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HomeMy WebLinkAboutBuilding Permit #719 - 2 JOHNSON STREET 5/17/2010Permit NO: Date Issued: 1-/17/10 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this tnaQe LOCATION 4f.% �ttSczt, iP� Prim .PROPERTY OWNER t_. ewe �e� � �V MAP 210 PARCEL: A` ZONING DISTRICT Historic District Machine Shop' 3r o s A Non- Residential New Building 4_ < '. no ves no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial eration No. of units: ommercial Repair, eplacement Assessory Bldg Others: emolition Other Septic Well Floodplain Wetlands Watershed District ater/Se DESCRIPTION OF WORK TO BE PREFORMED: 0o S -T. 4 eaTrCcic�/UieC .hsS,4u 1: LIZ F�oaes/ddw V . 14,%1 f IM,tC. 'Tang,µ,- Identification Please Type or Print Clearly) -`, 11VU 6W+4ER: Name: C4 kar-sv ie Mei- Phone: 978-9�s "8c�Z7' Address: Z - lq LJti� �-- X04 �►iou, S$'• �!o �h vel t4,t� of ��5� , d CONTRACTOR Name: C. Qs"pr, Phone: �^vA 3�8 4ta3tp ' � 4. IS3o W-tc+ooe-emA. mi$4s Supervisor's Construction License: 7S3 0 -*1-- Exp. Date: 1 a /,y / o Home Improvement License: Exp. Date: ARCHITECT/ENGINEER B.SULL; Vr . $ Ce zc . Phone: 7S1—a4ca ) U(0 7 Address: SS© Wl44, S�, M4 Reg. No 90/0 FEE SCHEDULE. BOLDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIM TED COST BASED ON $125.00 PER S.F. tcG.�gvLt� Total Project Cost: $ Z,X00. Cs -Me ItCl FEE: $ `f° Check No.: 793�- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor 11-� Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Coodackaging/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 COMMENTS HEALTH Reviewed on Signatu 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 - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date 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, 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) 0 Notified for pickup - Date ................. _.__._........ _..__.._......................................................................... _............ _........... _.._..................... .._............... _............. _.................. _................................................... _........... _.... ---._............................................................... ..... _.... _............_f....................................................................... Doc.Building Permit Revised 2010 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: Building Permit Revised 2008 Location No. / �' Date � w TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 23165 /Milding Inspector �•ca c N 0 d ea =Cm O 'A c 0 C- EE �o 0 COD V G3 $ u C � m c !\' m o a N = �� N cc CA' N O O N �jCD cv C -C.3 i m t ff, � : c Go { d C T, o m c -, O �\�Cz �,..: :coo c n a m ym� o = m :0 3 N I— rA o m s • ., c I .y dL W c Z ccO r m -N all CS 0 4D cm C.3 CD CIO .Q '00 'O _ zoo ti O r-- � a� m 0 0 z O U C/) U O O O CDL �f•/ iZ co Z y I Com_ CO3 p '0 0 y 0 0 m m co c(D CL I--_ CD to � 3� 0 0 OL oa a. �a E o= c ccc CL 0 CD CO3 Z v C2 CL C.3 H cO . c c H O O w O � w W x z Z W C t� cn v W w z° O L C W DD v O 0 00 U w w 0 w ", cn w° a�G ii w4' cn w� cn cn �•ca c N 0 d ea =Cm O 'A c 0 C- EE �o 0 COD V G3 $ u C � m c !\' m o a N = �� N cc CA' N O O N �jCD cv C -C.3 i m t ff, � : c Go { d C T, o m c -, O �\�Cz �,..: :coo c n a m ym� o = m :0 3 N I— rA o m s • ., c I .y dL W c Z ccO r m -N all CS 0 4D cm C.3 CD CIO .Q '00 'O _ zoo ti O r-- � a� m 0 0 z O U C/) U O O O CDL �f•/ iZ co Z y I Com_ CO3 p '0 0 y 0 0 m m co c(D CL I--_ CD to � 3� 0 0 OL oa a. �a E o= c ccc CL 0 CD CO3 Z v C2 CL C.3 H cO . c c H Center Realty Trust 2-4 Johnson Street, Unit # 2 ESTIMATED CONSTRUCTION COST UNIT #2 CATEGORY OF WORK DESCRIPTION OF WORK ESTIM. COST Plumbing, rough and finish Rough and equipment installation $ 7,000.00 Electric Install base electric /Equip. hook-up/lighting $ 3,000.00 Sheetrock/Plaster Install and plaster two rooms $ 1,500.00 Flooring Install Vinyl tile in kitchen/Hardwood in office $ 2,680.00 Trim Install window and door trim etc $ 1,500.00 RFP Install on walls of Kitchen 608 sf $ 1,520.00 TOTAL: $ 17,200.00 Massachusetts - Department of Public Safety Board of Buildin- Re-ulations and Standards Construction Supervisor License License: CS 75302 Restricted to: 00 BENJAMIN C OSGOOD 69 OLD VILLAGE LANE NO ANDOVER, MA 01845 ('ununissiuncr Expiration: 12/4/2010 Tr#: 6955