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HomeMy WebLinkAboutBuilding Permit #57 - 156 WAVERLY ROAD 7/25/2007 BUILDING PERMIT NORTH q tT�aD ,6 4• TOWN OF NORTH ANDOVER ar '° o APPLICATION FOR PLAN EXAMINATION « of Permit NO: Date Received 9SSACHU`'�� Date Issued: 7 2l o7 IMPORTANT:Applicant must complete all items on this page k f 5 . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Qne family ❑ Addition &Two or more fames ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition 0 Other ��. QESCRIPTION OF WORK TO BE PREFORMED- sy% s f O Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ /'S000 , 00 FEE: $ %�� t 06 Check No.: 7 7 Receipt No.: NOTE: Persons contr ting with unregistered contractors do not have access to ar f d' Signature of Agent/Owner Signature of contract i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM I f DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS 1 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS t 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 ❑ 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 Located at 384 Osgood Street .. -`.. l i w. #? M J 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 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date f 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 o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products 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✓ 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 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 2.2007 Location No. Date r i MORTM TOWN OF NORTH ANDOVER f41 9 Certificate of Occupancy $ Building/Frame Permit Fee $ , s�►CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 255-7 7 Check # 20465 Building Inspector HUNG ASSOCIATES, INC. Civil/ Structural/ Management Consultants 19 Campbell Street Tel: (781)503-0241 Woburn,MA 01801-3605 Fax: (781)503-0247 July 31, 2007 Mr. Jerald Brown- Inspector of Building g Building Department 1600 Osgood Street,North Andover, MA 01845-1048 RE: 156-158 Waverly Road North Andover, MA 01845 Dear Mr. Brown: This is to certify that the structural renovation for the above reference project complies with the submitted structural drawings and the Massachusetts State Building Codes 780 CMR 1600. If you have any questions please do not hesitate to call us. Very truly yours, e. HUNG ASSOCIATES, INC. ��,PLOFMAssc O� SIMON 9yG J. HUNG N HUNG T4 STRUCTURAL y n No.34002 . �o RFG1STt4 a��Q �ssro NAL Simon J. Hung, IdE., Preside t ii THE COMMONWEALTH OF MASSACHUSETTS Department of Public Safety One Ashburton Place, Room 1301 Boston,Massachusetts 02108-1618 Phone: (617) 727-3200 Fax: (617)727-5732 J ARGEO PAUL cELLUM Gov=cr SECONDARY CONSTRUCTION CONTROL DOCU3IIEN7 KATEIEEN M OTOOLE Socrd-Vy (for Professional Engineers/Architects responsible for only a portion of a controlled project) Project Title: 3 UTA t.t �..E.S tDENT1I�L R R�[. /6 ,j_.?Lud t Project Location' '196 vie v ST ./(. 19-N VOW t 0- MA Scope of Project: -50 rL L Mk L rr_►t _ _.5 y( f T r4A In accordance with the sixth edition Massachusetts State Building Code,780 CUR SECTION 116.0: SAM 6 5 N .M c m-"Ara-14 - , Mass,Registration Number —3 being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: [ ] Entire Project [ ] Architectural (.3 Structural (. j Mechanical [x) Fire Protection [ ] Electrical [ ] Other(specify) for the above named project and that to the best of my knowledge,such plan's,computatiotii'ani specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. Furthermore,I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned portions of the work proceed in accordance with the documents 1he building pennit. EpLTH of Upon completion of the work,I shall submit a final report as to the satisf �col letio'd, e aboN-e mentioned portion of the work R All v2 Signature of registered professional: ppDTFIrl m 10, ..� J� Fs �'iS p • /7 Subscribed and sworn before me this g day of f'`4 �•►s�0 �� � / G e►s♦ my commission expires on otary Public 116catrldoc Springfield District Office, 165 Liberty Street,Springfield,l4IA 01103 Phone: (413)736-3628 Fax: (413)733-5849 (508) 520-4700 LIC. NO.000793 FAX(508) 520-4712 E-MAIL: ipfpsinc@comcast.net INDEPENDENT PIPING FIRE PROTECTION SERVICES, INC. SPRINKLER INSTALLATION • REPAIRS&MAINTENANCE INSPECTIONS• 24 HOUR SERVICE 837 UNION ST. UNIT C-17 PHILIP KELLY FRANKLIN, MA 02038-2583 NORTIy Town of over - - _- `�• �`.17 odover, Mass., 2 -�-� '" 0 LAKE A- CO C N 1 CHE"ICN �J�A°RATED P? C7 S ` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT// G ...... ..... ..�............................................................................... .... ................................... Foundation has permission to erect........................................ buildings on .......................... Rough to be occupied as.................... f �,.5 /... '�'V..l....11 ..>� ./'r.� �l.!�� '........ s!1............... Chimney C ' provided that the person accepting this permit shall in every res ect conform to the terms Ltee�applklaiion 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 / i PERMIT EXPIRES IN 6 MONTHS / ELECTRICAL INSPECTOR t UNLESS CONSTRUCTIO ART Rough .... . ..... . ... ......... .................... Service BUILDING INS 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.