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Home My WebLink AboutBuilding Permit #570-14 - 1049 SALEM STREET 1/29/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �� f y Date Received Date Issued: IMP RTANT: Applicant must complete all items on this page 4,q - LOCATIONYCC nn _ � - PROPERTY OWNER. _ -- , �� _ --� -� --100�Yea�Old Structure- yes; no :. - Pant,: MAP NO: PARCEL: 4 _=ZONLNG Q1S,TRICT � H.istoric District yes no Machine Shop Village yes _ nom i TYPE OF IMPROVEMENT. PROPOSED USE Non- Residential Residential. ❑ New Building ❑ One family ❑Two or more family ❑ Industrial ❑Addition ❑ Commercial ❑Alteration No. of units: ❑ Repair, replacement ElAssessory Bldg 11 Others: Demolition ❑ Other _ _ - - p Floodplarn 1Netlands ❑ Watershed District ❑ Septic ❑Well �.❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identifcation Please Type or Print Clearly) Phone: OWNER: Name: Address: M - c � - - CON# ,RACTOR Name. _ _ Y - - L - Phone: -__ ._ __ . _ a - - Address: . C5 tion _ Exp Date: Supervisor's Construc _P = - - Exp. Date: Home Improvement License: ._ = a Phone: ARCHITECT/ENGINEER } Reg. No. Address: ` r FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ � Check No.: �✓ y� Receipt No.: contracting with unregistered contractors do not have access to the guaranty fund NOTE: Persons g SignatueofAgentXQwner Skgature of contractor _. Plans Submitted L 11 Plans aived ❑ Certified Plot Plan ❑ Stamped Plans Building Department The fol?wing is=a list of the required.forms to be.-filled out'for the appropriatepermit to'be obtained. Roofii-s Siding, Interior Rehabilitation Permits ❑ Bi-Ading Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.-I.C. And/Or C.S:L Licenses o Copy of Contract o ;.Floor Plan Or Proposed Interior Work L3 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o 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 p (if Applicable) ❑ Engineering Affidavits for Engineered products m Fire Department NOTE: All dumpster permits require sign off from prior to issuance of Bldg Permit p 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) L, 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 subm.tted with the building application Doc: Doc,Building Permit Revised 2012 -Plans Submitted ❑ Plans-Waived-0 Certified Plot Plan ❑ Stamped Plans ❑ TWEE.•OF:SEWERAGEDISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑: Swimming Pools ❑ Well ❑ Tobacco.Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc..- ❑ - -permanent Di3mpster`ori bite ❑ I THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM ._::.-DATE REJECTED DATE:APPR_OVED PLAMNING4 DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS �• �� a' - ; �`�. "j'f +�, _J i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes - • i Planning Board Decision: Comments Conservation Decision: :Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Tow;! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMi NT 'Temp Dumpsfsr on.'site yes no , Located at,124 Mair`Str bt ,.L: •.+K. ,. 1'� •-,S`'� av` ; Z;o-+r,nt y. .. „_...:l.�.tt�t..,. k . ,,,..e+;tke•Y•.,,i.'5. �w" {'. 1. i rftf°+► • f•. d. - y. c> c 'Fire-Departmetit,g natureldate° 4� i�'" `'#"}s4�+ ? ='�`g" �"`"`" nag , t. 3 t CONiIVI.ENTS ft"* � 4Nt"�R fi3ia. t4't's r'. ."t, #t'rsf�.-3...Y.^ o.�a a'r.' •-*:"�tit9�.J�«2' ?'`5F,',1 *'.ii.1<`�'`i'. t"+. 11 I .-Dimension- Number "Dimensio -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 s DANGER ZONE LITERATURE: Yes No MGL Chapter166.Section.21A-F and G min.