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HomeMy WebLinkAboutBuilding Permit #743-11 - 1634 SALEM STREET 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7 y3 - Date Received Date Issued: I1MORTANT:Applicant must complete all items on this page LO CATION 10 q -Sa'`eh-^ ma'`'r 1"d- A-k,�,v V e r P . t PROPERTY OWNER D`-6Y--e, —a*A-��- Print MAP NO: /L L4:�PARCEL: OOS IZONING DISTRICT. Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑ New Building , One family 11 Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ,F Repair, replacement ❑Assessory Bldg ❑ Others: Demolition ❑Other ❑�Septc� 3®Well _ �� ®�Foodplainu_tyyetlands a ( =yte�rshed�District U14- -----=- --- -- - =�� - - ---- - - - - _ -- - DESCRIPTION OF WORK TO BE PERFORMED: "F 'i�'►'` 0� 1 ►,-S v I-zJ--end-r s a-J S s ( i,..r•h h e�- r• -Q,JC I S�-c (-N W D Jto yr r\ Identification Please Type orPrint Clearly) OWNER: Name: A Phone: 9� Address: ((o 34 A�eyeX CONTRACTOR Name: �iN�- n��'` i � C�. Phone: Address: I�JQ'� ��' C,I l4 Or ? r (I o► Supervisor's Construction License: © O g g 4o Exp. Date: Home Improvement License: (� 3 g Exp. Date: I Io II Zd ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL EST/MATED COST BASED ON$925.00 PER S F. 412�? 010 Total Project Cost: $ ,2 FEE: $ J®— Check No.: s® ®f Receipt No.: y� 7 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ,- ------- ---�.,_.,---------- --- ---,-.-------- ---:�x_•� ---;--- :-moi_--z------ --- tlOwner.` naf%re ofcontraefo - - --------- -- -%-b ------r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Swimming Pools ❑ ❑ Tanning/MassageBody Art ❑ +` 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 ❑ ❑ I 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 f DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main.Street Fire Department signature/date COMI\4ENTS 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 EI Notified for pickup - Date Doc:.Building Permit Revised 2008 II 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 Neter 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit j all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals 'at the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording ist be submitted with the building application Doc: Doc.Building Per Revised 2008mi Location No. Lj Date Nc eT.,y TOWN OF NORTH ANDOVER 3+ � . .goo F w i • s�o Certificate of Occupancy $ swMus<� Building/Frame Permit Fee $ s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # � 24 1 27 Building Inspector ORTH Town of Andover dover, Mass., O LAK COCMICKEWICK ADRATED P?�\,`�5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......z............61 ...... ............................................................................................................................. Foundation p ........... buildings on ..�� y...S� has permission to erect.........:....:.............. .................................................................. Rough to be occupied as ................................................................ Chimney provided that the person accepting this permit shall in every respect conform to 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 STARTS Rough ...................... ' t` ..��. , , ............ ..................... Service . BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the7 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. SEE REVERSE SIDE d)r'IT z!•i!!,! t (,i'1'(liai+ ti.,r , ?Y-vi l;,j trti.r!f Eltlldu��d"Rc �'' Cans r t! lfr�(n�.:: Restricted to: SF t tion Slrperv(sQr S o n(1 �, ; License: CSS p..cialtl/L(cen;j . JA- 11'Iasonry only Restricted L 100886 £ Y' "�' a W icted to: SF "RF- Roof Covering ^ d. C z5 f WS-Windows and" ,;. . DAVID � Siding SANCROFT SF- Solid Fuel Burnin 27 LOVVELL r.. DM-Demolition only g"Devices NORTH ROADOn MA 01$64 Failure to possess a-current edition! n of the • ' Massachusetts State Building Code --�_ -� is cause for revocation of this license < nu,.7,,,,,,,, :eExpirafio Refer. WWW-to:. .WW n:,3/9/2012 Gov/DPS. Tr#: 100886" 671-7 License or registration val befoid for individul use only f7fticcjo�y? re the expiration date 'If found return. HOME IMPROVEM CO 10 Office of Consumer Affairs and Business Regulation ENT CONT bn o — : Registration: ACTOR 10 Park Plaza- 160389 Suite 5170 Expiration: 7/16/2012 Type: Boston.,MA 02116 S PNMAN _ Private Corporat', INC. -DAV15 SANCROFT 27 LOWELL RD. NO,READING,MA 01864. Not valid without signature----C # 3, Undersecretary {Z.—i$' f�,O-w �O"�P P°I - �8Ss769 l z-,$ f I r II . Contract/Pro osal DateProposal# .. h 4/19/2011 136069 Customer's Name: BLAKE ADAMS Customer E-mail 1634 SALEM ST badams1634@comcast.net NORTH ANDOVER,MA 01845 Customer Phone 978-686-2438 Phone# Fax E-mail Web Site (978)664-6642 (978)664-2259 sweepnman@yahoo.com www•sweepnman.com Item Description Qty Rate U/M . Total Intro Line Sweepnman,Inc.is pleased to offer the following proposal for your consideration: Remove Clay F... Removal of all existing cracked and shifted clay 1 flue tiles 600.00 600.00 INSTL.Amorflex Installation of woodstove liner using approx 25' of 6""Armor Flex",304L stainless,"Heavy Flex" 1 2,650.00 2,650.00 liner including top storm collar and 1/2"foil faced,ceramic,insulation blanket with high density stainless mesh INSTL.Vent c... Installation of 6"stainless vent connector with internal damper,as discussed 1 175.00 175.00 INSTL.MultiFl... Installation of a multi-flue,stainless,chimney 1 cap(cap will cover entire top of chimney) 695.00 695.00 Total By signing below you agree to all of the terms stated above. Signature I �