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HomeMy WebLinkAboutBuilding Permit #430-14 - 85 MAIN STREET 10/12/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: y Date Received Date Issued: �2 � IMPORTANT: Applicant must complete all items on this page LOCATION Print � f PROPERTY OWNER ILII�'� V��Cf��C� Print 100 Year Old Structure yes no MAP NO: �.� PARCEL: _-�� 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: P<ommercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: }6 qiF Fyoi 1 S)41 NG-S ANt +CCG,5S-00 S Identification Please Type or Print Clearly) OWNER: Name: Cdee'7 AzyeXz5 Phone: Address: /6q A201W/a1 Ave A)- 400116- ` S P�.umloioq Phone: CONTRACTOR Name: QQ Address: A Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: • ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: ZI 7 2— Receipt No.: o2 71 O D NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signafure�of rYMO �l of contractor i Plans Submitted ❑ lans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Plans Submitted-0 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ _ ;TYPE 0YSEWERAGEDISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑. . .Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ Food Packaging/Sales 11 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 & DEVELOPMENTS ❑ ] COMMENTS &,8 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes z Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Towo ]Engineer: Signature: Located 384 Osgood Street 'FIRE QEP,4RTM:r_Nt =Temp' D -s- on`site yes. . no Located at IN.Mair, Street=- Fire'De part meitt-signatu'reldate- 4 . I COMMENTS , 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 I NOTES and DATA— (For department use I i I ® Notified for pickup - Date E Doe.Building Permit Revised 2010 Building Department The folie,3wmg is-=a list of the required-forms to be filled out-for the appropriate.permit to.be obtained. Roofivg, Siding, Interior Rehabilitation Permits ❑' B Ailding 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submated with the building application Doc: Doc.Bui!ding Permit Revised 2012 Location i No. �U -,�� Date // 12 I5 i • - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ X114 Building/Frame Permit Fee $ 30 — Foundation Permit Fee $ Other Permit Fee $ TOTAL $ " Check# 9 72 G / i. Bui ding Inspector SACIWS 449' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 430-14 on 10/12/2013 Date: November 21, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 85 Main Street MAY BE OCCUPIED AS The Uncommon Home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. I Certificate Issued to: Eileen Powers 107 Colonial Avenue North Andover,MA 01845 Buil ing Insp ctor Fee: PrePaid$100.00 Receipt: 27100 Check : 472 Town ofndover 2 0 - 16 No. — * t : - ro h , ver, Mass, i_3 coc"Ic"twoc« �T S BOARD OF HEALTH Food/Kitchen PERMIT T. LD j Septic System Cr f/ 1116 G G fj D BUILDING INSPECTOR THIS CERTIFIES THAT .... ............................................................................................................. �� f% Foundation has permission to erect .......................... building_s/on ...�5 ...........f.�./............ ....,.................................... Rough tobe occupied as ............f..........�........... ..........................................................""......................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and - aws relating to the Inspection, Alteration a Construction of Buildings in the Town of North Andover. �j E �ivL©' w w /��. je" PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this ermit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT ON STARTS Rough Service ..... ..: .............................................. Final BUILDING INSPECTOR GAS INSPECTOR i Occupancy Permit Required to Occupy Building 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. Smoke Det. 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