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HomeMy WebLinkAboutBuilding Permit #650 - 158 MAIN STREET 4/7/2007 NORTH BUILDING PERMIT °;,1"o #6 q�o TOWN OF NORTH ANDOVER 3? �''`'` , •,.•.'6 °� APPLICATION FOR PLAN EXAMINATION C . e Permit NO: Date Received 44 go �Ssgc►+uSE� Date Issued: �41_0 IMPORTANT: Applicant must complete all items on this page LO.CATION� 15 : �Nta i��8t��ee ... A ....tea �ht PR4f'ERt OWNER:­S ., Gre or '`s 'Aram Churc ! 3. N, ��1CHC1ST2CesMAP � )NGTfiCT: npA _PARCEL5 � ' 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 k Others: Church ❑ Demolition k7 Other Church he a SepticM�,❑ WeII �. . „ ❑ Floodpl°ain i V lettands m 1t1{atersd;I ist x; �- d q w. . VltateriSewer �� .��, � .�� ��� o'��.Y,. 1 ) Replace roof DESCRIPTION OF WORK TO BE PREFORMED:2 ) Replace white vinyl siding 1 ) Replace existing windows - close Lin 3 windows on east side . 4)New front door with emergency exit crash bars . 5) Remove paneling_fand install sheetrock. 6) New Altro flooring to encapsulate existing f;L��or . 7) 2 Handicap bathrooms where office is . 8 ) Storage closet -where existing stage are is 9 ) Repair and/or replace front stairs . Identification Please Type or Print Clearly) OWNER: Name: St . Gregory ' s Armenian Church Phone: 978 685-5038 Address: 158 Main Street North Andover, MA . t4i chae1, A Co11 CONTRACTOR Name . co r ins Phone:{6034-__5 11 21?4 �� I ... 3 '•emS A II 4 ,. n r-,.,. d :dam-se.3'#. .y,..�,Pi i$",S 'k,&'4, Y' .. 6 Address 42 NorthIin St Salma- F Superviser's Constructio. :Lsoensecs0G16g ,Fx ©ate 7/ 14 s 'n v > 7 ,1 a« � �fome tmproverentLlcriae �; k r r Ap.1 Date ARCHITECT/ENGINEER Joel Silverwatch Arch. LLCPhone: ( 603 ) 894-4450 Address: 163 Main St . Salem, NH 03079 Reg. No. 2384 FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ tiSFnnn t, 75 ,nnn FEE: $ Check No.: �" �,6 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agen lC)iwh � ' < ..Signature of�contractor � _ Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans TYPE OF SEWERAGE DISPOSAL i Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ ❑ Permanent Dumpster on Site I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS i DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED ' HEALTH ❑ ❑ 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 Located at 384 Osgood Street .. FIRE DEPARTMENT Temp Dumpster ori;site yes - - no; Located at 124 Main Streeter Fire Department signature/date &z1 -"'R1'AV0eA, K C4."hamr b c r COMMENTS r Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. OO 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) i ❑ Notified for pickup - Date ..........................................................-.......................................................... .............................................................................................. .................................... ................................................................................... ............................................. . ................................................. Doc.Building Permit Revised 2007 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 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 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� /� A 1� � �z No. sb Date / 7 J ,.ORTp TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ cMUSE< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # r 20 � � :� Building Inspector