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Home My WebLink AboutBuilding Permit #145 - 196 MAIN STREET 8/27/2008 BUILDING PERMIT o* NORTF/ tquacl 06gti TOWN OF NORTH ANDOVER c� 4 '`- �'.'6 APPLICATION FOR PLAN EXAMINATION s � Permit NO: Date Received �s9"�A.TED�• �SSACHu`�� Date Issued: Z�/� IMPORTANT:Applicant must complete all items on this page LOCATION___J% "l4 V1 St ("tK 6fi/' ��, � Print... PROPERTY OWNER_ J J" t t ill G'ie. -i( Print MAP NO: PARCEL: ZONING DISTRICT: 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 Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 4o x tDO -t- Identification Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: V�AX'4 l aqi0✓ EkwlctL Phone: 1-- 930-v SU l/`7368 Address: -7/7. 130540 PC-S71 ' LJAc-b t t..rc. J MA d l7 7 4o Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 30 Check No.: 1 76 p Receipt No.: �y�L NOTE: Persons contrac 'ng z h un red contractors do not have access to the guaranty fund Signature of Agent/Own� Signature of contractor 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. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING A DEVELOPMENT C MENTS CON VATION Reviewed on Signature COMMENTS /.HEAL Reviewed on Signature S w 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 DEPARTMENT - : no Located at 124 Main Street Fire Department signature/date d COMMENTS I.,' 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 ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 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 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 ❑ 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 2.2008 I tn Location196 _ 4 V No. ��/ Date 2 7 dl.- i NORTH TOWN OF NORTH ANDOVER f 9 + r • i ; . Certificate of Occupancy $ Building/Frame Permit Fee $ f« ncMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector NORTH Town of _ Andover No. o == - o dover, Mass., d COC KIC ME WICK 11 A. AORATED PP�� `s V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System � / BUILDING INSPECTOR THIS CERTIFIES THAT C 'fit ......... ' r' e .......................t...............'..................................... Foundation has permission to erect........................................ buildings on ..., .. ..(rm .i ... ... ..................................... Rough to be occupied as........................ �....... .....��.. ....... ........................ . ...5'`.. .... .............. .......1`� .t�'' .�, Chimney provided that the person accepting this permit shall in every respect conto he t rms of the applicati o ile 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 TARTS Rough ......... ..................:.................. Service BUILD `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. E SEE REVERSE SIDE Smoke Det. { - • .rrrsr.rwrww.rr.rwnwwn,..w.u.■..+.r........r.«rr+r.rwM+• , • 'h ENV AMC By 11WISI•ERID17�s b�andar , ' A PPLtGATIOrtr �i ��ei ena nwMeU read )NNE ' 1 6r ( ��TIONI, 11401 CONCERN'Ne. T,H! iso %34 tn-i2s.va IVORTHRt;IaGi:;fv1A " Abe riavierse$fde lrer+et�f tiav+ `iee�ffante-�efarda�t'I?rea ced for w. r9>b Is to i ectii�y.t>II>dt:the•inawidls des ors are lnhereillly nonoamm Ns.). FOR ... _..SI'�------------------444~»4 ...-...'w..... txnr __.�.......�. _�._._.... !lPcahan s hereby%.de thfRl't(Cho "ii"orCept 'b"7 t the artides described o 'the reverse Ode e.'thl's(knitScate hive been treated*Pithy name marl ant chemical h mic th di i Oved and registeol bythe Stant fife I'Awsht!and that die appticatho of said chemics I was _ of the Stateof traiifornis snd the Woo and Regulations of the Statet=ire Marshal hlamerttche!afcal uses! ......•..................................,.Ctierrr.Reg140. ................,.....,.............,...,.................I........... ,,. Methal of A14ftadon.. ,......,.................,4404............ or rnater�t! regtsWec' and ° (b) The articles deserilaed of the reverse side here3f are mads:from a tUme•resistan: fabric . approved by the State File Mgt uhal h)r sudi use.Ex I I �Q j�� F�.•12 •03 a .Y. ��tN.•• t,�g.rIQ.....N.NNI N•MN 'rade name of flame-mistant fabric or materW used.........rs�,.....,......,»...........,.........,•,..... ......, V Tlhe dame Retardant Process UWf -will»n.. ...---R''Rm vE�d by �tVa:ihin �uro►�+nom► ALL MATEN ALS AjIECER MEC IBYWfECAI,tFORI41AS7A7TFIREMAASHALANCrMEUTHEItjQUjftwo4TS0FNEPj17011Irtd(A 214 �• •.,..,:,`..._...h �..,_..,.,.... fide ' hten►��mla�eri�nd+eMo+ltpeelgroai�ne •• • sr.awm�nsm.ir+rr�.r...enao.� • .w.r.....,s�..w..e.i..ns...�.+�•.os d.ae�.aas�.aotM.erm e.n.Wa r 4444__.. .....».... $ •.._. ..c.cG. �. 4444 .. 4444•: ,... ... ..••.• 4444_. 4444�» 444,4 ....�... 4444 ._. ...» 4444. Aug 18 08 01:09p Paul 978-443-0072 p.2 I BUILDING PERMIT of Ncsrti TOWN OF NORTH ANDOVER •t"`" �`�a APPLICATION FOR PLAN EXAMINATION y Permit NO: Date Received ;" "`k+ 9SSwc14u Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION ` �: ��VLcuk-) Ai.•i-Aov� . PROPERTY OWNER print PRO , P.E Print MAP.NO: ;PARCEL: -ZONING DISTRICT: -Historic District- _ yes no, 'Machine-S•hop'Village :yes . 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 Assessory Bldg Others: Demolition Other Se tic. -Well- '.-Floodplain pWetlands Watershed Drstrrct . Water/Sewer - DESCRIPTION OF WORK TO BE PREFORMED: RC1 K 1 �•C-r - Te..�•I -r J Identification Please Type or Print Clearly)YP OWNER: Name: Phone: Address: :. CONTRACTOR -Name: ��r� C Phone: v - : � .:Address: --717- pos-,.�P2.:&,4 Supervisor's Construction.License.-':** --Exp. 'Date:' Home Improvement License: Epp. Dates ARCH ITECT/ENGI NEER Phone: Address: Reg No FEE SCHEDULE:BUL.MNG PERWr.S12.00 PSR 51000.00 OF THE TOTAL ES77JWATED COSTaASED O/Y$125.00 PER S.F. Total Project Cost: $ ?�z:>c"5 FEE: $ Check No.: Receipt No.: NOTE: Persons c nntrae ng < < unrgpsirfred cnntractvrs do not have access tQthe guaranty fund I Signature of Agent/OwnSignature o> .contractor zoalt SISVH�I1t is 90649999L61 xvd t£:£T 900Z/9T/90