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Home My WebLink AboutBuilding Permit #439-14 - 14 Longwood Avenue 11/18/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued, IMPORTANT:A licant must complete all items on this page LOCATIQN • - . . . - Prion F - PROPERTY 011VNER _- - /` a� -- - - Print � 100 Y ii'Old Structures yes: V. MAP NQ: -_ _PARCEL': ZONING DISTRICT Historic 9lstnat yes r% 'Machine Shopy,doge yesr n:r TYPE OF IMPROVEMENT- PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition El Two or more family El Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other p Septic ❑Well #Floodplain; ❑�Wetlar%ds ❑. Watershed District dlNatef/Sewer DESCR T,19N OF WORK TO BE PERFORMED: 1 T or Print Clearly) Idem' cation lease y) Y OWNER: Name: Phone: ZZL-- Address: CQNTRACTOR�`Narn ( /t✓� F r _ e ,-P : hon - - - - Address: ;Z •. 1 ,�'G /J�5t�y1 ° c /li " p Ex Supervisof's,Construction License �,1 �_ - ��. Horne Improvement License: _. - _T - _ E_xp 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.: -`�� NOTE: Persons contract ng wit nregistered co ctors do not have access to a guar my fun lgak re Signature of Agent/Ovvne--' w SYof'-coritracto,' Plans Submitted Li Pi 's Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Ii Building Department The following is-=a-1i'st 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 ❑ 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 ❑ 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 apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building Permit Revised 2012 J Plan11 s Submitted ❑ .Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYP.E_OF;SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑. . 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 i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Nater& Sewer Connection/sin g ature� Date Driveway Permit DPW'I ow;2 Engineer: Signature: - Located 384 Osgood Street (FIRE EPARkT Temp Dumpster on site ,yes no Located at.124,Mair Street Fire Departmeiitsignature/date COMMENTS _ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area; sq. ft.: i 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:fin.e NOTES and DATA— (For department use i i El Notified for pickup - Date F Doe.Building Permit Revised 2010 r Location —! (vtLArn Avze No. Date J, . - TOWN OF NORTH ANDOVER Vv Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 2 7 1 1 0 Building Inspector ti if NORTFt Town of �. E q n ove r CJI 64 No. - h , ver, Mass, C OC NICHlwICK �1• �f,9 A°44ATE1) r'P�`,`'�5 S V BOARD OF HEALTH PER IT T LD Food/Kitchen Septic System UILDING INS ECTOR THIS CERTIFIES THAT ... k�.%d. •�••••• I Foundation has permission to erect . • •• ••••••••••••......••••.............•••••• n ......................... buildings on ..... .. .........�.Q. .. 00Ugj�`. �( to be occupied as ... .....4ow.....!AM......is. . ... . .. .............................awammEwr............................... �Ch* v provided that the person accepting this permit shall'in every respect conform to the terms of the application nal' g �� 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 I PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR I�U ' UNLESS CONSTRUCTSWTS Service ............ ........................................................... Final BUILDING INSPECTOR' ,y z7 l3 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 Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 12,000.00 m $ - $ 144.00 Plumbing Fee $ 18.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 18.00 Total fees collected $ 280.00 14 Lorraine Avenue 439-14 on 11/18/2013 Finish Basement t%ORTFy own of t ndover O " - 0 No. _ - 4:�0 I z , h , ver, Mass, A- COC HIc"IWltlt N' 7d A�Rg7ED A,*' �5 S BOARD OF HEALTH Food/Kitchen PER IT T LD Septic System THIS CERTIFIES THAT ...L.� 4I..... BUILDING INSPECTOR ......... ......... . .................. i�Q� Foundation has permission to erect.......................... buildings on .....I.. ......... h*��............................ VAm Rough tobe occupied as ... .��. ..... ......�. . .... . .. ............... ............................... Chimney 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final / PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT ST TS Rough " 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