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Home My WebLink AboutBuilding Permit #897-15 - 150 PINE RIDGE ROAD 5/11/2015 I ' BUILDING PERMIT NORTI� q O �t�eo '646'bO TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION V 1. Permit No#: Date Received A04ATEO Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNER J3 hfa-( 4-C04AW 1>14-5 MAP �7 Print 100 Year structure yes no PARCEL: I-llel. ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resid ntial Non- Residential ❑ New Building FrIbne family ❑Addition ElTwo or more family ❑ Industrial ❑ eration No. of units: ❑ Commercial AlRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Welly �,Floodplain D Wetlands ❑ Watershed§District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Q k-t-,,A {- 60 L LrL✓�" I IF-5r Phone: Address: l S a Pk 1',(r;' l 1311 Contractor Name: -vlA161 one: c1��.-�Sr�7 SrZv Address: 15L{ —FyZt(,_(t ty e_c Supervisor s Construction License; (�s aS �O Exp:. Date: - ?01 Home Improvement License B Ex Date: I z 7.' 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: $ 2®o 0 FEE: $ _3�52 Check No.: � 7L/� Receipt No.: oly /7 S'if NOTE: Persons contracting with unregistered contractors do not have access the guarow and 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 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 OTE: 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/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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:Building Permit Revised 2014 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ `t TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanuing/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Cr ` Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafter& Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located 3 d S - ! PARsTMENTY 8 Osgood Street FIRE DEQ, •rr ® p7trn site, esti Luted` at 124, Main Street a•y` t "''k t't ' f a .4-�ati ar t.,g.t '� 'e. Fire Department sign u dam tie �'""r S - ' al s, 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 Call Email E Date Time Contact Name Doc.Bnilding Pennit Revised 2014 Location 1�5 k'LI No. U "�7 Date i TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ �Q Foundation Permit Fee $ t '-7 ` o � *° Other Permit Fee $ ` TOTAL $ Check#Q-7� r 28749 ,:fie` Building inspector i NORTH oven of � � � �, ndover 0 No. h ver, Mass, �l co IcHlW1CK �d p0a�TE0 I`P��,�� S U BOARD OF HEALTH Food/Kitchen PER T. T LD Septic System THIS CERT_ IFIES THAT �4��1 .'.................................................................................. BUILDING INSPECTOR /" Foundation ..... buildings on � 0 "� ......:...��' has permission to erect ..................... g r ..................... .F. .. ......................... Rough to be occupied as �......................................................... .�. c r..:.X0r.. ........ `'.:'! 7L... Feo y .................... .... ..... ................................... 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 CONSTRUCTIO STARTS Rough . Service ............L .... �- ,4............................ .. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy.Buildin 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. ,�- " --�--•------ �e Cpanzmoaac�ecr�o��aoacc�c�� OfSce'of Con"sumer Affairs&Busrhess Regulation OMIS IMPROVEMENT CONTRA`CTbR egistration: X111089 Type: a Expiration:11/2016 Partnership QUINLAN&RAND BUILDERS-s TIMOTHY QUINLAN�Y �x3ili- 34 TRINITY CT z, WANDOVEA AMA 01845 Undersecretary. Massachusetts -'Department of Public Safety �# Board of Builging.�f2,egulations and Standards.'° Construction Supervisor License: CS-055288 F TIMOTHY R QUI4LAN 1 ST.ONGE TERRANE ,r Haverhill MA 01$30 �..:, `�♦ y,S i Its�� Expiratior 03/05/2011 Commissioner , . t' ' I