HomeMy WebLinkAboutBuilding Permit #708 - 141 SUTTON STREET 6/18/2009 pORTH
BUILDING PERMIT OFtt�ao 16'�ti
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION 7D
Permit NO: Date Received a,°°oq,T.o �g
�SSACHUS��
Date Issued: /
IMPORTANT: Applicant must complete all items on this page
LOCATION t (£ �'�em=u y/109
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Print
<?ROPERTY OWNER -41-2,16M'
-"Print -
MAF' NO:` FF'ARCEL_ ZONING DISTRICT: Historic District yes
i
.Machine Shop
Villages des o
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
Septic,na V11e11 - I=loodplain Wetlands 6tershed.District
Water/Sewer _
DESCRIPTION OF WORK TO BE PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: d V3 T,t rp rI- C-0 Phone:
Address: - F U z- lie-B.c.
CO.NTRACTO "Name: 55L9 Zrls i t ukT� Phone: 72177
-
Address:
Supervisor's Construction License: 5 ` (,� '`{` Exp-y- Date:' 1 -2-
r
Horne'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: $ 12, � SOO FEE: $ /b
Check No.:
�y Receipt No.: 9,;2
NOTE: Persons contracting with unregistered contractors do not have ac he uara fur d
nature of contracto _
gnature of-Agent/OwnefT �% ' 9. �,
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:
Locate4 384 Osgood Street
,'FIREDEPARTMENT - Templ'Dumpster on ite yes w no
Located-at 124 Main Street ;
Fare.,0eparrmerat signature/date
- 46 "4
COMMENTS x
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
Doc.Building Permit Revised 2008
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
❑ 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
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
w
Li 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
i New Construction (Single and Two Family)
i
❑ Building Permit Application
o Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
L3 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
I must be submitted with the building application
j Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
i,
Revised 2.2008
i
s � s�--
Location U U N
No. Date r ! D
NORTh TOWN OF NORTH ANDOVER
3? c
F y
` Certificate of Occupancy $
• i •
Building/Frame Permit Fee $
s�cMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL- $
Check # �c
22130
/Building Inspector
F NORTH
Andover ,
Town V.
No. 708
_
dover, Mass.,
O'15�A COCKIC E11.CK`yLAKE �
7 ORATED
�S E BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
� ���5 BUILDING INSPECTOR
THISCERTIFIES THAT....... ............................. .................................................................................................................... Foundation
has permission to erect........................................ buildings on . ................................................. ...................... Rough
to be occupied as...................... ®...--....`,S'.. ... .. ..........................................................:..............
Chimney
provided that the person accepting this permit shall in every respect conformto 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 TARTS Rough
. ................................ Service
BUILDING INSPECTOR Final
Occupancy Permit Required t0 Omtpy 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.
•' Massachusetts- Department of Public Safet-
Board of Buildin- Regulations and Standards
Construction Supervisor License
License: CS 61413
Restricted to: 00
RANDALL E KESSLER
495 WHITING AVE
DEDHAM, MA 02026 LA
�i--�- Expiration: 1/26/2011
(onunissioner Tr#: 9218
KLE/NFE'LOER
Brfghi People.Right SoGnfons.
MEMORANDUM
TO: Town of North Andover
FROM: Mark Erickson, Project Manager
RE: Removal of Remedial Trailer from 141 Sutton Street, North Andover
DATE: June 17, 2009
Kleinfelder has been operating a Dual Phase Remedial system at the facility located at
141 Sutton Street(Former ExxonMobil), North Andover.This system was installed in
order to reduce petroleum related compounds in the soil and groundwater at this site.
The remedial system accomplished its purpose and now needs to be removed from the
site.
Kleinfelder has provided notification to the Massachusetts Department of Environmental
Protection that the trailer will be removed from the site. Kleinfelder will continue to be
responsible for the environmental compliance for this site through the regulatory closure
process.
Thank you for your time and understanding.
Sin
arkrksnoger
Projec
Page 1
30 Porter Road ❖ Littleton,Massachusetts 01460 3 978-486-0060 ti 978486-0630 fax