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Home My WebLink AboutBuilding Permit #609-12 - 116 BRIDGES LANE 2/21/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: �� Date Received Date Issued: 2/g //AI IMPORTANT:Alicant must complete all items on this page LOCATION /16 �'�i t 1)t;E f Lti, /y= A AJ0 Print PROPERTY OWNER /fit Ike /h A6 <iv��r�' r' Unit# Print MAP N0: 0 L PARCEL:7f ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no 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 WMIRloodplashed�stnct _ � "x DESCRIPTION OF WORK TO BE PERFORMED: G cc00 (k7- w-� "?"k;CL 4ff 7-d_11 /UO &� dky wall, i (Identification Please Type or Print Clearly) OWNER: Name: /l2«e AieL$ 4-r Phone Address:_ /`(O 4yidj ej CONTRACTOR Name:A Me 4 V PVA 14-0 Phone: 7 P-6 cY�'-6 09� Address: IQ 1(r-411 PLy Tei w Supervisor's Construction Licenser Date: llf�t �•3 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: 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: $_ y S FEE: $ S y o 0 Check No.: - 11`�1 Receipt No.- s"o7� �, NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �gnature of Agent/Ovvner _. , ,µ; „ , ,; ;;:r ;Signatu`re of,contractor= �u;,:� -i -------------- } Location No. Date TOWN OF NORTH ANDOVER ® � Certificate of Occupancy $ Building/Frame Permit Fee $_ f d Foundation Permit Fee $ orj . Other Permit Fee $ ` TOTAL $ Check#ZZ-Sv 25034 Bu ding Inspector x 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 FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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.$10041000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 Li Building Permit Application a Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks Li Building Permit Application ❑ Certified Surveyed.Plot Plan ❑ Workers Comp Affidavit o 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) ❑ 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 o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report o 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 2008mi 92 eel Office of Oonsumer'Affaie , } _ i#b#ttd nt's iii BUsihess Re�guta u 1 HOME IMP 1� .r kt 'f:a^.° f c�r, ROVEME�ijTiCONTr` ; �' 1a i Re9�tragion" �;+a, RACY0T.. + 101177+W Cp + jam. s Expirationrr, �' S►pe, , -.6/25/2012 3 7 Ly 10iVidual k ''t I C�RINALDOf"IPA Mare, na`Idot..t` ', r Methu en�IVjq{Oa;844 Massachusetts- Dcpai-trncnt of Public Safm Board of Building Regulations and Standards Construction Servisor License License: CS 43801 MARC W RINALDO _ 12 KENSINGTON AVE METHUEN, MA 01844 c J Expiration: 11/19/2013 ('+nuui�si"rrcr' Tr#: 6880 NORTH = Town Of And dog 0 o ` '� lover Mass.,- 0 t- LAKE \ COCHICHEWICK ^ DRATED 7 BOARD OF HEALTH P, ERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... ..................................................................................................... Foundation has permission to erect........................................ buildings on ...`/6...,.r. 'weIAC"S...... ....................................... Rough !�.�f`j �l�.vl�4)ep"()"tChimney , / tobe occupied as.............. . ........................................................................................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application 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 .............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on ' T the Premises — Do Not Remove Final No Lathing or Dry 111/all 1 o Be Done FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. IF—sEE REVERSE SIDE Smoke Det. Carbonless <adaim — NC 3818-50 112. 1 `P R � a"'� PROPOSAL �par Rinaldo ina l_t®#XC 101 77 PROPOSAL NO s� 12 Kensington Ave, SHEETNo.`z z Methuen Ma. ®�®�� DATE PROPOSAL SUBMITTED TO: NAME WORK TO BE PERFORMED Al ,�. rt .,,. �. . /lQ/JCe NhIE�Pfc4 a ADDRESS` f L oGe.7tr ADDRESS DATE IF PLANS PHONE N0. ()F— ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion of '�u�,�`'�X�srt � • t'�►�tr:, tea��f r �.�t l t�a �Z � T e :-Looy�- d ajdoSe .Cif d,!'ja off, ctticQ ��/1 �avrr7 i to wok 7'etld /or^e L0O � ¢ fP tv t 7"f1 yoLyt,�cb Gt ic;rT�lf* TiLc nr l&ItS' C e h kL Ta -- 4, b e C.0 k4,,t0uu d'l ct l kt?, £� QtvtT Y�oeireT C•�pew e�na[t2s , S, s-yt ?cEf e�fretke tae t� 7- -ovtAe 4 /1 y C�TkPvf, G. AoP ko7R hC4 6L tot Lut'Lilo K u� tc� uw�oukd . iVta ee pi - L op, ex_h a t/e�•7s , aJXPr E'7�. 7C�c�v►evera vlc?es T� � wc�u� ��4�e,rt y� F/ 2� a t K.7 , All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings ands ecifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of p Dollars ($ RS'- r with payments to be made as follows. //a 4:r sT� K��vice �T Co�i'LeT`iot� jf Respectfully submitted , . Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, ac- Per cidents,or delays beyond our control. Note—This proposal may be withdrawn by us if not accepted within e L—days. The above aces; Fr ACCEPTANCE OF PROPOSAL p i: specifications and conditions are satisfactory and are hereby accepted. as specifiedYou are authorized to do the work . Payments will be made as outlined above. Signatu Date 2 1S 1 Z Signature �;.a.m. NC 3818-50 PRnpncA