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Home My WebLink AboutBuilding Permit #98 - 1801 TURNPIKE STREET 8/7/2007BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received DESCRIPTION OF WORK TO BE PREFORMED: r�,O\N A e'klO ?)�-CQ �, A -^d Z4 t, \ � �f)r—t5 C -174.* -1 /-, %.^ /"IAA I I 1 1, U^AC;'?"N �LA \n —'Vu (-\r, V�4-w A Of z, -e LVV\ RV4 Identificaoon flepse Type or Print Clearly) OWNER: Name: ne: ARCHITECT/ENGINEEk-7-c )qiWfeGi-(� Phone: Address: g\ -4Z ) 6_ �� Reg. No. FEE SCHEDULE. BULDING PERMIT. MOO PER $1000.00 OF THE TOTAL ES77MATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ g,!Z S -GO - 0 FEE: $ -307 Check No.: Receipt No.: NOTE: Persons contractLing with unregistered contractors do not have access Athe gAar**4&U4 Plans Submitted 11 Plans Waived,[] , Certified Plot Plan El Stamped Plans El TYPE OF SEWERAGE DISPOSAL Public Sewer F] Tanning/Massage/Body Art Swinmiing Pools El Well El Tobacco Sales El Food Packaging/Sales 11 Private (septic tark etc. El Permanent Dumpster on Site El THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS, x x DATE REJECTED DATEAPPROVED El DATE REJECTED DATEAPPROVED 107 DATE REJECTED DATE APPROVED 71 Zoning Board of Appeals: Variance, Petition No: --_______..,Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/signature & Date Driveway Permit Located at 384 Osgood Street T 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 21 A —F and G min.$100-$l 000 fine NOTES and DATA - (For det)artment use El Notified for pickup - Date Doc.Building Perinit Revised 2007 Ruild1mg 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 L3 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) ci Mass check Energy Compliance Report (if Applicable) u 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) ci 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 No. Date I 40RTjj TOWN OF NORTH ANDOVER 0 + 0 Certificate of Occupancy $ Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #??%6717 2 0 41 6- )- Building inspector ;mo ff W3 u u 0 Lij > U) cc 2 W. PQ Ow 2 -mc 0 u u 0 Lij C/) z u �D 0 C/) z 0 u cf) Cf) 2 W4 %414 - *41b V� EM, � 9L--. - u 0 E z ca co E CD L- CL CD C12 CL COD 0 Q CL COD cc cc 'a CO) is ts Q3 CL CM co cc 0 CD CD C2 CL cc z Q 43 CL CA w LLI uj LLI w LLI uj U) cc 2 At� C3 2 -mc =40:0 ts cm vi CD C E IE CCO CO :,M; -== co cc Ca CLL) L.: cp cm CD 12 0 WOO C2, co Q CD 0 w4D= E CCD2-.s IC2 CD ca s 4, .L E CL. = :5 0.0 w LU L.2 L- CD CM coo CL C.S 10 to cc M O.L41 = 0 — = &3 CD I.- = -W CL 4- C/) z u �D 0 C/) z 0 u cf) Cf) 2 W4 %414 - *41b V� EM, � 9L--. - u 0 E z ca co E CD L- CL CD C12 CL COD 0 Q CL COD cc cc 'a CO) is ts Q3 CL CM co cc 0 CD CD C2 CL cc z Q 43 CL CA w LLI uj LLI w LLI uj U) M" BID DUE: DATE: REVISED: 05.18.07 COMMENTS !c0RMULkQ UNITS COST LOW BIDDERS 05.14.07 Subtotal - General Requirements $ - DIVISION 2 - SITEWORK & DEMOLITION DEMOLITION $ 5,600 Subtotal - Sitework $ 5,600 DIVISION 3 - CONCRETE NONE Subtotal - Concrete $ DIVISION 4 - MASONRY NONE Subtotal - Masonry $ DIVISION 5 - METALS NONE Subtotal - Metals $ DIVISION 6 - WOOD AND PLASTIC NURSE STATION 327, 227, ROOM G17 $ 19,960 Subtotal Wood and Plastic $ 19,960 DIVISION 7 - THERMAL AND MOISTURE PROTECTION Subtotal - Thermal & Moisture Protection $ - DIVISION 8 - DOORS AND WINDOWS NONE $ NONE $ Subtotal - Doors and Windows DIWISION 9 - FINISHES Subtotal - Finishes $ DIVISION 10 - SPECIALTIES Subtotal - Specialties $ DIVISION 11, 12,13,14 - NOT USED Subtotal - Divisions 11, 12, 13, 14 $ DIVISION 15 - MECHANICAL Subtotal - Mechanical $ DIVISION 16 - ELECTRICAL ELECTRICAL $ 2 NURSE CALL $ Subtotal - Electrical $ EXCLUSIONS TOTAL MATERIAL & SUBTRADES $ 25,560 0% $ . 1 Asbestos Survey/ Abatement SUBTOTAL $ 25,560 2 Appliances 0% $ TOTA,Lr'$'t�j 6 1 f- Y B IfALIRDt4"OIF47BIUWIII'IILDnallIN REGULATIONS A License: CONSTRUCTION SUPERVISOR Numbe�"Cs 079556 al5t=1967 Exp Tr. no: 3249.0 Rejj�r & -F NICH DLAS mATA R M7 't. 4 — W 7 M hil �.J 239 CEDAR SWAkfi DEFPRIVER, CT C, 44 00 - 35,000 cf enclosed (MGL C. -I 12 S.60 space IA. -Masonry only . L) I G - I & 2 FamilY Homes Failure to Possess Massachuse a current edition Of the is cause tts Stste 8 'Id' ro"e'Ocatfbn U' Ing Code of this license. DIG SAFE CALL CENTER: (888) 344-7233