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HomeMy WebLinkAboutBuilding Permit #449 - 105 BONNY LANE 12/15/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPO TANT:Applicant must complete all items on this page -0'T�0.1� ,1'�S. �o44�' . L: t7 PROPERTY-DWNER i E, A .d Print _< MA°P.NO, _1�ARC.Et_=� �Ol�14' �JSTRICT � sstflr�c.O�stAbt yep 'nt� . Machine Sl o�Vfla je des �o TYPE OF IMPROVEMENT PROPOSED USE Residential f Non- Residential New Building One family ✓ Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other -Septic well g' Flovdplaln- , w_-etlands Waterslaeci District DESCRIPTIONOFWORK TO BE PERFORMED: evnoaer c°�CiS Livia V 1 / X1124 Identification Please Type or Print Clearly) OWNER: Name: �,,�P aad_d¢nae Pataanpre- Phone: A,2_37,4- Address: CONTF 1C7fl'R t\larr�e. rhone.- � Adtlr`ess: ��"� �r►�''�.l� :z�rti � a x-�'-�,�c:� ��,�� - � yup r�isor-s C6nstruction J cense; Home, L ARCHITECT/ENGINEER h114, _31c r Phone: 97 - / — �-3 Address:_JQ /ttja,P s S'jr-ew; . . IAJ�s�l��u�lour, (414 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: $ l0 0 o©, ` FEE: $ /A0 Check No.: 07 ?2 2 Receipt No.: 22 7 6 y NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund gnatu � feb, Agenfi _ reofc"o` contra / ... s{ ilkH _ Location_I s— 6,0,4" L No. � Date NORTH TOWN OF NORTH ANDOVER f � O F � w A Certificate of Occupancy $ Building/Frame Permit Fee $ CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # czr 22 'i U0 Building Inspector J Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ©� COMMENTS rect, -For S ec i cz ! ) a 'Ve- CONSERVATION Reviewed on Si nature � r inn� A n �A COMMENTS 'lJ� ti� Iv G U /J (/ HEALTH Reviewed on Si nature V! COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comm Water & Sewer Connection/siate — -gnat re l Drivewa Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT—TerrapDu ster onsite� es: rao Lobated, at 124 Win Street. Fire Department: ignatureldate COMMENTS Dimension Number of Stories: ; Total square feet of floor area, based on Exterior dimensions.—O—,00-- Total imensions.Total land area, sq. ft.: ; p 2 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 - Date Doc:.Building Permit Revised 2008 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 V 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/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 v, Certified Proposed Plot Plan w 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) o 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: Doc.Building Permit Revised 2008 North Andover ,�c %A MTN � Tc �irn �f Ivo 6 �► Building Department ��� � �..� .� �� 1600 Osgood Street 0 North Andover MA 01845 � t Tel: 978-683-9645 Fax: 978-688-9542 Q c4ctliKMtwlGn� � BUILDING �#FFt©AilIY �„��° r�n DE:MGLITION O S gCRUS BATE �V C1t D f1 OWNER'S NAME &ADDRESS a LOCATION OF PROPERTY TO DEMOLISH DESCRtPTlOhI �c,�'. ti �. �n� E � ��r: #�,•.��� CONTRACTOR'S NAME &&ADDRESS 1 IC f � 'r'r DEPA IIT SIGN-OFFS T- DEPT. OF PUBLIC WORKSWATER: 1�^ SEWER: DEPT OF CONSERVATION HEALTH D PT. Se 1c HISTORIC COMMISSION � lD OAS fµf --- ELECTRIC .�^ TELEPHONE GABLE q' � TAXES -- _ f POLICE C}0 FIRE F�J EXTERMI ATORitiCt Q-i 4 DUMPSTER-ONKFF STREET' '� IC SAI=E NUMi3ER ' T FiEC'D BLDG. INISPECTOI� Doc.form darnoffbon of building affidavit F N0RTH Town of 4Andover ;. 0 No. AKE = dover, Mass., f coc..C.e.c.' y�. RATED P? \y �y BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System " BUILDING INS SG-jvC a` /tl'c,J ry t sF INSPECTOR NE- THIS CERTIFIES THAT................j`7.C.:.................:...�............................ ..................................................................................... Foundation has permission to erect........................................ buildings on ...IPP- .So. nationalgrid 40 Sylvan Rd Waltham MA 02451 December 15, 2009 Att: Anne Crest Building Corp 105 Bonny Ln North Andover, MA RE: Service Removal for Building Demolition. Dear Anne Crest Building Corp, This letter is to confirm that,per your request,National Grid has confirmed electrical service and meter#05123091 have been removed from, 105 Bonny Lane North Andover, MA on 12/15/09. if you have any questions or need further assistance,please feel free to contact me at (781) 907-3519. ShIeerely, 't i "f Angelic Butler Customer Order Fulfillment