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HomeMy WebLinkAboutBuilding Permit #Exception - 200 SUTTON STREET 5/1/2018 0,RTk BUILDING PERMIT oF�tL�o TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATION Received I it- iZ � O �e �,�OPR ,Q¢' permit No#. Date R ,ys .,TEo i SgcHus Date Issued: LMTORTANT:Applicant must complete all items on this page 1 a ` t ;''` � � ��-��"a� Print � � �• ' ;1 d ` 4 PROPE'RTY ®t �/VNEI - -- - - n P ,as s � .. �. o Pnn't 1 D Year Str cture v yes ,. no b�rraa ,[1/IAP PARCEL0�. ZONING DISTRICT :�� a HistancE®istnat yes ,no Villag _y s 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 D Other o D '6 tic p 1Nell �-F(oodp(ain 1Netlands 6 1Naterstied Disfrict.. e/ : _ . _. _Wa -D - - - D SCRIPTION OF WORK TO BE PERFORMED: u4e +I its5 i— ,� �1 I �w,�� �� 1��5 d x 162 h q _ n �C Identification- Please Type or Print Clearly OWNER: Name:a B AV/ &R !-)'az- R- Vll-P& Phone: `7L 2 Address: . # r .R;: - :. . . Pe: 01-7 ' . c�, Supervisor's Con tructiori License :� � C�� -� r sExpDateK e,. _:- x ryHome;lrriprovement License: Exp= esDate .. :. ARCHITECT/ENGINEER Phone: . r Address: Reg, N-0. FEE SCHEDULE.BULDING PERMIT:$12,00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925,00 PER S.F. T®taI Project Cost: $ FEE: $_ _. Chec[7146.: Receipt No,,- NOTE: o,.NOTE: Pe acting Wd nregisterecto s do not have.access arcanty d ` C rr;ii tNtar� L1 ] f( rafIrPonn� a ._ . r �~ Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑ �TYPB OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales - ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On �Z '�0 Signature_ .COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS i 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 f% Fire Department signature/date COMMENTS -imension 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 droprequires 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 ate Time Contact Name r Doc.Building Permit Revised 2014 ;. s 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/Cross SectionfElevation 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 o CContr act ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products DOTE: 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 Location `r No. t /7— %2 -7 Date 1-212 Z-- 0 • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL J $ Check 1 7 6 Building Inspector • 12/6/16 200 Sutton Vna Fabricate& Install (1) 20"X 163"X.25"With 3/8" Raised Acrylic Letters On Black Aluminum Background, 1"Aluminum Frame-------------------------------------------------$2935.00 Logo: 1.8"Acrylic Painted Similar To PMS 341 U,Very Green 2040-30, Letters Knocked Out Of Green Adhered To 3/8"Acrylic Background Note: Sales Tax, Permit, Permit Acquisition & Lighting Are Not Included In This Estimate Install: App. 4 Weeks From Securing Permit Terms: 1/2 Deposit, Balance Due On Invoicing Similar to Very Green #2040-30 Similar To PMS 341 U 160 in All Care -VNA - HOSPICE PR1VATE-----SERVTCE u . 1 , t, y,s n o. ry . i "I I , ` - 978-794-2071 • E-MAIL: info@harveysigninc.com o r� CUSTOMERS: Please proofread carefully and sign only if all Is correct. U�}� Additional charges will be added if any changes or corrections are requested after customer signs off. INTERIOR/EXTERIOR SIGNAGE This must be signed and faxed back before start of job. FABRICATION•SERVICE•INSTALLATION X Signature/Date 30 OSGOOD ST.METHUEN,MA 01844 ALL DRAWINGS/DESIGNS/DERIVATIVES:2018.2017 HARVEY SIGN-AM Rights Reserved. ,12/6/16 200 Sutton Vna Fabricate& Install (1) 