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HomeMy WebLinkAboutBuilding Permit #031-14 - 93 WATER STREET 7/10/2014 BUILDING PERMIT 0 N16 ORTH TOWN OF NORTH ANDOVER 02 y `- 6 °�, AP LICATION FOR PLAN EXAMINATION n0 Permit No#: ` Date Received gSSACHU`+�� Date Issued: I PORTANT: Applicant must complete all items on this page LOCATION` — c - Pont PROPERTY OVNNER. S h-a7 an - Pont 100 Yeas Struet re P y&b - no MAP -PARCEL ZONING DISTRLCT _ Historic District yes no °Machine Shop Village est no rL _ - -- - TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: X-Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic ❑{1Nell Floodplain. p Wetlands _ i El `Watershed District ❑ • ❑'Nater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: �I lei Identification- Please Type or Print Clearly Name: (,1-\c'\CK NAc N\oC)r-\ Phone: Address: 2� Contraetor,Name: = _ -- i _ __ P_hone::- v Address: x $upervisor'sConstructiona,License iFiome Improvement L`icense: _- _ 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: $ IL%A, FEE: $ I-- Check No.: 16 L) Receipt No.: .2) NOTE: Persons contracting wit n egistered ontractors do not have access to the guaranty fund Signature of,Agent/Owner i'griature of'contractor: r + Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 1 TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swiimning Pools ❑ s Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY I, INTERDEPARTMENTAL SIGN OFF - U FORM I PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature j COMMENTS HEALTH Reviewed on Signature COMMENTS s 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 i rem Dum ster orn+site P; p yes:_ ,no 'Located�at 124�4Main Street - � _� �-~- Fwire 9Department signature/date .. ------ M 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 LJ I I II i Notified for pickup Call Email Date Time Contact Name i Doc.Building Permit Revised 2014 I 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/Cross Section/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 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:Building Permit Revised 2014 Location No. Date r f . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ „ Building/Frame Permit Fee Foundation Permit Fee-yo $ Other Permit Fee S6-Aj $ � TOTAL . $ O,... Check# a 27760 Building Inspector Location No.VDate . - TOWN OF NORTH ANDOVER o . , Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ a TED 4TOTAL $ Check Building Inspector i NORTH Ali �SSACRI7`'ES CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 031-14 on 7/10/2014 Date: August 21, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 93 Water Street MAYBE OCCUPIED AS 2"d Round Sports IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Sharon Lee 93 Water Street North Andover, MA 01845 I ,I Building Insp ctor Fee: $100.00 Receipt: 27930 Check : 5004 s L Y t NORTf1 ndoverown o � _ ,, 4 O .fi "� to . r. No. ®� i AKI - h ,� oh ver, Mass, a coc"Ic"I OCK ��' �a ADR�TED S U BOARD OF HEALTH Food/Kitchen PERMI-T T Septic System C L THIS CERTIFIES THAT 11::: r.... .........�.h. ..... . .. „ ..... BUILDING INSPECTOR Foundation , has permission to erect ........................ buildings on .............. .L......I . .. .....6. ............ .. c �'�/ Rough to be occupied as ....444.1_4 sn ... t • Chi ney provided that the person accepting this permit shall in every respect conform to the terms of the application F n on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PL MBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT190TA S Rough Service ................ ". ... ..... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR 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. of,,OR7N,ry ti ti P r r r r 'jl7 4n...i19 SS4CNUSE CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 031-14 on 7/10/2014 Date: August 21, 2014 THIS CERTIFIES THAT THE BUILDING LOCATED ON 93 Water Street MAYBE OCCUPIED AS 2"d Round Sports IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Sharon Lee 93 Water Street North Andover,MA 01845 Building Insp ctor Fee: $100.00 Receipt: 27930 Check : 5004 tAORTH Town of t ndover O to No. yy _ h ver, Mass, a C0C"1CHew1Cw *_ S U BOARD OF HEALTH Food/Kitchen PERMI-T T Septic System C THIS CERTIFIES THAT 45. .... .........� ..... . ,. .. ..... BUILDING INSPECTOR �4......��f. .. .. . .............. Foundation has permission to erect ........................ buildings on ................. ......... Rough to be occupied as ..... ..... l.L sa/ �.' ,... ." • y PF ne provided that the person accepting this permit shall in every respect conform to the terms of the application a on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PL MBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT190TA S Rough Service ..........*11 ... ... ..... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. NORTH Town" 0.1- ? ; _ ., ndover No. 1 _- h h ver, Mass, fl COC NICN.WKN y1' �,95 RATED V BOARD OF HEALTH Food/Kitchen PERMIT TSeptic System A t �.� `�, 1 THIS CERTIFIES THAT ........... ... ;*d.... ........ .h.�..... . .. . .. ...... .. ..... BUILDING INSPECTOR Foundation has permission to erect ........................ buildings on ............... . ......... ...... ........... Rough to be occupied as ..... ..... .:.1.!!1:a.4.....S-M 0 .........'V Ab.J-7-nV&-Pa4.4W 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 By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR mm UNLESS CONSTRUCTIVOTA S Rough Service ................ ... ... ..... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR 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.