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HomeMy WebLinkAboutBuilding Permit #027 - 215 BRADFORD STREET 7/21/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Of pORTFr kOR OL o Permit NO: Date Received 40,ATED Date Issued: VS US IMPORTANT: Applicant must complete all items on this page Z� LOCATION 3 2AD FOe.D 61- Print PROPERTY OWNER EL►ZAeWT14 E . BAA2&cEZ �i zc,1l W. SANcAC-Z Print ,z MAP NO.: PARCEL: ZONING DISTRICT. TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) Other A 9,t- ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED CONS-Muer 36`)c4-6' AF z 8A2N WiT14 A 12 `x+6 ' O\/EYLt-\ANG R BAet f s 129 ;S AFIEP ,DNdts ROAD Pe-N&8 i2c>kC O 3 275" Identification Please Type or Print Clearly) L-02-ASM E. `8Ae-Zr— 978-683-2+63 OWNER: Name: VA Mc A A_ W. S AtvCtk'L Phone: �Oe-(V-J nAddress: s $eA�Fbp� ST At-AbaUE'J? A O t-8+S- CONTRACTOR Name: Phone: i Address: a Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: �t'1cMA5 '�. 1.t�11iNE ARCHITECT/ENGINEER Name: Phone: I Address: Reg. No. -4-3 (68 FEE SCHEDULE.BULDING PERMIT.$10.00 PER$1200.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. G Total Project Cost S S, O O U C2/60,00 p x 12.00=FEE1 609M700 1 Check No.: 3 Receipt No.: Page I of 4 C Locatiorrg/r No. 4�c? Date 7 4/— TOWN / —TOWN OF NORTH ANDOVER 3?O: « ° :•1.x.0 O F � p � Certificate of Occupancy $ Building/Frame Permit Fee $ <+cHus Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check # i 6 4 --------- -- C Building Inspector 7 Date...... .......`....©..... NORTN °�<"`°:• '"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��SS�cHusE� This certifies that ................134144.r...........P'4 /....................... has permission to perform �A �? ��' �� Iv!.'iein'. wiring in the building of L .� !�� .................. at............. ....... �Noort--h�Andover,Mass. r Fee..!2-�. Lic.No. !�. �. ............. 5�t tom . .^ � ..... i ELECIRICALINSPECTOR Check # 3 8 � a 6905 TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ 11 Tobacco Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracd .d gis eyed contractors do not have access to the guaranty fund Signature of Agent/Owner ' Signature of contractor Plans Submitted ElPlans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ Imo' zz o ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS � f�� �c�C.P11y /> c ji, DATE REJECTED DATE APPROVED CONSERVATIO 7as pL y N ❑ COMMENTS No Udtv,41 �Ir� /00 DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS jZoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si nature& Da 1716Y,7 Driveway Permit �T Temp Dumpster on site yes_nox Fire Department signature/date Building Setback Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided / / Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) I i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created 1MC.Jan.2006 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 i Pane 4 of 4 Commonwealth of Massachusetts Official Use only Permit No. �Q S Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONSRev.9/05 � 1 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 116 10 �0 City or Town of: N bA:\- q, ��o vG To the Inspector of Wires: By this application the undersigned gives notice of his or her int tion to perform the electrical work described below. Location(Street& Number)2( S (•��,4 f-�j `� Owner or Tenant W kp, IJ 6A46 1, Telephone No. Owner's Address S X--t Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 6jl:AtJ Utility Authorization No. 9�f 3 SZ-- Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service 'Zo r) Amps (Lo / 2,L((3dolts Overhead Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I�� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransTotal Trsformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA - mer en No.of Luminaires "z Swimming Pool Above1:11 n E01o.o g cy ig in rnd. rnd. Battery Units No.of Receptacle Outlets I Z No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches L_ No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kir Security Systems: No.of Devices or Equivalent No.o Water KW No.o No.o Data Wiring: Heaters ` �� Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value Electrical Work: I000) d`x' (When required by municipal policy.) Work to Start: y p Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The P P g q undersigned certifies that such cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify,under the ams and penalties of perjury,that the information on this application is true and complete. FIRM NAME: A �� .2ULcES LIC. NO.: t fo Licensee: M".4 Ij,✓,ttit Signature LIC. NO.: r—L7 (If applicabl ent r "exempt"in the license number line.) Bus. Tel. No.: boa 3&Z'zc>g I/ Address: 1w5be v� +�; •.e 5—t-D A-� Alt.Tel. No.: 4 37 6 L *Security System Contractor icense required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. C9 0- ape &ate f Z - OAK Com- G- /rte I Name t Location Z� Check# � / Date el Note: r►OFi TIy TOWN OF NORTH ANDOVER c� ; Sewer Mitigation Fee $ ti 9 * ; * Sewer Connection Fee $ ,SSACHUS�� Water Connection Fee $ t Meter Fee $ Other $ RECEIPT NO. TOTAL1527 Div.Public Works WHITE: Applicant CANARY: Department PINK: Treasurer GOLD: File I 1437 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. V 1— Application by the undersigned is hereby made to connect with the town water main in -- Street, subject to the rules and regulations of the Division of Public Works. Street The premises are known as No, or subdivision lot no. t i° Owner Address Contractor 4t's e Cv l � , PERMIT TO CONNEWi� WATERIN The Board of Public Works hereby grants permission to Street to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. ar of Public Works By Inspected by Date See back for rules and regulations 201 Bradford Street North Andover,MA 01845 July 12, 2006 Town of North Andover 120 Main Street North Andover, MA 01845 To whom it may concern, On Friday, July 7, a building permit information-gathering meeting took place between Mr. Gerald Brown and Virgil (Bill) Sanchez. The intent of this meeting was for us to become more knowledgeable of the documentation requirements associated with constructing a barn on our property. During this meeting, Mr. Gerald Brown requested that a"notarized affidavit"be provided to document the intended use of the subject barn. The purpose of this letter is to provide this"notarized affidavit"that our current intended use of this barn is for"personal purposes". Sincerely yours, OirgUbeth E. Barker il W. (Bill) Sanche �— dot( NORT '9 Town ofi Andover 0 No. V a 17 - �` o dover, Mass. o > I� COCNICNEWICK A. ORATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT......V6 ................................... BUILDING INSPECTORW...........S // ....... Foundation am has permission to erect........................................ buildings on 4;�.r...444*40_ 'Rslw�. ... Rough tobe occupied as...3 ...........41►. .. 0.64�......................................................................................... 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 M� �' "� PERMIT EXPIRES IN b MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTP?i STARTS Rough t .� ............................... Service NAIN' 1 E&OR 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.