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HomeMy WebLinkAboutBuilding Permit #027-16 - 183 GREENE STREET 5/1/2018 o`BUILDING PERMIT NO oT bgtio TOWN OF NORTH ANDOVER �2 yam`'` T' APPLICATION FOR PLAN EXAMINATION Permit No#: O°2 `14 Date Received AQ'Oo P` SSACHUS� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION & b444.3 'ST- int PROPERTY OWNER I t.L WoI�F�D,E►J //��,, Print 100 Year Structure yesOno MAP PARCEL:y� ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial WAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑.Septic ❑Well C1 Floodplain ❑Wetlands. ❑ Watershed District Q WaterlSewer gen N DESCRIPTION OF WORK TO BE PERFORMED: entification- Please Type or Print Clearly OWNER: Name: (� tdPhone:926-959,-333 Address: n 1 Contractor Name �e.�.. � ow Phone: ���"�5a•3�33 Email: Address: 9a 1 KA Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: �-z�,vp ARCHITECT/ENGINEER �J, Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 301)(9. 80 FEE: $ �50 Check No.: gc?v?- Receipt No.: 9!70/ 7 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ■ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tauning/Massage/Sody Art ❑ Swililg 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 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEP�ARTME { NT �Temp,�Dumpsfier t diat;-r124 Man Loca e ( i iStreet, Frt5, Department COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, roast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA— (For department use) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 OTE: 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 16 Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 . OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 Doe:Building Permit Revised 2014 l Location No. 617 A Date 7/6 ll,,r . • TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $ _'" Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ n Check# � t.. X-90(9 Inspector r 1 NORT11 - w: : :. .c . . ver No. h ver, Mass / o a CO[NIC"IWICK meq. A044TEO Ilk? (5 S U BOARD OF HEALTH Food/Kitchen . PERMIT T LD Septic System �/J BUILDING INSPECTOR THIS CERTIFIES THAT .... :�,�1.' .... ........... ......................................................... has permission to erect .......................... buildings on ( � �`�° Foundation ............. .. ......................................................... Rough to be occupied as .......... ... G:. ,�.14g:rc�..... ..C7 ... .1. V.q................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 FARTRough ' Service ................ ....... . ......... .................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Smoke Det. Back River Development 231 North End Boulevard Salisbury, MA 01952 (978) 852-3733 CONTRACT, To: Bill Wolfenden Date: March 23,2015 Re: Renovations of Residence 183 Green St.N. Andover,MA Scope of services Back River Development will be responsible for the following: Remove and dispose of all existing PT decking and rail Install new composite decking on existing flame and step TOTAL COST $3000.00 Bill Wolfenden,Ho eowner William J.Fk6ris, Back River Development U - Massachusetts-Department of Public Safety Board of Building Regulations and Standards License: CS-065005 BRIAN LYKCH. 31.SEVEN STARRD 7s GROVELAND M 01834 Expiration Commissioner 11IMS2015 .\ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registmaon: 173255 Type: Expiration:.;:9/20/2016 Individual BRIAN A LYNCH BRIAN LYNCH 31 SEVEN STAR RD:;,._. GROVELAND,MA 01834 Undersecretaryy