HomeMy WebLinkAboutBuilding Permit #611 - 24 EAST WATER STREET 5/12/2009BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
I 'IMPORTANT: Applicant must complete all items /on this page
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LOCATION , Z �4 /
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PROPERTY OWNER+M' �- �
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MAP NO: PARCEL:,;:Z 9 ZONING DISTRICT:Historic District yes no
Machine Shop Village es no
TYPE OF IMPROVEMENT
PROPOSED USE
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Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
Septic Well
Floodplain Wetlands
Watershed District
ater/Sewe
DESCRIPTION OF WORK TO BE PREFORMED:
ZS��C /
Identification Please Type or Print Clearly)
OWNER: Name: P h o rT
Address: Al %l%t f�/z ✓l/ �n�d r� C/Z�
Supervisor's Construction License: -rL g 19T5 Exp. Date:
Home Improvement License: I.1
ARCHITECT/ENGINEER
Address:
Phone:
No.
FEE SCHEDULE: BULDING PERMIT: $112.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ 0 FEE: $ '790--
Check
790--
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
_ _
Location 'aiz r
No. Date �—//z zo
Check #
22 Uz- 6
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ ->r?—
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
0
' h 4
EIGIding Inspector
I
Date.....................
"ORTH
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
- / / ", I &-Z
This certifies that ............................................
0
has permission for gas installation ... 'to
.............
is the buildings of .....
..............................
at North Andover, Mass.
.........................
Fee.. ..... .. Lic. No;. . ...... . ..........
GAS INSPEdOR
Check#- /— 7-
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 Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
CONSE A 16 Reviewed on 75 U `� Sianature�l N -7A r%�.--
COMMENTS
HEALTH Re ewE
COMMENTS
on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
it
Planning Board Decision:
t
Conservation Decision:
Comments
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
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
NOTES and DATA — For department use
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
IM
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
NO jE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
*,wilding Permit Application
Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo- aWof 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
N01 E: 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
N01.E: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
In'll cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
th the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
mit be submitted with the building application
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2008
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SWIMMING POOL CENTER, INC.
670 South Union Street
Lawrence, MA 01843
978-682-6916
ABOVEGROUND POOL SALES CONTRACT
Date
Name',G
Address� 4� �ci State ZipJ`—
Hon'e# i lr'4,�-�-� Cell# 101'F—/1';?
We propose to furnish one
Aboveground swimming pool for the sum of $
All aboveground pool packages include: Deluxe filter - pump/motor - deluxe thru-wall skimmer - ladder -
printed liner - manual vacuum kit - chemical starter kit - leaf skimmer - connecting hoses - hose clamps -
filter system base - winter pkg - pool cove
Motor: 1 HP 1.5 HP Filter:DE Sand Cartridge
Ladder: (A -frame) Deck Stair Liner: 20 gauge 25 gauge ?
Light
Automatic Vac
Solar Reel $
Solar Cover $ ---
25 Gauge Liner $__ IVC
Pool Pkg
Extras
Subtotal
5% MA Tax
Total Due
Upon Delivery
NOTES:
�e rce h
Salesperson ._04171(f Date
/Adaptor $
Step Unit.
Misc.
Misc.
Fencing $ --
Heater $
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Buyerl, Date r�
SWIMMING POOL CENTER INC.
670 SOUTH UNION STREET
LAWRENCE, MA 01843
(978)682-6916
NAME DATE
ADDRESS CITY �/,zA.i/ TATE M'ZIP '`'�
HOME PHONE �'~��'-lJJ CELL i' -7W0 RK,/
ABOVEGROUND POOL INSTALLATION CONTRACT
We agree to install one �� �f ��' . aboveground swimming pool
for the sum of $ z C?� The price is for a normal swimming pool installation in
a professional manner. Site preparation, including removal or protection of trees, stumps, boulders, ledge
or other vegetation; which constitutes obstruction to the installation, shall be the responsibility of the
customer. Swimming Pool Center is not responsible or liable for removing sod, rocks, ledge or dirt
remaining from the excavation of the pool site. Swimming Pool Center will not be liable or responsible
for damage done to walkways, driveways, patios, lawns, shrubbery, trees, flowers, sprinkler systems, well
lines, underground utilities and sewerage or drainage pipes. Swimming Pool Center cannot guarantee an
exact fit between an existing deck and a new pool installation.
Dates of installation are subject to change at the discretion of Swimming Pool Center due to bad weather
or other installation delays.
If the contract cannot be fulfilled by Swimming Pool Center due to the buyer's cancellation during
construction or having improper ground conditions for a proper installation, the buyer agrees to assume
the cost of labor and materials already provided by Swimming Pool Center.
Swimming Pool Center will:
1. Provide an excavator for the pool site.
2. Deliver the pool and other purchased items to the site.
3. Deliver a base of stone dust to the manufacturer's specifications.
4. Assemble, erect and level the pool structure with a patio block under each upright.
5. Install liner and begin filling from the customer's water supply with a garden hose.
6. Assemble and connect the filter system placed on a fiberglass/concrete pad.
7. Assemble and install the ladder, cleaner and light if purchased. We will only install drop-in stairs
if the deck is present at the time of the installation.
8. Schedule a start-up visit to explain the operation of the pool after the pool is full of water.
The customer will:
1. Be responsible for choosing a decisive location for the pool.
2. Be responsible for obtaining a building permit.
3. Provide access to the pool site for a small digging machine and dump truck.
4. Supply sufficient water to fill the pool.
SWIMMING POOL CENTER — INSTALLATION CONTRACT p. 2
5. Be responsible for procuring an electrician for the ground and electrical supply to the filter
system.
