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Home My WebLink AboutBuilding Permit #S014-2012 - Exception 5/9/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0 �—A , Date Received Date Issued*: !Z11-3 1- IMPORTANT: Applicant must complete all items on this page LOCATION U,h t -L Vc-ref'l (Na U< QX P Priati PROPERTY OWNER CA- o Print 100 Year Old Structure MAP NO: PARCEL: ZONING DISTRICT: Historic District Machine Shop Villa yes no ye no vef. no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building El One family 0 Addition El Two or more family El Industrial 11 Alteration No. of units: D Commercial 0 Repair, replacement El Assessory Bldg El Others: El Demolition 11 Other El Septic 0 Well El Floodplain El Wetlands El Watershed District - 0 Water/Sewer I I DESCRIPTION OF WORK TO BE PERFORMED: /(JoNA An�kuer earbec (1vo V OWNER: Name: Arlrinm,,-q- I CONTRACTOR Name: Address: , Supervisor's Construction License: Home Improvement License: Type or Print Clearly) Phone: Exp. Date: Date: ARCH ITECT/ENGI NEER Phone: 0 -2- qJ / - 71�,), Address: Reg. No. FEE SCHEDULE: BULDING PERMIT."$12.00 PER $1000-00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S F Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund ,8ignatu're of -,-��g`ent/O-wn-er' Signature of contractor Plans Submitted Plans Waived El Certified Plot Plan El Stamped Plans 0 Location 156 cil-� � Q -1k wo C - No. Date Check # 1 �)4 26372 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Butilding Inspector I Plans Submitted D Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWE- ---------- RAGE DISPOSAL Public Sewer 0 Tanning/Massage/Body Art El - Swimming Pools 11 Well Private (septic tank, etc. 0 Tobacco Sales Food Packaging/Sales El 0 Permanent Dumpster on Site F1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT 11 F1 COMMEN CONSERVATION Reviewed on- Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water c% Sewer Connection/s Driveway Permit DPW Towi� Engineer: Signature: FIRE �DEPARTMENT Ternp Dumpster on site yes Located 384 Osgood Street Located at 124 Main"Street -no -------- Fire Departi eri rn .1t8ignature/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— —No MGL Chapter 166 Section 21A —F and G min.$10041000 fine NOTES and DATA – (For department use) El Notified for pickup - Date Doc.Building Pen -nit Revised 20 10 Building Department JA3W The foil ing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits u Building Permit Application u Workers Comp Affidavit u Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract u Floor Plan Or Proposed Interior Work u 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) Li 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) • 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 ij Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All, clumpster 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 al)P�-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subrn'tted with the building application Doc: Doc.Builjing Permit Revised 2012 COMMENTS CERTIFICATE OF USE & OCCUPANCY' TOWN OF NORTH ANDOVER Building Permit Number -Date: May 9, 2013 THIS CERTIFIES THAT THE BUILDING LOCATED ON 569 Chickering Road- North Andover Barber Shop MAY BE OCCUPIED AS a barber;hQp IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Diane Nocco (Lessee) 569 Chickering Road North Andover, MA 01845 4Buili g l4n's4pec�t Fee: $100-00 Receipt: 2-Q "3'-' Cheek: � 0 L+ 0 =T CD C) --4 \T En CD 0 2 --j 0 0 m 0 m a 0 r- CD CL W = :3 cm 0 3 o -n -W 0 -n CD m CD - 3 3 CD -p 0 00 = -n (D CD C -0 CD (D 0 CD M fi) GO �M -GO --I 0 z 0 n z 0 z a 0 m m Z r- 0 0 0 2i 0. CD 113 — - — -- . -,, — —m. — - - -I- --,� - . - --- -, - -- . 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CD rA CD CO) CO CD B7 CD CD CD CD =r 0 co, cr co dc a &MO 'CD C13 §1 Cis a C2 m ca C2 R. CD e. CL 0 ir C Fn— =r =r CA co CD Co) .* = * 0 -CA CD 'oil C2 CC2 CD CD Cl Cp _—& CD CD =r = 'R Co's CL S CL co C-3-0 0 ez CD n CL CL Cos CD CA 5 :E CD C4) MCD CO: CD FW CD C4 C'. \\'Z� cn CA, CD w im Cc= 22 CD C/) cx 0 R 9 rD 0 cp EL R. A 0 A P , 0 CL 0 F up tz tz Ev, M 0=3 0 ,kORYN CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 5 62 -12 Date: February 22, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 569 Chickering Road, North Andover, MA 01845 MAY BE OCCUPIED AS a Barbershop Family in ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: $100.00 Receipt 25037 2/22/12 John Moffat 569 Chickering Road North Andover, MA 01845 Buildin/g Inspector 'I, CD CD 0 .0 C) �r CD to > ri - m CD� 0. 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