HomeMy WebLinkAboutBuilding Permit #835-14 - Peters Street 5/1/2018TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: .
IMPORTANT: Applicant must complete all items on this page
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'I Pring T0ffiYear OId,Structure -yes nom s
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I. NCEZO'MAP N, .* _iHk oric
, istnctH yes
°Macho a S.fiop'Vill' 0 yes no
TYPE OF IMPROVEMENT.
PROPOSED USE
Residential
Non- Residential
❑ New Buildin
,IC
El One family
11 Addition NAt p
❑ Two or more family
El Industrial
❑ Alteration �l
No. of units:
X Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic "'❑ Well '`
_
,;Z Floodplain ®1Netl5nds
❑ 1N atershed0istri0
Water/Sewer:
DESCRIPTION OF WORK TO BE PERFORMED:
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Identification Please Type or Prin learly)
OWNER: Name: 90-6TC2S Sr- PVSCOC-(AMES Phone:
Address: 30 C-LANP S'�
CONTRACTOR`�Name..� - Phone: sr_
Address.
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1 M
Supervisor's Gonstructlon Llcens'e * `�---=Exp Date d z __
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,_ ,
Nn"ma1Imnrrivarh,6—n franca 5 A R1.1 IF to
ARCHITECT/ENGINEER lA-m 6 ALr-(J S Phone: 91$-Wl -330
Address: Lo 5`*J' 1k MAIN ST- T6eSFI-e--o Reg. No. q q Sa
FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $�600 FEE: $ 3 GQ + /od ac -C pw,T-__
Check No.: /b 2 2 Receipt No.: oZ %
NOTE: Persons contracting with unregistered contractors do not have access to the g�aranry find
Plans Submitted �J Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
Plans Submitted ❑ ''Plans Waived ❑. ...Certified Plot Plan ❑ . Stamped Plans ❑
:TYEE-OF:SEWERAGEDiSROSAL '
Public Sewer ❑
Tanning/Massage/BodyArt ❑ ..
.Swimming Pools ❑
Well ❑
Tobacco.Sales ❑
Food Packaging/Sales ❑
Private.(septic tank, etc....❑
- :
-Permanent Drinpster on Site
_. . 7HE_FOLLOWING SECTIONS FOR`OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE:A_PPR-OVED
PLANNING & DEVELOPMENT` ❑ n
COMMENTS
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
z -
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Tow.! Engineer: Signature:
Located 384 Osgood Street
FIRE DE�ARTPAP"AT Temp "Dumpstef onsite _Yes.no
ioceted at,.124dMair,`Street ' ' = r •..,;
Fire Departure►it signature/date � � -•, � �. :� , .�• ,� k.::: _ 3-=• r. ,� Y �. .
COMMENTS
Dimensioa
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
I
=Total land area, -.sq. ft.,
j ELECTRICAL: Movement of Meter location-, mast r service drop requires approval of
:Electrical Inspector Yes No
DANCER ZONE LITERATURE: -Yes No
MGL-.CKpter166.Section 21A -F and G min.$100=$1000 fine
NU e t5 and DATA — (For department use
® Notified for pickup - Date
Doe.Building Permit Revised 2010
Building Department
_- The fol Awing isa 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. And1 'r 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 cans if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the apn•,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
Doe: Doc.Building permit Revised 2012
Location
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy
v
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee
TOTAL s
of NOR7N 1N
t : �
4 `
SS�C/NSt
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 835-14 on 5/19/2014
Date: June 27, 2014
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 102 Peters Street
MAY BE OCCUPIED AS Suite 2 — Real Estate Office — Verani Realty IN
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Peters Street Associates
102 Peters Street
North Andover, MA 01845
z L zz 1K ,
Building Insp ctor
Fee: Prepaid $100.00
Receipt: 27588
Check : 1022
a� MoetM,M
�*�;.o ntti9i
SSACN�ISE
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 835-14 on 5/19/2014 Date: June 27, 2014
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 102 Peters Street
MAY BE OCCUPIED AS Suite 2 — Real Estate Office — Verani Realty IN
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to: Peters Street Associates
102 Peters Street
North Andover, MA 01845
Building Insp ctor
Fee: PrePaid $100.00
Receipt: 27588
Check : 1022
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Massachusetts - Department of Public Safety
t
Board of Building Regulations and Standards
Construction Supers icor
License: CS -075598
JEFFREY D SHE911Y
PO BOX 3099
APIDOVERMA 81810 # :F
7, 07/2212015
xpiration
'' 07f2212015
Commissioner