The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #161 - 21 HIGH STREET 9/3/2008 RTf/ BUILDING PERMIT 04 NO"O o ,b gtio TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ��SSACHUs��h Date Issued: ` IMPORTANT:Applicant must complete all items on this page LOCATIONS ` Print PROPERTY OWNER .�� 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 er Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identif tion Please ri ype or nt Cl OWNER: Name: r(p< Q nml� Phone: 5 Address: C-C IA CONTRACTOR Name: Phone: Address6--� 1 � ... '� Supervisor's Construction License: 9 J'S 2 Exp. Date: �S — Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. i FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $�i �a FEE: $ �® -�- Check No.: t V Receipt No.: rQ l V& NOTE: Persons cont acting with unregistered contractors do not have accAtthelarantyfund C, Signature of Agent/Owner Signature of contract 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 Dump ster 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 Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at 124 MainStreet 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) i ❑ 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 RehabilitatiQn..Permits u 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 Location No. A,l Date NORTq TOWN OF NORTH ANDOVER + Certificate of Occupancy $ ^�•;.t'CBuilding/Frame Permit Fee $ sAMUs Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 t 4 U ) Building Inspector ` 1f�-2'-2aQ8 1A:5k7 = Lei 1: T0:978 327 5582 P.3'3 1 ; IN I i I I I C�i�Ylf� r I � If I ` 1 I i 1 i R RTH T ® oAndover" f No. 0 dover, Mass.,, ,, 0 L A It. COC HICHEWICK RATED C:) IST BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR kkv'11100� f THIS CERTIFIES THAT..........If........�404.4................................................... ....................................................... Foundation has permission to erect........................................ buildings on ..... ........ %.v......... ................. Rough tobe occupied as.............. ............ .............................................................................................................................. 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 3 p PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR T UNLESS CONSTRUC(Er lo2 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. VD � x, l oar*aftBu�ld�ng Regu7ahons and Standards ' Construction Superyisar License ` Lice`rtse CS;.975°08.; . Birth,d' 1/1966 Tr#`97508 Rsstr ion OO f r` JAY PAIVA 1 ti Yrs 16MEADOW LANE SALEM;NH 0079 Commissioner 9. 3. 7 CUSTO�ius PY This document is a Contract. you should familiarize your- '111 I I'! self with its unusual features so there will be no misunder- AYWR RENTAL® standing as to your obligations.The words RENTER, YOU We're more than just products at work® and YOURS mean the persons who sign this Rental 0 ,� Contract(or are obligated under its terms). WE,OUR and 637 ANDOVER STREET TAYLOR refer to the TAYLOR RENTAL CENTER only at the { \ address shown at left. LAWRENCE, MA 01843 � (,�`��:.h_ � �jt a REN E, MA The back of this contract contains important terms and FAX 8) 327-5582 conditions,including Taylor's disclaimer from all liability for ) CIn u or damage and details of Renter's obligations for OPEN-7:30 A.M. CLOSE 5:00 P.M. �yr� " rental and other charges and responsibilities to care for and return the items rented. They are part of this contract 0 MONDAY thru SATURDAY -Read Them. N www.lawrents.com All rental equipment should be considered used unless Z email:taylorrental@conversent.net otherwise noted. 0o i is li VISIT US ON THE SAES AT WWW. L_AWRE:NTS. COM r DUE TO INSURANCE REGULATIONS DELIVERY & PICKUP IS DOOR TO DOOR ONLY' I I al I'a CSN' T REPAIR IT, RENT I T ! 03 O , 1r3 ,J Corttr a �i1t 11 r 1 c �•�-�14 IZ)6 7,'08 NELSONS 0 NELSONS 2'1 HIGH ET 511111 21 HIGH 61" NORTH ANDOVER, MA 111645 NORTH ANDOVER, MA 01845 97-988-3833 01 i CREDIT�CARD�#�RCG WNO. ANDOVER MILLS LLC EX R,r,vd. FRI 08/; ';~i08 11 04,E Q FAX CERTIFICATE OF INSSU R ANCE De 1 i vv,.- THIJ 09/14 /08 b DATE & TIME. OF EVENT THU 11--4 0.tt : THU 09/11 i 08 08-00 CELL_. PHONE # NAI HUNNEMAN MANAGEMENT & DEVELOP PickI_tRo FRI 19"'12''08 97-988-0233 Df.te ; 09/12/08FR09/12/08 08g00 978-988-.0233 o 4135 7150 0042 3049 02 1. 1 PLEASE FAX INVOICE TO DENISE 978-988-0233 NEE.'DS US TO GET PERMIT FOR TENT ($75„ 00i I =lten1 No. _y _D Iraficr-Yom._.::, ==-====Unit--E r)r_.l d �7 70-0103 3 3 TASLE, ROUND 1 25 9. 50 0 9. 50 "9. 50 0 721--0011 25 CHAIR, FOLDING BROWN 25 1. 10 1.. 1121 27. 50 0 70__0271 1 TENT, 20 X 40 25 2`5. Olt) 295. 1?-10 2.9 5. 1210 0 0 C; .._.._.._.______.._.._____-._Rem e i}7t s S•_tln In ai._.�,-.__...___.___..______..._.. �.arn��r iltlt.t PARTY &-BANQUET _51. 00_► No Iaaylnent s gave been made MASS SALES 17. 55 To t-11 :68� 35 C: I acknowledge receipt in good order of the items rented, and that I have read RETURN and agree to all terms of this contract. Unless declined I also agree to the EQUIPMENT BY: Damage Waiver charges. DECLINES D.W.0 D.W.C.IS NOT INSURANCE.Renter may, ,theby initials hereon, decline benefits of Paragraph 10, Damage 4111 11 I' ReRterr 1ha rRe terAsig erl represents he is Agent of and a It onzed to sign fo P1 k�r� Waiver,on reverse TIde ofahi-co tttract. 1Y h1 I Sa IAE l_ 08/2?" NELSONS 1--23434�?t 04 0 LICENSED BY SERVISTAR CORPORATION PO BOX 1510,BUTLER,PA 16003-THIS CENTER IS INDEPENDENTLY OWNED AND OPERATED r vi'..ertif irate o iflame •sTE REGISTERED issued by Date Manufactured FABRIC �. NUMBER TOPTEC PRODUCTS, LLC 2 1073 Neely Ferry Road �'-�, •,. o►��p� F53501 Laurens, SC 29360 04/13/07 F REtA�` This is to certify that the materials described are inherently flame retardant. Name TAYLOR RENTAL CENTER Address 637 ANDOVER ST LAWRENCE MA 01843 City State ziP Certification is hereby made that.- The hat.The articles described are flame-retardant, approved and registered by the State Fire Marshal and that the fabric is in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Fabric has been tested and passes NFPA701-99, ULC214,. MVSS302. • Method of Application: The Flame Retardency of this Fabric is Inherent and Permanent Description of item certified: EXPRESS 20x20 BLACKOUT WHITE The Flame Retardant Process Used WILL NOT Be Removed By Washing. TOPTEC PRODUCTS, LLC. TTFE202000 MODE I LL s t Name of Production Superintendent SERIAL # 2726466