HomeMy WebLinkAboutBuilding Permit #189-11 - 196 MAIN STREET 9/2/2010 BUILDING-PERMIT 0.* OO RT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
p��AfEO'�a`y`5
�SSACHUS��
Date Issued:
IMPORTANT:Applicant must complete all items on this page
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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
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DESCRIPTION OF WORK TO BE PREFORMED:
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Identification PIease Type or Print CI arty)
OWNER: Name: Ph ne:
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULD/NG PERMIT:$12.00 PER$9000,00 OF THE TOTAL ESTIMATED COST BASED ON$123.00 PER S.F.
Total Project Cost: $ Zed FEE: $ 3D
Check No.: I Y� d Receipt No. c7 1
NOTE: Persons contra ng wi h unregist contractors do not have access to the guaranty fund
L7TeiO.. .q � fI . 1lrILT' _�` a a. fDT' �� �
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art Swimming Pdois
-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
COMMENTS
CONSERVATION Reviewed on Signature
U__ ...f-.. ,
llIV11VICIV S
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Baard Decision: Comments
-Conservation Decision: Comments
Water& Sewer Connection/Signature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
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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
j
Doc.Building Permit Revised 2010
Building Department
The following ls'a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing 9, Siding, Inferior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of N.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
o 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
_t•t: r n "Ir,' rpt
❑ -el U11' a rroposed r'{:.;t tan.
❑ 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 aU 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:Building Permit Revised 2009
Location q " 1 - ( G
No. t Date Jr 0,
NORTIy TOWN OF NORTH ANDOVER
f �,Y
F R
9
Certificate of Occupancy $
s�CMUs t� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
2341, 1
Building Inspector
b �r
C 0
0
REGISTERED ISSUED BY
APPLICATION i"anulacvured
CONCERN No. THE '(ENT CONNECTION, INC. , '
1680 Providence Road 2/)7/04
FA-121.D3 NORTHBRIDGE,MA 01534
j t
This is to certify that the materials described on the reverse side hereof have been flame-retardant treated(or
are inherently nonflammable).
FOR E k= RENTAL CENTW ADDRESS 1. 8, vunvTnFxcF ROAD
I
CITY NORTH RRInrF STATE MA
Q rtificarlon is hereby made that:(Check"a"or"b") .
F-1
(a) The articles described on th reverse side of this Certificate have been treated with a flab-retardant chemical approved
and registered by the State F're Marshal and that the application of said chemical was d' e in conformance with the laws
of the State of California a the Rules and Regulations of the State Fire Marshal i '
Nameof chemical used..I.............. .....................Chem.Reg.No.......... ...........
Methodof Application......i....................................... , -,
F (b) The articles described on to reverse side hereof are made from a flame resistant bric or material registered'and'
X approved by the State Fire Marshal for such use.
Trade name of flame4esistant fabric or material used..ARCHITENT/HERCULITERA-i¢2.03
.....................Reg.No. �, .. t..
The Flame,Retardnt Process Used will not Be Removed;by Washing
(will a wlll noU ( i_ ti
ALL MATERIALS ARE CERTIFIED SY THE CALIFORNIA STATE FIRE MARSHAL AND MEET THE REQUtRQNENT5 OF NEPA 701 ar+d UC z l4`' a
!° by Paul Tonry, PresidentP-
N�me orApplfalor or Pmdudfon Sy WWCndenl
t
I
NORTH
o" O Andover
0
/p
o __= -o dower, Mass., 9
COC MIC ME WICK ��
7�S RATED PPS C
BOARD OF HEALTH
Food/Kitchen
PE11MIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT
r.................... ..,,,............................................................... Foundation
A .has permission to erect..............:......................... buildings on . �p....Y.�U�{ /�... .....�... � n1-.. 4.c..1� Rough
. .
to be occupied as.......... - � .. Chimney
provided that the perso accepting this permit s:hal 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
3 UNLESS CONSTRUC S TS ELECTRICAL INSPECTOR� Rough
............. ........................ ..............................................
Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Ocmpy 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.
SEE REVERSE SIDE Smoke Det.