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Home My WebLink AboutBuilding Permit #126-13 - 119 HIGH STREET 8/14/2012 I L 9UILDING PERMIT °� "°RrK q -ct�a° '6 ti0 TOWN OF NORTH ANDOVER 0y�`'• •d ° APPLICATION FOR PLAN EXAMINATION y T h T (• O Permit N0: .7 Date Received 44oR,,TE°,.Pa' �SSACHUs�t I Date Issued: ZI�M4—TIANT:Applicant must complete all items on this page g ti..:y' u�!.{=.n:- •i..=:``. '"*e �. yrs �•w:..t- r W y ....'.+., K-.:.�. r"i Vie^ 'Y.Y^ !' v'F'�`P '...g ' t +r'c...d.;,r�,..�,.,rt�i g . - —i 1.r Y•+ . a. N ��/ f LOC/ATsIOAf`C� iht PROPERTY,'04WNER? � . Psrlflt� ' � I MAPNO s ,PARCEL ZONINGaDISTRICT t �Mistone�Distncf yes-- no 3 � `:Machine Shop iVillage 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 Se tic Well" I o'Floodplam Wa#ershedlDisf�ict ap i - VVatet/Sewer: ..,•. _ F, g i.� . Y� DEOS.CRIPTIlO/N O ' � =117 REFORMED: L— G Identificatim,Please Ty a or Print Clearly) a OWNER: Name:, �� Yi-o Phone: y e Address: Phone o_ S 0 r 7_ Y f� ,0NTRACTQR Name �� Adtlress3- Supervisorys�ConstructionALicense ( 7 D_��i !o — ps Ex ° f � Home Improvementjl icense . . � .. EfExp, 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: $ -� FEE: $ Check No.: Receipt No.: c2 '6114 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature:of Agent/Owner Signature of contractor Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. mits j Roofing, Siding, Interior Rehabilitation Per � ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses 1 ❑ Copy of Contract I ❑ 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 f 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 ❑ 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 i i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans M 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 I DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS ° HEALTH Reviewed oSi na re COMMEN 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 Locafed at 124 Main Street Fire Department signature/date:•, k k } COMMENTS,. i Dimension i 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 I NOTES and DATA— (For department use I ❑ Notified for pickup - Date i Doc.Building Permit Revised 2008 Location f7 v No. , _ Date f4 • - TOWN OF NORTH ANDOVER o Certificate of Occupancy ` Building/Frame Permit Fee $tea Foundation Permit Fee $ Other Permit Fee $ TOTAL Check#� 25612 uildi NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: 1,9is that the debris resulting from this work shall be disposed o in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 1 OA. The debris will be disposed of in: Z- /,Z. (Locationof Facility) .2 Signature of Permit Applicant Date � 1pD) his lv ss �� NORTFI Town of � : E : .. 6 ndover No. Z& 13 t _ 3n o ` h ver, Mass, COCKICNEWICK ORATED S U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT /.�1/P � ;.....1• ,, 1. ; :.................................................................... BUILDING INSPECTOR .......... .. has permission to erect .......................... buildings on ..&a, ... . .��.�.��...................................... Foundation to be occupied as 4�wa..: ....I.. Gn�.�. ......... Chimn y ..... . .f........................ ug e 000 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STA TS Rough ,f Service ...................... .... . ...... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Sulo-I isor 4 License: CS-099062 1 TODD B WOE& i 52 SHEPHARb RQAD PEI HAM NIS 030`76 If ttX Expiration Commissioner 09/28/2013 i j. I i iI r r Agreement This agreement is entered into between Todd Woekel and Avatar Properties-Receiver for the demolition of the illegal basement apartment as requested by the City of North Andover. Todd Woekel will remove all wooden walls but leave structural supports. Everything will be removed back to the cement walls. Avatar Properties-Receiver will hire at their expense an electrician and plumber to remove the plumbing and electrical from the subject area.The location of the job is 119 High Street,No.Andover,MA. The cost of the job is$3,500.00. Payment will be made at the completion of the project.All materials will be taken offsite at the contractors expense. Todd Woekel Avatar Properties-Receiver I