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Home My WebLink AboutBuilding Permit #Exception - 89 MAIN STREET 10/28/2009Permit NO: Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this page LOCATION /) r t; � - NQ F, 1, 00 R Vtl&Er A/IP- Print / / PROPERTY OWNE— 7/Z1 Print T MAP NO: PARCEL_ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMEi�T-- 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 Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer %omr i iuim ur vvumr% 1 U Ut 111=K1-UKMtU: ( 2, 0 �, I Aze7 I � r OWNER: Name: Address: S ? : I ype or Print Clearly) CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: ARCH ITECT/ENG I NEER Date: Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $lZoo pER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: ;2 Receipt No.:—.) -g, NOTE: Persons contrac unre- c ntractors do not have access to the guarantyfund ��ii-gan—atur--e-o--f-A-a-e-n-Ow—n of contractor 7?� 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 Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATEAPPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Reviewed on Signature Reviewed on Signature i 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: Locatea �564 USgooa btreet 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 Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21 A —F and G min.$100-$l 000 fine NOTES and DATA — (For department use El Notified for pickup - Date Doc:.Building Permit Revised 2008 No 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 Li Copy of Contract u Floor Plan Or Proposed Interior Work 13 Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks L3 Building Permit Application u Certified Surveyed Plot Plan L3 Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses L3 Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 13 Mass check Energy Compliance Report (If Applicable) a 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) c3 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 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 he submitted with the building application Doc: Doc.Building Permit Revised 2008 Location No. Date 40RTN TOWN OF NORTH ANDOVER AL Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # 2 2 5 ull 144 BdIfd'i'n4 inspector Building Permit Number CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTHANDOVER . THIS CERTIFIES THAT THE BUILDING LOCATED ON 87 Main Street Date: October 28, 2009 MAY BE OCCUPIED AS Tenant Aiwartment — 2 d Floor IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Atlantic Realty Trust 89 Main Street North Andover MA 01845 ,,e BuAding Inspector "i