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Home My WebLink AboutBuilding Permit #639-11 - 789 TURNPIKE STREET 4/6/2011TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO• t // Date Received Date RTANT: Applicant must complete all items on this LOCATION 7e —rdRey P(ff6 -'5T_ 1i10, , WD0yC-f , M4- 01941,5' Print _PROPERTY OWNER Cil KL- 0 UJ G RE e N t,A G Print MAP NO: (��PARCEL: LrD ZONING DISTRICT: Historic District yes no Machine Shop Village 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 _ meq_ -• �.-i. O Septic, ❑Well] _. _ •- - - _ ?' ❑Flood laui' ��4Wetlandsl p 5 _ �y 4 y i yi�atershed�District ,J _ _ ❑FWater/Sewer; - - 1f - _k -:' f_..a _<.: #,_z._`��_�. _ .�.�� DESCRIPTION OF WORK TO BE PERFORMED: PlQar'--f -(ovJ 'i'o FORM o? oFeir-FS Identification Please Type or Print Clearly) OWNER: Name: W I leak Ou7 tY 8,66) 6TA z.GY 1-1, C_ Phone: Address: CONTRACTOR Name: (;faS,o n r 0 ST co In) C Phone: 17 ( g- qs QJ,� Address: 13 � /V D f ANb 0 a6 2 , 01,4 Supervisor's Construction License: 9c -p- �� Exp. Date: 0 1 f Home Improvement License: 03/30 Exp. Date: / ARCHITECT/ENGINEER d4 Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ /. o FEE: $ A0 Check No.: Receipt Ch t No.: N NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund tSidnatUY6 Of_confraGfor :Y _ -- Plans Submitted ❑ - Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ E WERAGE DISPOSAL ❑ TanningWassageBody Art ❑ Swimming Pools ❑ ❑ Tobacco Sales ❑ Food Packaging/Sales ❑c tank, etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMEN CONSERVATION COMMENTS HEALTH COMMENTS r Reviewed on Signature Reviewed on Signature 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 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 DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine Doc:.Building Permit Revised 2008 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 ❑ 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) ❑ 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 DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit a all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals ,at the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording Lust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location'2i� . 's - No. 1,&3 �r —// Date *0RTAj TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24045 Building Inspector o� O cn C O = v O CD _ CD H CF O d 7�®O tom" n CD CODd ==ro 3• d O CA o w = .► m =r CL .* G.. CD az y CD o ra y CD 0chr y m o. c c m � y m 7d C O v CD CD Y/ CO) m cr % CD cn sro � o =a CD EP m S CDCD �. y �. O y CD o� O cn C O = -1 O CD _ CD Z CF O CO) 7�®O tom" n CD CODd ==ro 3• m O CA o w = .► m =r CL .* G.. CD o� O cn C O Z�•co•� 0HCs:� mom CA a = Mco C a ti ; CD � CDcc CD CA d yC (- go O m CD =m on CD off: o' CD12 ,w � m y p—: = O C"a. c g� C9 �J C S C2 C7 .-r 0 .. 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O W zCA on Co'CD CDt cao co o� :� a•o Crf : C o Z _v y C d •C cn of D °o CL d 'O O CD n Z y CL �• r C CL C CA a� -v o o CD p CDCL o �. cr =r CD CD CD C CD -• a .v y CD y -• o Co C S CA p 1 CD Z O CD O CCD o,: m 0 'o y »® On C Z yd CD 2 a• • =r -fl ti �, ..► Cdr O N T I o�mmy CA O 3E � CD _ 0CA CD C R =to 0 •�•► c m e� O O y. ►� oo o o c� R EL a o o �. OR CL •.• : i C/):. (n CD ' b D o o� \ 1 l J a �1 O � y o ^ cnS. 44 � � CO) CD Coo O O C:D C. O W zCA on Co'CD CDt cao co o� :� a•o Crf : C o Z x� cn of D °o CL CD cn ro G� CL W N C omq 0 0 c 0 Location 70C, No. 20'� Date eos--�- lif FlId: I TOWN OF NORTH ANDOVER Certificate of Occupancy $ 100-60 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ 13q. 6o TOTAL $ -� 3 't 0 0 Check #1-7951- 23548 d7widing inspector CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 778-2011 Date: October 8, 2010 THIS CERTIFIES THAT THE BUILDING LOCATED ON 789 Turnpike Street North Andover MA • MAY BE OCCUPIED AS a dental office IN ACCORDANCE WITH THE PROVISIONS 4 OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: $100.00 Receipt 23548 Dr. John O'Horo 789 Turnpike Street, North Andover, MA 01845 Building Inspector