6. Be responsible for any landscaping and backfill with crushed stone around the outside of the pool.
7. Be responsible for proper winterization of the pool.
Limited warranty: Swimming Pool Center agrees that for a period of one (1) year from the date the
pool is installed, it will, without charge, provide the labor to remove or repair any component of the pool
that is subject to an independent manufacturer's warranty, providing the Swimming Pool Center has
certified the pool.
1. At the option of the Swimming Pool Center, the warranty is voided if the buyer has not fulfilled
all payment obligations including extra charges if any.
2. Warranty is voided if the customer did not have crushed rock spread around the outside of the
pool within 7 days of the installation.
3. This warranty does not include the cost of supplying chemicals or water to refill the pool in
connection with the performance of any warranty service.
Swimming Pool Center must be notified within the warranty period of any problems involving the
installation to ensure proper performance.
Installation charge on pool (normal excavation) $
Beater install Opt 1 Opt 2
Sub Total $
eJs 7-/, cn
Deposit to hold the pool and secure an installation spot $_(- �® ad
Balance due once pool is set up and beginning to fill $
Possible Extras
Date Pd �9
CC or Ck#
Date Pd
CC or Ck#
If the excavation goes over 1 hour, an additional charge of $ will apply.
If access to the pool site is not available by dump truck to deliver the stone dust base, an additional charge
of $ led, .Wa will apply.
If additional building material is needed (stones, gravel etc.), the material cost will be collected at the time
of the excavation.
I HAVE READ AND ACCEPTED THE ABOVE AGREEMENT AND CONDITIONS.
Customer L-�6��Q Date
SPC Date
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Date ... (0./ .. ........
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that . . . . . .
has permission for gas installation ?7 ... 5-7!��Y.In5� ...........
in the builqings of ... 2� V 4�*77�� ......
at A a�. e, J� .... North Andover, Mass.
Fee.1 A,.5"P Lic. No..g?):-�
GASINSPECTOR
Check# / D-3 ?
6437
MASSACHUSETTS UNIFORM APPUCATON FOR PERNIIT TO DO GAS FITTING
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Locations _ Z xo�`�/ ��-7� Permit #
Owner's Name Amount $
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New Renovation D Replacement 13 -Plans Submitted �!
(Print or type) ^�
Name /T
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Address 0 eR
'?-ty LIT- f-1 C) L/ -t° /1_
usmess I a eo one Q. a I a` _
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BASEMENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
Ir
4TH. FLOOR
4
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5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH. FLOOR
(Print or type) ^�
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Check one: Certificate Installing Company
Corp.
Partner.
Firm/Co.
Q
INSURANCE COVERAGE Check one:
I have a current liability Insurance, policy or it's substantial equivalent. Yes E3--- Noo
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity 13 Bond 13
Owner's Insurance Waiver: l am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 13 Agent 13
hereby certify that all of the details and information I have submitted (or entered) in above app ication are true and accurate to the
best of my knowledge and that all plumbing work and inst Ions 60 underrermit lss ed for this application will be in
compliance with all pertinent provisions of the Massach setts e Gde and 1 of the Oneral Laws.
I By: I
I City/Town; I
(APPROVED (OFFICE USE ONLY)
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Signature of Licensed Kumber Or Gas Fitter
)slumber
Gas Fitter License Number
Master
0 Journeyman
ItMASSACHUSETTSUNTFORM APPLICATON FOR PERMITTO DO G4S ET"or print) Date "' Q
NORTH ANDOVER, MASSACHUSETTS
Building Locations 'S
Permit #
0'
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Owner's Name
Rt
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New
FD--�
Renovation
❑
Replacement
❑
Plans Submitted
❑
(Print ortyp MrA
Name ' ' l Y:
Addres Q
X0, Amotak,
Business Telephone
�1,ame of Licensed Plumber or Gas Fitter
Check one: Certificate Installing Company
❑ Corp.
❑ Partner.
0--F,rm/Co.
I*SURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑
If you have checked ves. please i5Aicate the type coverage by checking the appropriate box.
Liabilin insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ AQent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Cy* and Chapter 14t o; the General Laws.
By:
Title
CitviTown
.PROti"ED (uFl-lcr USE ONLY)
nature of Licensed Plumber Or Gas Fitter
Plumber �,2 �. i)
r7 Gas Fitter Icense Nurn er
—iGlaster
❑ Joumeyman
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SUQ-Q:\5EM EN T
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1 s T. F L U O R
2:N D. FLOUR
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1T 11. FLOOR
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t�f It . FLU U R
11 F LUU R
8II FLUU R
(Print ortyp MrA
Name ' ' l Y:
Addres Q
X0, Amotak,
Business Telephone
�1,ame of Licensed Plumber or Gas Fitter
Check one: Certificate Installing Company
❑ Corp.
❑ Partner.
0--F,rm/Co.
I*SURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑
If you have checked ves. please i5Aicate the type coverage by checking the appropriate box.
Liabilin insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ AQent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Cy* and Chapter 14t o; the General Laws.
By:
Title
CitviTown
.PROti"ED (uFl-lcr USE ONLY)
nature of Licensed Plumber Or Gas Fitter
Plumber �,2 �. i)
r7 Gas Fitter Icense Nurn er
—iGlaster
❑ Joumeyman