HomeMy WebLinkAboutBuilding Permit #Exception - 163 SUMMER STREET 5/1/2018 _ n
BUILDING PERMIT oFtt��o t%ORTM
TOWN OF NORTH ANDOVER o�
APPLICATION FOR PLAN EXAMINATION
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Permit No#: Date Received gyp ~
Date Issued:
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IMPORTANT: Applicant must complete all items on this page
LOCATION nit A& er S
! Print
PROPERTY OWNER rJ
Print 100 Year Structure yes no
MAP PARCEL:__ _57V ZONING DISTRICT: R Historic District yes no
Machine Shop Village yes no
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 ❑ sessory Bldg ❑ Others:
❑ Demolition00ther
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Septic Q Well EJFloodplain p Wetlands El Watershed iD strict
O:tiWaterJSewer
DESCRIPTION OF WORK TO BE PERFORMED:
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Identification- Please Type or Print Clearly
OWNER: Name:_ M ,C,& a v Ca l a Phone
Address: 3 5 v No • 4 riwo✓er A14 D/rvsf
Contractor Name: Poo(s Co!X . Phone: 2-y 2
Email: _1efzo-0 v5Aswjm, cn
Address:
Supervisor's Construction License- ) Exp. Date AW
Home Improvement License: I Zyy 31 Exp. Date: ��'23 I S
ARCHITECT/ENGINEER t44- Phone: N14
Address:_ N��} Reg. No. 44
FEE SCHEDULE.BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST��BASED ON$125.00 PER S.F.
Total Project Cost: $ 2-3,-7,(5-, FEE: $ � //
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Check No.: Receipt No.:
TE: Persons contracting with unregistered contractors do of have access to the
guaranty fun
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-AUGUST T,/965 By -�► - Z;,; ®
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: . pp. Commonwealth of Massachusetts
Title 5 official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
3 M
163 Summer St.
Property Address
.,; Fay
Owner —
Inaired on for Is
required for North Andover MA 01949 October 5,2012
'} every page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the bo es below:
® hand-sketch in the are elow
El drawing attached separa eiy
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ins•11/10 ``� tle 5Official Inspect orm-Subsurface Sewage Disposal System
JOB INVOICE
R. J. SALEMME
PLUMBING & HEATING 6621
P.O. BOX 594
NORTH ANDOVER, MA 01845 CUSTOMERS ORDER No. oATjF y ED
(978) 686-0820
MA Uc.OW36/PIH I&.01356 ORDER TAKEN BY DATE PROMLm ❑A.M.
❑ P.M.
8161 TO PHONE
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ADDRESS MECHANIC
Ir
CITY _ HELPER���
408 NAME AND LOCATION
' ❑DAY WORK
' DESCRIPTION OF WORK CONTRAcr
/►- •�f7 mss,. ❑OMIA
QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT
3 C3Q
a
HOURS LABOR AMOUNT
TOTAL
MECHANICS @ MATERIALS
HELPERS @ TOTAL
LAIIOR
I `"0n TOTAL LABOR TAX
mrrplelwn of the above desxnbed work.
SIGNATURE DATE COMPLETED TOTAL ,,
RECEI ��
Peu`� 06 ��1�
TOWN OF NORTH ANDOVER
HE�tTH DEPARTMENT
November 5 2012
Susan Sawyer
Health Director
1600 Osgood Street
North Andover, MA 01845
Re: Title 5 Inspection —Failure of Laundry system
Dear Susan
i This correspondence is in regards to your letter dated October 19, 2012
concerning the failure of the laundry system passing Title 5 inspection.
New drains have been installed for the laundry system and they have been
rerouted into the plumbing system. The old laundry system drain has been
disconnected as requested.
The work was done by R. J. Salemme Plumbing & Heating and a copy of the
invoice is enclosed.
Sincerely,
Frank Fay
163 Summer St.
North Andover, MA 01845
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. 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
C MMENTS
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HEALTH Reviewed on Si ur
C ENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submittedY es
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Signature&Bate Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
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