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Home My WebLink AboutBuilding Permit #1214-16 - 101 SUTTON HILL ROAD 5/1/2018 4L�Io y NORTH q -�-� BUILDING PERMIT o �t�ao do TOWN OF NORTH ANDOVER �2 h�`'- .6 APPLICATION FOR PLAN EXAMINATION m" Permit No#: Date Received ��4�AA7ED "y45 gSSACH115�4 i Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION lot <,)U- tM 4111 F04 Print 7 K -Z 0—L L C PROPERTY OWNER Print 100 Year Structure yes no MAP Coo Al PARCEL:_ZONING DISTRICT: R13 _Historic District yes n Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family 0 or more family [I Industrial [I Addition [I Two Y ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: i emolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed's District ❑Water/Sewer DESCRIPTION OF WORK TQ BE PERFORMED: Identttification- Please Type or Print Cle Orly OWNER: NameTkZL Phone: v Address: �Davi�1,. Mcg-eiv��stee C�l�e,EXk cfrt,, t Contractor Name:721.rmaar Zt ►I LTJ Phone: 417'7-8SZ-K60Z Email: Ze, -t Address: S 291 IVa M Supervisor's Construction License: o S.57//2 Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No.e FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ( 5060 . FEE: $ f 80 . 60 Gly Check No.: Receipt No.: ��7d NOTE: Persons contracting with unregistered c tractors do not have access to the guaranty fund - i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Taming/Massage/Body Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ ,Food Packaging/Sales El Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Sin COMMENTS \ 1 CONSERVATION Reviewed on Si nature COMMENTS I HEALTH evie e bn Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes °tanning Board Decision: Comments Conservation Decision: Comments Wafter & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE BEPAR�T fdT Th Lo tLocate�at Fir 4eDepartmentsignature/date Dimension Number of Stories: 7, Total square feet of floor area, based on Exterior dimensions._—%—�C�t Total land area, sq. ft.: 5h.37v 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 NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 4 Building Permit Application 4, Workers Comp Affidavit 4 Photo Copy Of H.I.C. And/Or C.S.L. Licenses 4. Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: 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 OTE: 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 2012 I ECC Energy code Engineering Affidavits for Engineered products OTE: 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 41 Location 5o7 4y ir No. "f Date '/r,. • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee �"�� $ j TOTAL $ Check# / 7?— " ' C Building Inspector F NORTIy Town �� _ L ndover 0 '� No. h ver, Mass, coc«Ic"Imcw 1 7,9s RArEo U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THISCERTIFIES THAT ......... „��... .....X.......�............... BUILDING INSPECTOR ...................................................... Foundation has permission to erect .......................... buildings on .�U..............Cl.!.'.!.. l.!. ................................. r to be occupied as 6 Chimney .................. ..�^:�?.7.0.../:..,�,r O%T....�'..�....'�}:�-r/ 1.�...��.v fr./...:..:.'�:�' Rough y u 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 UNLESS CONSTRUCT TATARTS Rough Service ........... .... ................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin,:? 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. I Town of North Andover NoRTk Building Department o�.�It ED #6 1600 Osgood Street Bldg 20, Suite 2035 i' y '`'_ ~=- �6 North Andover MA 01845 1- Tel: Tel: 978-688-9545 Fax: 978-688-9542 DEMOLITION OF BUILDING AFFIDAVIT TY T O LAKEau �c coc «ewK 1• RATED �,P ,�5 i DATE 1012 9ssgCHU55� OWNER'S NAME &ADDRESS 1 Kt � W.4eirn 4 Trt# IT�1 Q-C LOCATION OF PROPERTY TO DEMOLISH 10 DESCRIPTION S 1t��lV 5'ca�w,P � CS4Lre� 11 -,II CONTRACTOR'S NAME &ADDRESS:Jjdm.« .b Zo.6 M►L�D DEPAM NT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: SEWER: i TREE WARDEN IA 1� TOWN ENGINEER0� ex T� dr i c, 3-p°-4 DEPT. OF CON. VAT ON ( c,J ; p` CL I HEALTH Dtk�k::f�EPTIQA4M' AU HISTORIC COMMISSION f VQ.Q yjbD PLANNING GAS S-ee CSS 4e, dike.-mned ca&tom ELECTRIC See 4�ci,c \j Cerflq,A-y&) -�rzrnn 1 �1 (oridG : kewv jjz wce TELEPHONEI TAXES POLICE FIRE EXTERMINATOR 201(0— DUMPSTER- ON/OFF STREET DIG SAFE NUMBER 01c)ZA97 BLDG. INSPECTOR .0 Building Demolition Affidavit Columbia Gas- of Massachusetts A NiSource Company 995 Belmont Street Brockton,MA 02301 4-19-1w6 To: Tom Zahoruik This letter is to inform you that our records indicate the gas formerly supplying the property listed below has been physically cut off at it source on the date indicated. 101 Sutton Hill Rd North Andover . Ma 01 845 Sincerely, Isatta Magona Integration Center Columbia Gas of Massachusetts nationalgrid 40 Sylvan Rd Waltham MA 02451 May 5, 2016 RE: Service Removal for Building Demolition Work Request number- 21724826 Dear Tom, This letter is to confirm that,per your request,National Grid has removed the electrical service and meter number 12855274 from 101 Sutton Hill Road,North Andover. If you have any questions or need further assistance,please feel free to contact me at(508)L57- 4628. Sincerely, Amy St. Onge Customer Initiation nationalgrid tKLI Peat-Rod, Inc. 15 Pelham Street P.O. Box 185 Methuen,MA 01844 Plaistow,NH 03885 (978)794-4321 Fax(978)686-8344 (803)382-9644 Fax(803)382-9525 pestendinc.com pestendinc.com Date: 1KARCH 23. 2016 Property :address: TKZ. LLC; 101 SUTTON DILL ROAD NORTH-ANDOVER. AIk 01845 The above address has been inspected by our company. "The inspection has been done by a licensed technician for rodent activity. The rodent control report provides information on the technician and chemical that may lune been used if evidence was found. Please call our office if you have any questions 978-794-4321. Thank you, Pest End Exterminators and Pro Tech Lawn Care. ' - UNtU Pest-End, Inc. d 0 / 15 Pelham Street P.O. Box 185 Methuen, MA 01844 Plaistow, NH 03865 (978)794-4321 Fax(978)688-8344 (603)382-9644 Fax(603)382-9525 pestendinc.com pestendinc.com RODENT CONTROL REPORT BAITING PRIOR TO DEMOLITION Date: XUARCH 23. 2016 Property Address: 101 SLtTTON H-L ROAD NORTH A_N,TDOVER_ 01845 Commercial: Yes No Residential: Y es Imo Property Treated With Check One or More First Strike Soft Bait EPA #7173-258 Difethialone Contrac All Weather Blox EPA 412455-79 Bromadioione Final All Weather Blox EPA X12455-89 Brodifacoum _ Areas Baited: Interior Baiting Exterior Baiting Dumpster Planter's Other Areal s) Clean Yes V/'-' No Activity Seem Yest! Ivo ?Mice t/ Rats (f Comments from Technician A—T/L SlJoycls st6A/`1 or a6 /111(-1 1+A'49 /2,47-Is Technician Name: G E_ _ EASSON Signature: License #21082 Date: ;31,1i at �,oi