HomeMy WebLinkAboutBuilding Permit #Exception - 733 TURNPIKE STREET 6/17/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION. 133 -'rU OLP), Q Slye(4 U nJ 2- LA &do& -Ah,
Print -
PROPERTY OWNERIbt boo IL Ox.; UL
Print 100 YearoldStructure yes
MAP NO: PARCELM ZONING DISTRICT: Historic District yes 0
Machine Shop Village yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
El New Building
El One family
El Addition
11 Two or more family
UI clustrial
Xommercial
El Alteration
No. of units:
11 Repair, replacement
11 Assessory Bldg
El Others:
El Demolition
El Other
0 S,epjic El Well
0 Floodplain 0 Wetlands
El Wat.ershed'District:
�,Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
/Vo L-WeAel ep'-5:- ( -- 0 It— C-.0,
OWNER: Nam
Address: 199
Please Type or Print Clearly)
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�JticRcad, HzkVerh(')1, nss o)
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License:
ARCH ITECT/ENG I NE
Date:
Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: MOO PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F.
/4'-.90 690
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
g tyre of Agent/Owher- Siqnature of contractor
ha
Plans Submitted [I Plans Waived El Certified Plot Plan Stamped Plans
Z
A
Plans Submitted 11
Plans Waived - El Certified Plot Plan El Stamped Plans 11
TYPE:OF SEWERAGE DISPOSAL
I
Public Sewer
Tanning/.N4assage/Body Art Er
Swfiming Pools
Well El
Tobacco Sales El
Food Packaging/Sales El
Private (septic tank, etc. El
Pennanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATEAPPROVED
PLANNING & DEVELOPMENT El
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH
COMMENTS.
Reviewed on - Siqnature
Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfreceipt submitted yes _ � -
Planning Board Decision:
Conservation Decision:
Comm
Commen
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Towo Engineer: Signature:
Located 384 Osciood Street
FIRE tEPARTM i ENT - Ternp Dumpster on site yes -no
Located at'124 Main Street
Fire Depairtmel'it-tignativeldato
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 anco UA I A — (t -or aeDartment use
0 Notified for pickup - Date
Doc.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
• 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
Li 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/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Lj 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
u Certified Proposed Plot Plan
u Photo of H.I.C. And C.S.L. Licenses
Lj Workers Comp Affidavit
u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Lj 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: Doc.Building Permit Revised 2008mi
Location
Date 611-7117
No.
Check # ��5-7
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $-
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Building inspector
North Andover MIMAP
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Wetlands
Zoning
Interstates
Exempt Lands
I Businne�
: 1 Di::,ric
Interstate
13 Busi ei
2 Di ic(
Horizontal Datum: MA Stateplane Coordinate System, Datum NADS3,
Major Roads
93 Busine!
s 3 District
Meters Data Sources The data for this map was produced by Merrimack
n Busine!
s 4 District
14ORT#1
Valley Planning Commission (MVPC) using data provided by the Town of
Roads
= Genera
Business District
North Andover. Additional data provided by the Executive Office of
CiEasements
0 Plan,ne,
Commercial Dev
0
Environmental Affairs/MassGIS, The information depicted on this map is
C3 MVPC Boundary
Corrdo
Deve:op entDist
for planning purposes only, It may not be adequate for legal boundary
Municipal Boundary
a C.mdo
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definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING
Zoning Overlay
;nd.us ri
:: 1 District
THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY
E3 Ad. Entertainment
nd s� ri
2 District
OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT
o
C3 D wntown Overlay District
[3 Historic District
C1 Ind.stri
0 Indusin
d 3 District
it S District
4.
ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
G3 Water Protection
Residei
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Residej
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SAC
[I Parcels
Ridei
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Hydrographic Features
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number Date: June 17, 2013
� THIS CERTIFIES THAT
THE BUILDING LOCATED ON 733 Turnpike Street
MAY BE OCCUPIED AS Laboom Tannin2 Salon - Unit 2 IN ACCORDANCE WITH
THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Gerard Boucher
189 Amesbury Line Road
Haverhill, MA 01830
Building Inspector
Fee: $100.00
Receipt: 26523
Check:2057