L. Licenses • 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 zi Building Permit Application • Certified Surveyed Plot Plan • Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract Li Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) u 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) • Building Permit Application • Certified Proposed Plot Plan • Photo of H.I.C. And C.S.L. License's • 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 L3 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: Building Permit Revised 2008 Location 4,; No. � 1�)c 7�--/- 5��- Date &4, V, Check # �lk le " 2 3 0 A�t - Building Inspector TOWN OF NORTH ANDOVER Certificate of Occupancy $ Ac Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ C-0 TOTAL it $ V, Check # �lk le " 2 3 0 A�t - Building Inspector 'AD CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 792 Date: June 22, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON 67 Water Street MAY BE OCCUPIED AS Business for a nail salon IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Cerfificate Issued to: M M Associates Management Company North Andover MA 01845 Building Inspector Fee: $100.00 �6� a go/ 7