HomeMy WebLinkAboutBuilding Permit #432 - 140 PRESCOTT STREET 11/29/2006 TOWN OF NORTH ANDOVER NH
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APPLICATION FOR PLAN EXAMINATION 0,
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Permit NO: -7,J^ Date Received
Date Issued:
s 'sic
MWORTANT:Applicant must complete all items on this page
A LOCATION 140 Ao®oot:t Street
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PROPERTY OWNER Cmis Hmlt3� fta WEB)
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MAP NO.: PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES 0
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
0 New Building 0 One family
Q Addition ❑Two or more family 0 Industrial
61 Alteration No.of units:
0 Repair,replacement 0 Assessory Bldg I}Commercial
0 Demolition
0 Movin rdlocation ❑Other 0 Others:
0 Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Fxteria �'ourtvad_w_Qrk; n�Luding- Reza- concrete pati
wa 1 kwa-y--cano-py, &-cedax- 3. bcxs.
Identification Please Type or Print Clearly)
OWNER: Name: GMeds F a]ffim a Phone:978-247-5077
Address: 200 Bddzbxn�. Ate, M
CONTRACTOR Name: PU MxddLo, Irti' Phone: ,rn
Address: F0 Bx 742, 38 MAn btroat, Bc&ton, M 01905
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Supervisor's Construction License: 6 096595 Exp. Date: x/21/07
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Home Improvement License: Exp.- Date:
ARCHITECTIENGINEER T3cbcn Aufttscts Name: Phone: 860-548-M
Address::One Rwtfcxd Sq., Wnt, m t5od,,Cr 06106 Reg.No. 5389
FEE SCKEDULE.BULDING PERMIT:-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED 7 ST BASED ON$125.00 PER S.F.
Total Project Cost:$ ''� 2,r.-Q 0.00 _FEE:$
-Check No.: ��� �d Receipt No.: /q Ff 9
Pa?,C lora
TYPE OF SEWERAGE DISPOSALSwimming Pools El
Tanning/MassageBE]odY Art
Public Sewer TobaccoSales ❑ Food Packaging/Sales ❑
Well ❑ ❑
❑ Permanent Dumpster on Site
Private(septic tank,etc. Electric Meter location to
project
NOTE: . Persons contracting with unregistered eontradors do not have access to the guarantyfund
Signature of AgentlOWner Signature of contracto
Plans Submitted ® Plans Waived ❑ Certified Plot Plan ❑ Stamped Pians
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING&DEVELOPMENT ❑
COQ
DATE REJECTED DATE APPROVED.
CONSERVATION ❑ ❑
COMMENTS
DATE_ REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
FIRE DEPARTMENT -Temp Dumpster on site yes no
Fire Department signature/date
COMMENTS
Zoning Board of Appeals: Variance,Petition No: Zoning.Decision/receipt submitted yes
! Planning Board Decision: Comments
;...
Conservation Decision: . Comments _.
Water & Sewer Con nection/Sienature& Date Driveway Permit
Building Setback ft.
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
Dimension
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA— or department use
Page 3 of 4
D=INSPGCiIONA SERVICES OEPARTM NCZPPORMOS
(acted IMC.ha"M
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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
o Building Permit Application
o Workers Comp Affidavit
a Photo Copy Of H.I.C. And/Or C.S.L. Licenses
a Copy of Contract
o Floor Plan Or Proposed Interior Work
Addition Or Decks
a Building Permit Application
❑ Surveyed Plot Plan
❑ Workers Comp Affidavit
a Photo Copy of H.I.C. And C.S.L. Licenses f� '
❑ 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)
New Construction (Single and Two Family)
a Building Permit Application
a Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
a Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned)to Include.Sprinkler Plan And
Hydraulic Calculations(If Applicable)
a Copy of Contract
a Mass check Energy Compliance Report
In all cases if a variance or special permit was required the Town Clerks office must stamp the-Aecision from the
Board of Appeals that the appeal period is over. The applicant must thea-get this recorded at the Registry of Deeds.
One copy and proof of recording must be submitted with the building application
Don 11Y.SPECrIONAL SERVICES DEPARTMENT:aPFORM05
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t'nrc 4 of4
Location /
No. �� Date
NORTH TOWN OF NORTH ANDOVER
Certificate of Occupancy $ � —
cMustBuilding/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # a.-?
ar
,Building Inspector
�`C� 1'✓e5e��t
SZEWCZAK ASSOCIATES
CONSULTING ENGINEERS
RICHARD M. SZEWCZAK,P.E. 200 Fisher Drive
ALAN R.CHANDLER,P.E. Avon,CT 06001
PETER G.CELELLA,P.E.
JOHN C.THOMAS,P.E.
OBSERVATION REPORT#1
OBS. DATE: Tue, 2-27-07
WEATHER:Mostly Cloudy 35°F
TIME: 8:30 AM
Page 1 of 1
PROJECT: Prescott House Canopy-North Andover, MA PN: 8-57
PRESENT: Peter G. Celella
1. Structural framing and foundation work for the new canopy has been completed in substantial
compliance with the Construction Documents.
2. All foundations have been placed and backfilled.
3. The steel superstructure has been erected,anchor bolts have been installed,and all bolted steel-
to-steel connections have been completed and torqued to the specified tension values.
4. The light gage roof trusses and framing have been installed,braced,and clipped as requited to,
the supporting superstructure. Roof sheathing is screwed to the light gage framing and plywood
clips have been installed.
�aeaea5�
Peter G. Celella, P.E.
cc: Mr. Paul Tirrell -Tecton Architects,pc
i
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
CONSTRUCTION CONTROL AFFIDAVIT
In accordance with Section 116.0 of the Massachusetts State Building Code, I,
David Foster being a professional
engineer/architect, certify that I have reviewed the plans for Prescott House—Exterior
CanopyRenovation - 140 Prescott Street, North Andover, MA and to the best of my
knowledge such plans conform to the provision of said code, all acceptable engineering
practices, all applicable laws and ordinances.
And,further, that I will observe the construction as specified in Section 116.2.1 and submit
reports as required by Section 116.2.2 of the Code.
\S��REA AR�yll
Qk�'JPO G. FpsT Fel
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Architect or-EngifteeSeal
Signu 9TH OF APs
SUBSCRIBED AND SWORN TO BEFORE MR DAY OF
A.D. 200(b . -pRYMY
COMMISSION
Nom: EXPIRES I _
4/30/2011 .•'�GJ
NOTARY PUBLIC
MY COMMISSION EXPIRES -3 _ol_ 0 I
V40 R Tly
Town of over
O .rini'N.rYI'.� µY"�• •', t I�
No. C(
�LAO dover Mass. ZOO CLI
O� COCKICKEWICK
7� 0 RATED Cl
V BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT............ . . .... .. .. ..... ...�. .. .......... ... Foundation
has permission to erect........................................ buildings on., w.. ...f f Rough
to be occupied as ..� .LI./'.� ...�.�. . .... C S Chimney
p ........................ ... ....
provided that the arson accepting this permit shall very respe conform to the t rm of the application on file in Final
his office, and to the provisions of the Codes and By-Laws relati g to the Inspection, A oration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
trz PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTI � ELECTRICAL INSPECTOR
STARTS
Rough
Service
...... .... B_-� ECTOR 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.