HomeMy WebLinkAboutBuilding Permit #844 - 20 BRIDGES LANE 2/26/2006 TOWN OF NORTH ANDOVER NoeTN
APPLICATION FOR PLAN EXAMINATION a�<=QED gtio
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Permit NO: 1 Date Received 4�/ 1e#
TED
Date Issued: Ssvewus�`
IMPORTANT:Applicant must complete all items on this page
LOCATION �® � ® `
01 Print
PROPERTY OWNERS /Y) S,44 )r
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MAP NO.: !' PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building ❑One family
❑Addition ❑Two or more family 11 Industrial
❑Alteration No.of units:
epair,replacement ❑Assessory Bldg ❑Commercial
❑Demolition
❑Moving(relocation) ❑Other ❑ Others:
❑Foundation only
DESQUPTION OF WORK W BEP EFORME ' Xor/<,
Identification Please Type or Print Clearly)
OWNER: Name:-)2/)1 1 Alvr-�
` Phone. /
Address: Sto
i -
' CONTRACTOR Name: r � / Phone: .�
i Address: Jl
1 i 5..
Supervisor's Construction License:C.� S �� �c� Exp. Date:3 :iz
Home Improvement License. & C� o Exp. Date: `Y :i�—
ARCHITECT/ENGINEER ( Name: Phone:
Address: Reg.No.
FEE SCHEDULE:BULDING PERMIT.$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST B S D ON$125.00 PER S.F.
Total Project Cost :$ ,2�,/ x10.00=FEE:$
Check No.: y 7-k Receipt No.: �1
Page 1 of 4
Locationy
No. 7 Date 2-
TOWN
TOWN OF NORTH ANDOVER
f �
FO w
9
Certificate of Occupancy $
�H�s�� Building/Frame Permit Fee $
or
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check yp
Building Inspector
r
TYPE OF SEWARGE DISPOSAL Swimming Pools ❑
❑ Tanning/Massage/Body Art ❑
Public Sewer ❑
Tobacco Sales Food Packaging/Sales ❑
Well ❑ ❑
Permanent Dumpster on Site
Private(septic tank,etc. ❑ Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contra
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped 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 Driveway Permit
Temp Dumpster on site yes_no�( Fire Department signature/date
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 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
o Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o 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
D Workers Comp Affidavit
L3 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)
a Mass check Energy Compliance Report (If Applicable)
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
and Two Family)
New Construction (Single y)
o Building Permit Application
L3 Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
a Two Sets.of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
o Mass check Energy Compliance Report
a 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 2014
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i OlX' 0[✓IJ19R2[Yl2u/P,[tr/C�Z n�✓(°�ry4D�l.CfLu6e 1
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
t Number: CS 017454
Birthdate: 02/01/1954
Expires: 02/01/2008 Tr.no: 15432
Restricted: 00
BRUCE E MCELWAIN
316 LAKE DR
S HAMILTON, MA 01983
Commissioner
94.�oyrrrnoreurea�i o�✓lgaavctc�uaPlla'",
(� �= i;[ .:d,i,!'ltui:�tiu�t'r.�,;;�.,.ns a:ul tit.r�h,•�:•: ,
HOME IMPROVEMENT CONTRACffi,R
Reg'istr`aiicyn: 10628'
EY?iration:
7/22/2C06 ,
TYps:-..individual
BRUCE MCELWAIN`
Bruce fvIcElwain .
31e Lake Drive
S. iamilton;IMA 01532
- - �1fa:a17i5l T.:iit'
BRUCE McELWAIN
CONTRACTOR
316 LAKE DRIVE
SO. HAMILTON, MA 01982
468-3853 or 531-3831
CS 017457
TYPE OF WORK )
�7
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4LI'
I
CLEAN-UP
Co_,V
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GUARANTEE COST MAT. & LABOR
TERMS atdA
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OWN
CONI-7-'V/Z01_7,_ ;1 F&,,,,v .e 1
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MORTGAGE INSPECTION ]PLAN
BOSTON '
SURVEY, INC, 99-07346
P.O. Box 220 Charlestown, MA 02129
(617)242-1313 MAIN (617)242-1616 FAX
APPLICANT: BIANCHI
LOCATION.' 20 BRIDGES LANE
CITY, STATE: NORTH ANDOVER,MA DEED/CERT.• 4887-163
PLAN REF..
9513
LOT IAA
44,365+1•S.F.
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STORY
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BRIDGES LANE
1094 fq P;tr ,Sit,,So&, -
PREPARED: 08-09-1999
CERTIFIED TO: DIGITAL EMPLOYEES FEDERAL CREDIT UNION
SCALE:1 inch=50 feet
The permanent stntcwrrs areaPDroimalcly located on the �y'tNOF
ther Mq L �Ctl
ground as zhow � .v
n.The•eiconformed to the setback �y According to Federal Emergency Management Agency
requirements of the local zoning ordinances in effect at JOHN a
the time of construction,or are exempt from violation en• pJ. _ maps,the major improvements n
forcrntem action under M.G.L.Title VII, n this properly fall in an
m
Stiction 7,and that there are no encroachments of mOjor RUSSELL rn arca designated as ZonX J o tic�,d
H387 C nnumlh'Panel No: q�- � v
improvemems either way across property lines except as � 0 /I
shown and noted hereon. !9 ES �, Effective Wit: `/n _f�{/? -
'�Su Y N E:Zone C is areas of minimal din�n
NOTE:This is nota boundary or title insurance survey.This Plan war rr...,,..w:., designalion is not based cn an elevation certil cateading).This
by the Massarhi—o a.,,...., . ,,,_..,_
NORTH
Tovm o ...;4.. L over
No. o i 0
dover, Mass.
O {- L A E 1 '
2 COCNIC MEWICK ��
%S RATES
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
' BUILDING INSPECTOR
THISCERTIFIES THAT... 1 . ......... .. ..I..; .. ................................................................................. Foundation
has permission to erect........................................ buildings on ....07......... .......(4*0.4!...... Rough
tobe occupied as.........................I.��J`.L. .....\. Gci ................. .. '^ .r ...-.................................................................. Chimney
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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU ST 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.
=SEE REVERSE SIDE Smoke Det.