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Home My WebLink AboutBuilding Permit #225 - 188 CHESTNUT STREET 9/25/2006 TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION o - Permit NO: �� Date Received � ZC° w gq0coArno � �4SSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION FS If C ({ S 0 LtT Print PROPERTY OWNES S A R Print MAP NO.: &0 PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential 0 New Building [ane family ❑ Addition ❑Two or more family ❑Industrial 0 Alteration No. of units: ❑ Repair,replacement 0 Assessory Bldg 0 Commercial ❑Demolition ❑Moving(relocation) ❑ Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED E m0y 1~4 U) VV d a- o- I (� �b/9C<< J F tf ou St A A)d 5 d A)to CJ 0-04- is Xao'' Identification Please Type or Print Clearly) OWNER: Name: 14 S N r+ - S 91-- Phone: 97 Address: I %Is C t•1 C S rJ v 1- CONTRACTOR Name: ��/ y t S 20/5 Phone•`/li /v Address: r1 1 L S T /,4 Supervisor's Construction License: ()(, -5S57 Exp. Date: Home Improvement License: ��(�3`� Exp. Date: S ZCs- b ARCHITECT ENGINEER Name: Phone: Address: Reg. No. i 2- FEE SCHEDULE:BULDING PERMIT.$1480-PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ Go X10�06=FEE:$ Check No.: 3JS� Receipt No.: 9� I Page t of 4 Location 1 K, C (i '1 "jJ j -S+ �— i. U ' / No. �'�S Date L ! NORTq TOWN OF NORTH ANDOVER f 9 Certificate of Occupancy $ . ° ... n �'�s'•^° tt� Building/Frame Permit Fee $ a +cwus Foundation Permit Fee $ i Other Permit Fee $ TOTAL $ Check # r',t,_7?N-- Building Inspector TYPE OF SEWARGE DISPOSAL Public Sewer ?r Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. El Permanent Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS 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 Drivewav Permit Temp Dumpster on site yes—no— Fire Department signature/date Building Setback(ft. Front Yard Side Yard Rear Yard Re wired Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA— For department use PINSCPECTIONAI., SERVICES DEPARTMENT:BPFORM05 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 ['ane 4 44 NORT1y Town o - 4Andover 0 "A 00 dover, Mass.,0 LA ./ • 2S' �— COCMICMEWICII D)�A7ED PPS\ '9S � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...... ......O. •..............N..�.S...%..r......................... .......................................................... Foundation has permission to erect........................................ buildings on .......1. ......G ....... ....�. Rough to to be occupied as...... �� Chimney p� 1.z-�..X..&'.�►............S.l.�di..�..... . . ................................................... 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 Z PERMIT EXPIRES IN b MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRI r 6,RTS Rough ......... .................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. ESEE REVERSE SIDE Smoke Det. e �o'nvrna�zurecz��t o�l�,a�racluaeda BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 065857 Birthdate: 12/29/1952 Expires: 12/29/2006 Tr.no: 5449.0 ' Restricted: 00 JOCELYNE SIROIS PO BOX 246 METHUEN, MA 01844 Commissioner Standards Board of Building Regulations and �.f CTOR t HOME IMPROVEMENT CONT Registration: 126398 n Expiration: 512612008 Type: Individual Jocelyn Sirois JocelYne Sirois .sr«^� W' trator 77 Elm St Depugy Adminis Methuen,MA 01844 J. Sirois Woodworking and Construction Invoice No. PO Box 246 Methuen, MA 01844 Tel. 9 78-685-4504/Cell 978-360-8448 ESTIMATE Customer Misc Name Mr H J Nassar Date 9/10/2006 Address 188 Chestnut St Order No. City No Andover State MA ZIP 01845 Rep Phone 978-258-6995 FOB Qty Description Unit Price TOTAL 1 Quotation on back sliding door,removed window and install new header 1 new sliding door. i 2..5" k lb 1 No electricity included . 1 Material and labor $6,800.00 $ 6,800.00 I SubTotal $ 6,800.00 Shipping Payment Select One... Tax Rate(s) Comments TOTAL $ 67800.00 Name CC# Office Use Only — � Expires Insert Fine Print Here Insert Farewell Statement Here J. Sirois Woodworking and Construction Invoice No. PO Box 246 Methuen, MA 01844 TeL 978-685-4504/Ce11978-360-8448 _ AESTIMATE Customer I Misc Name Mr H J Nassar Date 9/10/2006 Address 188 Chestnut St Order No. City No Andover State MA ZIP 01845 Rep Phone 978-258-6995 FOB _ Qty Description Unit-Price! TOTAL _ 1 Quotation on back sliding door,removed window and install new header 1 new sliding door. 1 No electricity included. j 1 Material and labor $6,800.00 ' $ 6,800.00 i j — --� — - -- �SubTotal '_$ ___6,800.00j Shipping Payment Select One... Tax Rate(s) --- -- — , Comments 6,800.00 Name CC# Office Use Only Expires Insert Fine Print Here Insert Farewell Statement Here