20"X 163"X.25"With 3/8" Raised Acrylic Letters On Black Aluminum Background, 1"Aluminum Frame -------------------------------------------------$2935.00 Logo: 1.8"Acrylic Painted Similar To PMS 341 U, Very Green 2040-30, Letters Knocked Out Of Green Adhered To 3/8"Acrylic Background Note: Sales Tax, Permit, Permit Acquisition & Lighting Are Not Included In This Estimate Install: App. 4 Weeks From Securing Permit Terms: 1/2 Deposit, Balance Due On Invoicing Similar to Very Green #2040-30 Similar To PMS 341 U in r n CS All ;Care 9 -A�NA-:-- HOSPICE - - R"RIVATE-SERVICE_; �' � ��-. �+ei :s �.k ^ ��'' I. � ''`" �� a T ✓�,�r a ' .r v ij' az �,., A'ti.E .y �'• . - " _211011 i ry } ti V a Y - - 978-794-2071 • 0 E-MAIL: info@harveysigninc.com CUSTOMERS: Please proofread carefully and sign only if all is correct. Additional charges will be added if any changes or corrections are requested after customer signs off. INTERIOR/EXTERIOR SIGNAGE This must be signed and faxed back before start of job. FABRICATION•SERVICE-INSTALLATION X Signature/Date 30 OSGOOD ST.METHUEN,MA 01844 ALL DRAWINGS/DESIGNS/DERIVATIVES:Q 2016-2017 HARVEY SIGN-A!1 Rights Reserved. a 12/6/16 200 Sutton Vna Fabricate&install (1) 20'X 163"X.2v"With 318:' Raised Acrylic letters On Black Alum lnum Background, •1,,Aluminum Frame Logo: 1.8"Acrylle Painted Similar To PMS 341 U,Very Careen 2040-30, Letters Knocked Out Of Green Adhered To 318"Acrylic Background LBM fealty & associates do not have any financial responsibility for this sign Similar to Very Green#2040-30 Similar To pMS 341U }}{{ r r ''�YGa.• A� • i'Yv,`1, 1 '}/�y+q�'' • .k} /?i'it JYLM. • }_. 1j _ _ ms' Pie } r LAIT � t rJF,� � § ,�'} �t s'` �. k •,. r - �� -y�•.^+�t y�,,py aw...,w�'s q V t t. i' "� ... �. � - e �,a' ""'" til 0 " � t'••` � T �, � � I - w; y,: �. Debbie please sign here giving VNA permission to install, this sign o AOL info e si nanc o . s CUSIVMJ#IS. Pte sp proofread careful and sfgnronly 1t<4 correct. /lddltioeiek narge itl be added it any nges or darrecllons ale requests after customer signs off. INTERIOR 1 I XTBRIOI2 SIGNAGE :, This must' f d'�an faxed beak be *rra$fart of jab.r _ N iAc�n�AVJIr�Gs o�slcrwslneRty ..,--�`� �' �d ,� •, I�natttrei�ate FABRICATION SERVICE INSTAtLATIO s $ 30 OSGOOD ST.METHUEN, MA 01844 I � �_ ATIVES.�2©96�Z017� ��sY SIGN-All fittghts tteserve ' I 1216116 200 Sutton Vna. Fabricate&Install (1) 20"X 163"X.2V With 316`Raised Acrylic Letters On Black Aluminum Background, i"Aluminum game $2935.00 Logo:1.a"Acrylic Painted Similar To PMS 341 t1,,Very Green 2040-30, Letters Knocked Out of Green Adhered To 3!6"Acrylic Background Nate: Sales,Taut,Permit, Permit Acquisition&Ugh►tingl Ara Not included In This Estlmate Install: App.4-Weeks f=ront Securing Permit Terms: 1/2 Deposit.Balance Due On Invoicing; Similar to Very Green #2040-30 Simi,lar To Ptv1S 341 U w 4 }tx 1.. � 9i � ..s.S t ■a .�.! V, ♦ �+�r. l -1a 01 n071 a x • r u LL i - ? let- info gninc.com CUSO+rlERS. P tread atul fan sl only if all is correct. A cNtional c ee d ny an a r rr.ectlons are requested after customer s'sgns off, INTEII:O EX , is rr a s1 , , 1a�re k be res of a R!/EXTERIOR SIGNAGE. " . �,� ,t fid � FABRICATION•SERVICE*.INSTALLATION Signature/Date 30 OSGOOD ST. METHUEt4, MA 8ifM :At AAk'1 NG5 DESIGhiSD iVATIVE5:0 2016*2417 HARVEY SIGN-,All Rights Rose rved. Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-071652 Construction Supervisor -Nil E RICHARD A HARVEY 266 NORTHERN BLVD ti NEWBURYPORT MA 01960 a t E Expiration: Commissioner 03/10/2018 4 l