$10041000.fine NOTES and DATA — For department use ® Notified for pickup - Date L Doe.Building Permit Revised 2010 �I i Location No. Date_-Z��/ y o - TOWN OF NORTH ANDOVER Certificate of Occupancy $ R Q Building/Frame Permit Fee $ 0 Foundation Permit Fee $ Other Permit Fee $ ,�- TOTAL $ Check# 27265 66u'il•ing Inspector NORTH Town of No. - h , ver, Mass, ��' COC MICNl WICK 1• U BOARD OF HEALTH PERMIT T Food/Kitchen LD Septic System THIS CERTIFIES THAT ....:--?.�:<.... ...... ,.,� BUILDING INSPECTOR C�....................................................................... has permission to erect ............. buildings on �.. Foundation r r �� Rough to be occupied as ................ . .. ... :�,.s: l.. ..... ..{;;/!....................................... Chimney provided that the person accepting this permit shall`in eve respect conform to tie 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 CONSTRUCTION STARTS Rough ...... ...... ..Gr.�: ..�,�. ... .n= ........................... Service BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Reguired to Occupy BuildinLy 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. IFSEE REVERSE SIDE Smoke Det. A-1_ j Massachusetts -Department'of Public Safety Board of Building Regulations and Standards Construction Supenr'isor License: CS-031830 rs >> DOUGLAS J AHEjtN t� PO BOX 802 ° - ANDOVER MA 01810 ✓.•�..� " "'' Expiratior Commissioner 09/21/201: Jan.. 16. 2014 11 ;48AM - Town of North Andover No. 1441 P. 1 'Town'of North Andover µoRTW Building Department Obi-r''ED 16 �o 1600 Osgood Street North Andover MA 01-845 �a Tel: 978-688-9545 Fax: 978-688-9542 b� iOCN1&ME DEMOLITION OF BUILDING AFFIDAVIT �qS°'��trep 0�`��5 sACHUs DATE 1 OWNER'S NAME&ADDRESS -- - LOCATION OF PROPERTY TO DEMOLISH O!yj + 10 S CI'l em- S " DESCRIPTION. I wD d)A 'Stute FYph H-0V1 e . CONTRACTOR'S NAME&'ADDRESS ",ntwAj <5:,N-C, DEP EN 1GN-QFFS i SEWER: � DEPT.'OF PUBLIC W RKS -WATER; SEWER: � ' (,L�� (�G1 � DEPT,OF CONSERVATION _/ IIEAL DEPT.: Septic Well n n lh -dLi 1 9 HISTORIC COMMISSION A/ ] j4 r 1 GAS 10 �-t �uv� V N � v � ' 77�` - l (1110 w0i 1c -4v o'cMWqa(e U,. ( 41k v ELECTRIC L l� Y?Pc TELEPHONE 1 CABLE 41J 4,Af TAXES POLICEb-el FIRE f / EXTERMINATOR DUMPSTER-ON/OFF STREET � (� I DIG SAFE NUMBER I�0 DATE REC'D BLDG. INSPECTOR Dor-Jorm demolition of building affidavit I � nationalgrid 40 Sylvan Road Waltham MA 02451 1/22/2013 1053 Salem St. North Andover, MA 1845 RE: Service Removal for Building Demolition. To Whom It May Concern, This letter is to confirm that,per your request National Grid has confirmed electrical service and mtr# 12445230 has been removed from 1053 Salem St. North Andover, MA 01845 as of 1/22/2013. If you have any questions or need further assistance, please feel free to contact me at (508)357-4657. Sincerely, Customer Order Fulfillment Order Processing Rep Ph #508-357-4657 simon.yeung@nationalgrid.com nationalgrid Jan. 16. 2414 11 :48AM - Town of North Andover No. 1441 P. 1 Towdef North Andover t%ORrN Building Department .1-ILA" ,6� 1600 Osgood Street . . . � .. •' • ' North Andover MA 01.845 Tel: 978-588-9545 Fax: 97$-558-9542 _ sy��° �rE�DEMOLITION OF BE11LDINC AFFIDAVIT rEa ' .S�ACtf•tU'�� DATE . OWNER'S NAME&ADDRESS �� 10CATION OF PROPERTY TO DEMOLISH 1 (m + 10ya DESCRIPTION. tW® CAA, 'Stule Ftyn,lq MCvnes CONTRACTOR'S NAME&'ADDRESS "_C�SQA) JvVL DEF' EN ICN-OFFS DEPT:OF PUBLIC WPARKS —WATER: _ SEWER: DEPT-OF CONSERVATION j-,)7-/ WEALTH DEPT:Septic well g HISTORIC COMMISSION -- A/-] A GAS �� VOwcw O� � \ CI-110ui1c _40 ��> ►d ��c �I�eV • i��cee e�rt ELECTRIC C- } ' fiG TELEPHONE 0 1 CABLE , ti , J .- _ - TAXES- ---- - - -- --------- -------- . -- - .._-. _ � ..�� -1-- POLICE / FIRE EXTERMINATOR Y DUMPSTER-ON/OFF STREET DIG SAFE NUMBER aj0!Q DATE REC'D BLDG_ INSPECTOR Doe•forrn demolition of building affidavit