HomeMy WebLinkAboutBuilding Permit #093-2011 - 114-116 Union Street 5/1/2018 BUILDING PERMIT of "°RTy
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION y
Permit NO:
Date Received Z9 4 KArav
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Date Issued:
ACHU`���
IMPORTANT Applicant must complete all
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others.-
Demolition Other p
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DESCRIPTION OF WORK TO BE PREFORMED:
-Demo
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PE MIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ � FEE: $_ 0
Check No.: cr4 Receipt No.:_ '-S.o?75
NOTE: Persons contracting with nr gistered contractors do not have access to the guaranty,fund
S� naar� erafO�Iuner. m
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�S�enature��f-�co�
-fit -- --- - -
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
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 & Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
:FE�P,ART.q 1�� psterr�s�te i�es � ` .0'a
sL'{aQat&'daa A '�,1Yld�� tT�et
1t'
MON
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.$100-$1000 fine
NOTES and DATA— (For department use)
❑ Notified for pickup - Date
i
Doc.Building Permit Revised 2010
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
❑ 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
o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Li 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)
a
❑ 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 j
❑ 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:Building Permit Revised 2008
Location 1111-116
No. Q ��/� Date
MORT� TOWN OF NORTH ANDOVER
SDO
9
# Certificate of Occupancy $ c
sACNUSE<�' Building/Frame Permit Fee $ M v
Foundation Permit Fee
Other Permit Fee $
M
" TOTAL $
Check #
2321 :
it in Inspector
ORTH
T0VM of
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JK
o - AK a dover, Mass., 7�
I� COCHICHEWICK
7�ADRATED `�5
S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
.7;v G BUILDING INSPECTOR
THISCERTIFIES THAT............................................................................................................................................
�~ """""""""' Foundation
has permission to erect.........:.............................. buildings on ... 1Y. C. ! ...... �Y!. '�t!...`-`?. ......................... Rough
2�_ e_.erlo ` CJ- r.�J FChimney
to be occupied as....................... ..... r. ........... .......��...,<..b.. e
provided that the person accepting this permit shall in every Ispect conform to the terms of the applica ion on file in Final
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
.`x/0000
Service
BUIL'�ING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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.
SEE REVERSE SIDE Smoke Det.
MYS�i Y„
Chief Meinikas
t
No.Andover Fire Dept.
124 Main St. Phone:978-688-9590
North Andover,MA 01845 Fax:978-688-9594
email:amelnikas@TownofNorthAndover.com
R
Town of North Andover
Building Department ?o�.�s`-E°
1600 Osgood Street
North Andover MA 01845
Tel: 978-688-9545 Fax: 978-688-9542
ILAKI � T
�A COCKICKEWICK
DEMOLITION OF BUILDING AFFIDAVIT
f,, SACHUS
DATE ll�
OWNER'S NAME &ADDRESS
LOCATION OF PROPERTY TO DEMOLISH I � ��-� �D l//1�iOA_) ,S' c
DESCRIPTION1 1'1omc Ayk L!9!! e CO(V�5 C✓
CONTRACTOR'S NAME &ADDRESS 4V!fv� �Cl�/_�'1'�(vC.T`OA/
DEPARTMENT SIGN-OFFS
Z-20—Ir a�
DEPT. OF PUBLIC WORKS -WATER: ;�7 " SEWER:
DEPT OF CONSERVATION e e HE PT: S tic Well �n
HISTORIC COMMI ION
GAS
ELECTRIC
TELEPHONE
CABLE
TAXES ®r
POLICE AA M�(Vw
FIRE sC' c4ek
EXTERMINATOR ,- 1
DUMPSTER-ON/OFF STREET
DIG SAFE NUMBER
DATE REC'D BLDG. INSPECTOR
Doc.form demolition of building affidavit 4640 j XJFP 4T_ 4 I-41_" P,4rZ:_
Town'of North Andover NORTFf
Building Department 0.11''ED 16�tio
1600 Osgood Street �'? y;ti°�'- a
North Andover MA 01845 J_
Tel: 978-688-9545 Fax: 978-688-9542 �c -
AL
°4 coc"IC 11. If y1
DEMOLITION OF BUILDING AFFIDAVITA°RATED
'9SSAC HUS�'t
DATE
1
OWNER'S NAME &ADDRESS 1 S hCsYN
LOCATION OF PROPERTY TO DEMOLISH I �( ` I I 1p 1J Ali(J /V S�'Y P *
DESCRIPTION. t 1, A ' Q_ VC ' _
CONTRACTOR'S NAME &ADDRESS }-}V JJh (Cl,l,Z U4.I pA
L1 �nven� /V" q�6-
DEPARTMENT SIGN-OFFS
DEPT. OF PUBLIC WORKS -'WATER: <�ce 7 SEWER: �SewK e
DEPT OF CONSERVATION\, ; -D-
A
Sl___ I_EALTH DEPT: S is Ta i
HISTORIC COMMISSION L
GAS
ELECTRIC J Pe S
TELEPHONE
CABLE
TAXES
POLICE CV
FIRE
EXTERMINATOR
DUMPSTER-ON/OFF-ON/OFF STREET��^t�S � d (� d < C
DIG SAFE NUMBER
DATE REC'D BLDG. INSPECTOR
Doc.form demolition of building affidavit
From:National Grid 17515221067 07/2812010 15 06 #854 P.00110G1
natty
nal riot
40 Sylvan Rd
Waltham MA 02451
July 23, 2010
Doug Ahem
114-116 Union St
North Andover, MA
RE: Service Removal for Building Demolition.
Dear Mr. Ahern,
This letter is to confirm that, per your request, National Grid has confirmed that
there is no electrical service at 114-116 Union St, North Andover MA on 7120110.
If you have any questions or need further assistance, please feel free to contact
me at(781) 907-3519
Sincerely,
Thanks -
Angelic Butler
Order Processing Representative
Customer Order Fulfillment
ph #781-907-3519
fax#315-460-9149
angelic.butler@us.ngrid.com
LO{g-
����
Massachusetts- Department of Public Safeti
Board of Building R.eplations and Standar(I
Construction Supervisor License
License: CS 31830
Restricted to: 00
DOUGLAS J AHERN +
i
PO BOX 802
ANDOVER, MA 01810
Expiration: 9/21/2011
Commissioner Tr#: 3328
0